Acupuncture for PMS

Premenstrual syndrome (PMS) encompasses a wide variety of signs and symptoms that arise in the days leading up to your period. Common experiences include irritability, depression, mood swings, breast tenderness, fatigue, food cravings, acne flare-ups, headaches, joint pain, abdominal bloating, and changes in bowel habits. While many women accept these symptoms as an unavoidable part of their cycle, they don’t have to be. Our acupuncturists are skilled at regulating the menstrual cycle to reduce and even eliminate PMS symptoms.

From a Western medical perspective, PMS is believed to result from a combination of factors such as hormonal fluctuations, particularly low estrogen and high progesterone, neurotransmitter changes including serotonin imbalances, and stress. Conventional treatments may include birth control pills, NSAIDs for pain, and antidepressants to enhance serotonin levels, along with lifestyle modifications like improved diet and exercise. However, multiple studies have shown that acupuncture is an effective and safe treatment for PMS symptoms (study 1, study 2, study 3, study 4).

Acupuncture for PMS is highly individualized, as treatment is guided by each person's unique symptom pattern. For example, when fatigue dominates the premenstrual phase, often paired with sweet cravings, abdominal bloating, and irregular bowel movements, Chinese Medicine identifies this as Spleen Qi Deficiency. The Spleen, according to Chinese Medicine, plays a vital role in digestion and energy production. When its function is weakened, the body lacks the Qi (energy) needed to stay alert and balanced. Acupuncture for this pattern focuses on strengthening Spleen Qi, using points along the Spleen and Stomach meridians, and sometimes employing moxibustion to warm and further support digestion if cold sensations are present.

When breast tenderness and irritability are prominent, often accompanied by headaches, depression, and disturbed sleep, Chinese Medicine attributes these symptoms to Liver Qi stagnation. The Liver governs the smooth flow of Qi, and when it becomes stagnant, discomfort and emotional dysregulation arise. The Liver is also connected with anger and irritability, while stagnation can indirectly influence other organs like the Lungs, which in Chinese Medicine are linked to sadness and depression. Treatments focus on regulating Liver Qi, often by stimulating points on the Liver meridian, complemented by points on the Pericardium, Lung, and Gallbladder meridians to address associated symptoms such as irritability, sadness, and headaches. Points near the chest are often added to relieve breast distension directly.

For those experiencing mood swings, Chinese Medicine explores the connection between the Heart and Kidneys. The Shen (mind spirit) resides in the Heart, while the Kidneys nourish the Heart’s fire with their water element. As menstruation approaches, both organs contribute blood and energy to the uterus. If these systems become depleted, the Shen loses its stability, leading to emotional volatility. Acupuncture for mood swings supports both the Heart and Kidney meridians, using points on the wrists, legs, and abdomen to calm the Shen and balance emotional states.

Chinese herbal medicine for PMS is another powerful treatment modality. Just like acupuncture, herbs are selected based on your specific presentation and diagnosis. Herbal formulas are customized to target the underlying imbalances contributing to your symptoms, offering a natural and effective approach to PMS relief.

It’s ideal to begin treatment before symptoms appear. Even if you’re visiting for an unrelated concern, be sure to mention your typical PMS pattern to your acupuncturist. We’ll ask detailed questions about your cycle—such as flow duration, color of menstrual blood, and presence of cramps—to create a more nuanced, tailored treatment strategy.

For those dealing with Premenstrual Dysphoric Disorder (PMDD), a more intense form of PMS marked by severe emotional symptoms that interfere with daily life, acupuncture for PMDD has proven to be just as effective. It works by restoring hormonal and emotional balance through individualized treatment plans that may include herbal support.

Whether your PMS or PMDD aligns with common patterns or presents uniquely, our experienced acupuncturists will evaluate your symptoms to craft a personalized plan that addresses your specific needs. Treatment with acupuncture and Chinese herbal medicine can begin well before your symptoms arise and continue throughout your cycle for long-lasting relief.

Take the first step in regaining control over your menstrual health with acupuncture for PMS. Let us help you achieve a more comfortable, balanced cycle—naturally.