Can acupuncture regulate the menstrual cycle?
The menstrual cycle is divided into four distinct phases; the menstrual, follicular, ovulation and luteal phases. When a woman attends weekly acupuncture different points are used for the various phases of the menstrual cycle.
Yes! From my clinical experience, acupuncture can be used to help regulate the menstrual cycle. Acupuncture can help to restore a regular period in women who have irregular periods (metrorrhagia or oligomenorrhoea) or when the period is absent (amenorrhea). Regulating the menstrual cycle is also of benefit to women who suffer from PCOS (polycystic ovarian syndrome) and may have irregular ovulation and irregular cycles as a result making trying to conceive a bit tricky.
Optimal results are achieved with weekly acupuncture treatments which are directed at correcting any underlying energetic imbalances in the body, as well as coinciding with the specific physiological changes of each phase of the menstrual cycle.
The menstrual cycle is divided into four distinct phases; the menstrual, follicular, ovulation and luteal phases. When a woman attends weekly acupuncture different points are used for the various phases of the menstrual cycle.
Acupuncture during the 4 phases of the menstrual cycle
PHASE 1: MENSTRUATION (DAY 1-5)
Day one of the cycle is marked by the full flow of menstrual blood (not spotting). The pituitary gland in the brain signals for the production of the hormones FSH (Follicle Stimulating Hormone) and LH (Luteneising Hormone) to stimulate the growth of follicles. Acupuncture treatment during this phase is directed at moving blood in the uterus to ensure the endometrial lining built up over the previous month is fully shed and to reduce the pain from cramping as well as treating any other symptoms that coincide with the period (e.g. clots, flooding, cramps, nausea and constipation/loose bowel movements).
PHASE 2: FOLLICULAR PHASE (DAY 6 - PRE-OVULATION)
During this stage of the cycle, oestrogen builds. This increase in oestrogen thickens the lining of the uterus and increases cervical fluid, otherwise known as “fertile mucus”. Acupuncture during this phase is aimed at improving the uterine and ovarian blood flow to aid development of the ovarian follicles which contain an egg, increasing the lining of the endometrium and increasing cervical fluid.
PHASE 3: OVULATION
The release of an ovum (egg) from the dominant follicle is triggered by a surge in the hormone LH. The cervix is open and fertile cervical mucous increases just before ovulation occurs. Acupuncture treatment during this phase is focused on assisting the release of the egg and helps drive the temperature rise we look for when charting a women’s temperature.
PHASE 4: LUTEAL PHASE (POST-OVULATION)
During this phase, progesterone is increasing. Progesterone is secreted by the corpus luteum (what is left of the follicle after the release of the ovum) and helps to thicken the endometrium for implantation and is necessary to sustain a healthy pregnancy. The ovum travels down the Fallopian tube into the uterus after ovulation. If fertilisation has occurred the embryo will hopefully implant in the uterus. Acupuncture treatment during this phase depends on whether or not pregnancy is trying to be achieved. If a woman is trying to conceive then treatment is focused on assisting implantation and securing the embryo to prevent miscarriage. If not trying to conceive, treatment is focused on regulating Qi (energy) flow to prepare for the next cycle and help to minimise PMS symptoms.
Whilst acupuncture can successfully regulate the menstrual cycle, there can be some side effects from acupuncture treatment. These include deeper sleep, improved digestion, a more relaxed nervous system, a stronger immune system and a decrease in joint pain. Side effects every woman is happy to endure :-)
Written by Mandi Azoulay
Mandi Azoulay is a Doctor of Chinese Medicine with an innovative approach to diagnosis and treatment. With a special interest in women’s health, Mandi supports patients though all life cycles by integrating the philosophies of Traditional Chinese Medicine with the research and modern advancements of Western Medicine.