Around the menopause transition

Perimenopause support

Your body is changing. Your care can change too. The years before periods stop, when cycles, sleep, temperature and mood start to change. Care can begin before menopause itself.

When people come in

Changing periods with hot flushes or night sweats
Changes in sleep or mood
Questions about the menopause transition

The Chinese medicine view

The Huangdi Neijing places the end of menstruation around seven times seven years, as the Kidney and the Ren and Chong vessels decline. The transition is read as yin and yang finding a new balance.

Common patterns

Kidney yin deficiency

Hot flushes, night sweats, dry mouth, insomnia

Kidney yang deficiency

Feeling cold, lower-back ache, puffiness

Heart and Kidney not communicating

Palpitations, restlessness, trouble falling asleep

Patterns are identified by a practitioner through all four examinations. They are here to explain the thinking, not for self-diagnosis.

The medical view

Perimenopause is an individual transition. Fatigue, palpitations or abnormal bleeding can also have other causes, so symptoms should not automatically be attributed to age.

What the consultation covers

Cycle and symptom changes guide discussion of sleep, food and TCM support. Care can sit alongside medical advice about hormonal or other treatments, according to your preferences.

Therapies that may be discussed: Acupuncture, Gua sha