Women's Health & Hormonal Cycles — mockup
In the clinic

Women's Health & Hormonal Cycles

The body changes across different stages of hormonal life — from cycle irregularity and fertility through to perimenopause and menopause — often affecting far more than hormones alone.

Acupuncture's relationship with hormonal health
Acupuncture is well suited to the overlap between hormonal symptoms, nervous-system regulation, sleep, mood, pain and energy. Treatment is adapted to the individual pattern presenting at that particular stage of life.
People with periods
1 in 10
live with endometriosis — yet it still takes years to recognise and name
8 years
the average time to an endometriosis diagnosis in the UK
3 in 4
experience hot flushes or night sweats through menopause
It is rarely only about hormones.
Cycle, mood, sleep, energy and digestion move together — what shows up as one thing is usually carrying several.
The approach
Acupuncture, practised directly.

My practice is based on a reformulated view of Chinese medicine — a more direct, conversational form of acupuncture, capable of producing immediate physical effects. Sometimes that means a shift in the room; sometimes it takes longer. Either way, most treatments use very few needles.

Acupuncture is, at heart, a way of communicating with the body's own capacity to regulate itself. The clearer that communication, the more decisive the body's response. The whole approach is built around the signal-to-noise ratio of treatment — saying less, so the body hears more.

Cycle and hormonal work is paced to the body's own timing. A first appointment runs longer — around ninety minutes — taking the cycle history alongside sleep, mood and digestion. Treatment is then timed across the month, and most patterns settle across two or three full cycles.

One thing I always emphasise: if you are going to engage with acupuncture, it is worth giving it a proper go. Consistency in the early weeks is what makes the difference.

6
sessions to establish a baseline · four monthly, then two fortnightly
What the modern research says
Women's health is one of the most actively researched areas of acupuncture, with the strongest evidence around period pain and the symptoms of perimenopause and menopause — particularly hot flushes, sleep, and overall symptom burden.
The most-studied use
120 trials

A recent network meta-analysis drew together 120 trials and more than 9,500 participants with period pain. Across that body of work, acupuncture was consistently associated with less menstrual pain.

Serious side effects, fewer than
1 in 100,000

Across studies covering hundreds of thousands of treatments, acupuncture holds an excellent safety record — when delivered by a trained, registered practitioner.

106 women

A 2023 multi-centre, placebo-controlled trial found acupuncture reduced endometriosis-related period pain significantly more than a sham treatment.

Menopause

In a primary-care trial, a short course of acupuncture eased hot flushes, night sweats and disturbed sleep more than no treatment — supportive care, not a cure.

In practice

What is commonly treated

A non-exhaustive list — the system can hold more, but these are what most people arrive with.

01 / 04

Fertility

Acupuncture is most commonly used alongside conventional fertility care, particularly during IVF and assisted reproductive treatment. It helps regulate sleep, stress, nervous-system activity and digestion, supporting the body through the considerable physical and emotional load that fertility treatment can bring.

Treatment is paced around the stage of care a patient is in, and adapted to the symptoms and demands of the process itself.

02 / 04

Cycles, hormones & monthly patterns

Acupuncture is commonly used for painful periods, irregular cycles, PMS, PMDD and PCOS — patterns that often overlap through mood, sleep, digestion, energy and pain sensitivity across the month.

Treatment is usually adapted to the wider hormonal pattern rather than a single symptom in isolation, shifting through different phases of the cycle where needed.

Periods & painful cycles

Acupuncture is widely used for painful, heavy, irregular or disruptive periods, and this is one of the stronger areas of research evidence within women's health. Treatment often combines local work around the lower abdomen and sacrum with points elsewhere on the body, adjusted according to the stage of the cycle and the symptoms presenting. Most people notice changes gradually across two or three cycles, often in pain and premenstrual symptoms first.

PMS & PMDD

For some people, the second half of the cycle brings a noticeable shift in mood, sleep, anxiety, irritability, breast tenderness or energy. PMDD sits at the more severe end of that spectrum. Treatment focuses on regulating the broader nervous-system and hormonal pattern across the cycle, particularly during the luteal phase when symptoms tend to intensify. Acupuncture is commonly used alongside existing medical or psychological support where needed.

PCOS — ovulation & hormonal balance

PCOS presents differently from person to person, but commonly involves irregular or absent cycles, hormonal imbalance, ovulatory disruption, metabolic changes, and symptoms linked to raised androgens. Research suggests acupuncture may help improve cycle regularity and ovulation in some patients, though evidence around fertility outcomes remains mixed. Treatment is usually aimed at supporting hormonal regulation, nervous-system balance and metabolic function alongside any wider medical, nutritional or lifestyle care already in place.

03 / 04

Endometriosis & pelvic pain

Endometriosis and persistent pelvic pain often affect far more than the cycle alone — sleep, digestion, energy, nervous-system sensitivity and quality of life can all become part of the picture over time. Many people arrive after years of symptoms, investigations, or treatment.

Research into acupuncture for endometriosis is still developing, but recent placebo-controlled trials have shown meaningful reductions in pain severity and improvements in quality of life.

Treatment is adapted carefully to the individual and to what the body will comfortably tolerate. Some people respond well to local treatment around the abdomen and pelvis; others need a gentler approach initially, with more emphasis on nervous-system regulation, pain modulation, sleep and recovery across the cycle.

04 / 04

Perimenopause & menopause

Perimenopause and menopause can affect far more than temperature regulation alone. Sleep disruption, anxiety, low mood, fatigue, brain fog, joint pain and changes in stress tolerance often arrive alongside hot flushes and night sweats, sometimes gradually and sometimes all at once.

Acupuncture is commonly used to support the wider nervous-system and hormonal changes happening through this stage of life, particularly around sleep, flushes, mood and recovery.

Many patients use acupuncture alongside HRT; others alongside lifestyle or nutritional support; others on its own where HRT is not wanted or not well tolerated. The role here is supportive and individualised rather than one-size-fits-all.

Patient experiences
I have found my sessions with Ed very healing — I have seen positive changes in my body, and in my mood.
— via Doctify
Ed is such a knowledgeable professional. He is a natural at putting people at ease, right from the start, with his calm manner.
— via Doctify
I had never tried acupuncture before. Ed put me completely at ease — I didn't even feel the needles. I walked out feeling more grounded than I had in a long time.
— via Doctify
Ed Nicholls Lic.Ac MBAcC
Member of British Acupuncture Council · PSA Accredited Register
Read more  →
Common questions
Can I have acupuncture during my period?+
Yes — and for many patients the days around a period are some of the most useful in the cycle to be treated. A session on a heavy or painful day often shifts the experience of that day itself.
Can it help if I am trying to conceive?+
Yes. Acupuncture supports the cycle, sleep, digestion and the nervous-system load that fertility care places on the body — making it a strong companion alongside conventional or assisted reproductive treatment.
Is it safe during pregnancy?+
Yes, with adjustments. Certain classical points are avoided, particularly in the first trimester. Many people use acupuncture through pregnancy for nausea, pelvic pain and sleep.
Is acupuncture an alternative to HRT?+
Not exactly — they are different tools. Some patients use acupuncture alongside HRT, some instead of it where HRT is not wanted or tolerated, some through the perimenopausal years before deciding either way. The role here is supportive rather than substitutive.
How fast might I see a change in my cycle?+
For period pain, often within one or two cycles. For cycle regularity, PCOS markers or PMS, usually two to three full cycles. For perimenopausal symptoms, some patients notice a change in sleep or flushes within a handful of sessions; others need longer.

Comfortable, Effective, Approachable treatment.

Tuscany Wharf, 4a Orsman Rd, London N1 5QJ