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Electroacupuncture for hot flashes in early menopause: A randomized sham-controlled trial
Hui-Xian Wang1, Xin-Tong Yu2, Jing Hu1
1Department of Acupuncture and Moxibustion, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China.
Journal of Integrative Medicine
|August 22, 2025
Summary
Electroacupuncture (EA) did not significantly reduce hot flashes (HFs) in early postmenopausal women. However, EA improved sleep quality and decreased vasomotor, psychosocial, and physical menopausal symptoms.
Area of Science:
- Integrative Medicine
- Reproductive Endocrinology
- Acupuncture Research
Background:
- Electroacupuncture (EA) is explored for managing hot flashes (HFs) in postmenopausal women.
- Evidence on EA's effectiveness for early postmenopausal HFs is limited.
Purpose of the Study:
- To evaluate the efficacy and safety of EA in alleviating hot flashes (HFs) during early postmenopause.
- To assess EA's impact on menopausal symptoms and quality of life.
Main Methods:
- A randomized sham-controlled trial involving 72 women with HFs.
- Intervention group received EA; control group received sham acupuncture over 6 weeks with 12-week follow-up.
- Primary outcome: HF score; Secondary outcomes: MRS, MENQOL, PSQI, TCMSSS, and hormone levels.
Main Results:
- Both EA and sham acupuncture reduced HF scores significantly.
- EA group showed greater improvements in MRS, MENQOL (vasomotor, psychosocial, physical), PSQI, and TCMSSS at 6 weeks.
- Improvements in MENQOL (vasomotor, psychosocial) and PSQI persisted at follow-up; no significant changes in sexual scores or hormone levels.
Conclusions:
- EA does not significantly improve hot flashes (HFs) in early postmenopausal patients.
- EA enhances sleep quality and reduces vasomotor, psychosocial, and physical menopausal symptoms.

