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Related Concept Videos

Menopause01:28

Menopause

Menopause, a natural biological process marking the end of a woman's fertility, typically occurs between the fifth and sixth decade of life. This phase is characterized by the exhaustion of the ovarian follicle pool, leading to less responsive ovaries despite the high levels of Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). The consequential decrease in estrogen production results in symptoms like hot flashes, heavy sweating, headaches, hair loss, muscle pains, vaginal...

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Acupuncture for menopausal hot flushes.

Sylvie Dodin1, Claudine Blanchet, Isabelle Marc

  • 1Department of Obstetrics and Gynecology, Université Laval, Quebec, Canada. sylvie.dodin@ogy.ulaval.ca.

The Cochrane Database of Systematic Reviews
|July 31, 2013
PubMed
Summary

Acupuncture shows no significant difference compared to sham acupuncture for menopausal hot flushes. While it may reduce symptoms compared to no treatment, evidence quality is low, and it appears less effective than hormone therapy (HT).

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Area of Science:

  • Integrative Medicine
  • Women's Health
  • Menopause Management

Background:

  • Hot flushes are common menopausal vasomotor symptoms.
  • Hormone therapy (HT) is a frequent treatment, but health concerns drive interest in alternatives.
  • Acupuncture is explored as a potential treatment for hot flush frequency and severity.

Purpose of the Study:

  • To assess the effectiveness and safety of acupuncture for reducing menopausal hot flushes.
  • To evaluate acupuncture's impact on the quality of life for women experiencing vasomotor symptoms.

Main Methods:

  • Systematic review and meta-analysis of randomized controlled trials (RCTs).
  • Searched multiple databases up to January 2013 for eligible studies.
  • Included 16 RCTs with 1155 women comparing acupuncture to no treatment, sham acupuncture, or HT.

Main Results:

  • Acupuncture showed no significant difference in hot flush frequency versus sham acupuncture (low-quality evidence).
  • Acupuncture may reduce hot flush severity (very-low-quality evidence) but was less effective than HT.
  • Traditional acupuncture was more effective than no intervention for reducing hot flush frequency and severity.

Conclusions:

  • Insufficient evidence exists to confirm acupuncture's effectiveness for menopausal vasomotor symptoms.
  • Comparisons with sham acupuncture showed no significant difference; comparisons with no treatment suggested a benefit.
  • Findings must be interpreted cautiously due to low-quality evidence and lack of sham/placebo controls in some comparisons. Adverse effect data were limited.