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Dysmenorrhea period pain

Period pain, also known as dysmenorrhea, can be a frustrating and debilitating condition for many women. Traditional Chinese Medicine (TCM), including acupuncture, offers a holistic and natural approach to managing period pain. Almond Wellness Centre  acupuncture clinics in Melbourne provide personalised TCM treatment plans to manage dysmenorrhea symptoms.

acupuncture for period pain

acupuncture for period pain

Acupuncture is a central component of TCM treatment. It involves the insertion of thin needles into specific points on the body to stimulate the flow of Qi and blood, which is believed to help alleviate period pain. A recent study published in the Journal of Obstetrics and Gynaecology Research found that acupuncture was an effective treatment for primary dysmenorrhea (1). Furthermore, the study found that acupuncture had fewer side effects than conventional pain medication.

How Traditional Chinese Medicine (TCM) manage dysmenorrhoea period pain

In Traditional Chinese Medicine, period pain is typically attributed to an imbalance of Qi (pronounced “chee”), which is the body’s vital energy. Before treatment, patients are assessed by a qualified practitioner to determine the underlying cause of their symptoms. Based on this assessment, a personalised treatment plan is created to address the patient’s unique needs. The treatment plan may include acupuncture, herbal medicine, and other TCM modalities.

Acupuncture and dysmenorrhoea period pain

Acupuncture is one of the treatments used in Chinese medicine to rebalance Qi and alleviate period pain. Acupuncture treatment for period pain typically involves several sessions over a period of weeks, depending on the severity and duration of the symptoms. During each session, the practitioner will insert needles into the designated acupuncture points, which may cause a mild sensation of pressure or warmth. The needles will be left in place for 15-30 minutes, during which time the patient will typically rest comfortably.

Commonly used acupuncture points for period pain

Acupuncture points used to treat period pain include those located on the lower abdomen, lower back, and legs. The specific points used will depend on the individual’s symptoms and their underlying condition according to traditional Chinese medicine diagnosis. Acupuncture points commonly used to treat period pain include:

Zigong (Extra point located four finger-widths below the belly button on the midline): This point is believed to regulate the uterus and alleviate menstrual pain.

Sanyinjiao (SP6, located four finger-widths above the inner ankle bone on the back of the shin): This point is believed to regulate the uterus, promote blood circulation, and alleviate menstrual pain.

Guanyuan (CV4, located two finger-widths below the belly button on the midline): This point is believed to tonify the Qi and blood of the lower abdomen, regulate menstruation, and alleviate menstrual pain.

Chinese herbal medicine and dysmenorrhoea period pain

Chinese medicine for fertility and women's health

Chinese herbal medicine

In addition to acupuncture, other Chinese medicine treatments such as herbal medicine, cupping, and dietary therapy may also be recommended to help manage period pain. Herbal medicine is often prescribed alongside acupuncture to further manage dysmenorrhea symptoms.

Commonly used Chinese herbs and herbal formulas

Chinese herbs such as dong quai, chuan xiong, and bupleurum are commonly used to regulate the flow of Qi and blood, which can help alleviate period pain. Here are examples of some commonly used Chinese herbal formulas and acupuncture points for period pain:

Gui Zhi Fu Ling Wan (Cinnamon and Poria Pill to Regulate the Menses): This formula is used to promote blood circulation, regulate menstruation, and alleviate cramping and pain. It is typically composed of cinnamon, poria, peony, moutan, and other herbs.

Xiao Yao Wan (Free and Easy Wanderer Pill): This formula is used to regulate the liver, nourish the blood, and promote Qi circulation, which can help to alleviate menstrual pain and emotional stress. It is typically composed of bupleurum, peony, angelica, and other herbs.

Suan Zao Ren Tang (Sour Jujube Decoction): This formula is used to nourish the liver blood and calm the spirit, which can help to alleviate menstrual pain, irritability, and insomnia. It is typically composed of sour jujube seed, poria, and other herbs.

Other natural remedies for period pain

In addition to acupuncture and herbal medicine, our acupuncture clinics also offers lifestyle advice to help manage dysmenorrhea symptoms. This advice may include dietary recommendations, exercise, and stress management techniques.

Overall, TCM offers a holistic and personalised approach to managing dysmenorrhea. It is important to consult with a registered practitioner of Chinese medicine to determine the most appropriate treatment plan for your individual needs.

Almond Wellness Centre

Almond Wellness Centre acupuncture clinics in Melbourne provides natural holistic treatment options that can help alleviate the pain and discomfort associated with dysmenorrhea.

As each person is different, if you or someone you care about is dysmenorrhoea period pain, and would like to explore the potential benefits of Chinese medicine acupuncture, please don’t hesitate to contact us. Our fully qualified registered acupuncture Chinese medicine practitioners in both Coburg Chinese medicine clinic and Ringwood Chinese medicine clinic are here to provide information and assistance. We will assess your specific condition, take into account your medical history, and develop a treatment plan tailored to your needs.

References

Liu, Z., Liu, Y., Xu, H., He, L., & Chen, Z. (2018). Acupuncture for primary dysmenorrhea: A systematic review and meta-analysis of randomized controlled trials. Journal of Obstetrics and Gynaecology Research, 44(6), 1014-1023. doi: 10.1111/jog.13631.

These studies suggest that acupuncture and TCM can be effective in managing period pain and other gynecological conditions.

Armour, M. (2015). The effectiveness of acupuncture in the treatment of primary dysmenorrhea : a mixed methods study.

TCM acupuncture, irrespective of treatment timing, provided significant clinical benefits for women with primary dysmenorrhea, with reductions in pain severity, duration, secondary menstrual symptoms and analgesic intake.

Mike Armour, etl July 12 2017. The role of treatment timing and mode of stimulation in the treatment of primary dysmenorrhea with acupuncture: An exploratory randomised controlled trial.

Conclusion of this research: acupuncture treatment reduced menstrual pain intensity and duration after three months of treatment and this was sustained for up to one year after trial entry. The effect of changing mode of stimulation or frequency of treatment on menstrual pain was not significant. This may be due to a lack of power. The role of acupuncture stimulation on menstrual pain needs to be investigated in appropriately powered randomised controlled trials.

V. Iorno,etl. Acupuncture Treatment of Dysmenorrhea Resistant to Conventional Medical Treatment. Evid Based Complement Alternat Med. 2008 Jun; 5(2): 227–230.

Acupuncture for dysmenorrhoea. Smith CA, etl.Cochrane Database Syst Rev. 2016 Apr 18;

Due to the large volume of low-quality studies, this Cochrane review found there is insufficient evidence to demonstrate whether or not acupuncture or acupressure are effective in treating primary dysmenorrhoea,

Zhu X, Hamilton KD, McNicol ED. Acupuncture for pain in endometriosis. Cochrane Database Syst Rev. 2018;5(5):CD012617. doi: 10.1002/14651858.CD012617.pub2.

Chiu HY, Pan CH, Shyu YK, et al. Effectiveness of acupuncture in women with polycystic ovarian syndrome undergoing in vitro fertilisation or intracytoplasmic sperm injection: a systematic review and meta-analysis. Acupunct Med. 2020;38(1):17-28. doi: 10.1177/0964528419878323.

Smith CA, Armour M, Zhu X, Li X, Lu ZY, Song J. Acupuncture for dysmenorrhoea. Cochrane Database Syst Rev. 2016;4(4):CD007854. doi: 10.1002/14651858.CD007854.pub3.

Lian F, Li Y, Xie RJ, Wang J, Zhang Y, Bai J. Effects of Chinese medicine for promoting blood circulation and removing blood stasis in treating patients with dysmenorrhea: a systematic review. Evid Based Complement Alternat Med. 2016;2016:8582727. doi: 10.1155/2016/8582727.

Shi GX, Yang XM, Liu CZ, et al. Acupuncture for chronic low back pain: a multicenter, randomized, patient-assessor blind, sham-controlled clinical trial. Spine (Phila Pa 1976). 2019;44(8):592-601. doi: 10.1097/BRS.0000000000002885.

Acupuncture for ovulation induction in polycystic ovary syndrome: a randomized controlled trial

Am J Physiol Endocrinol Metab. 2013 May 1;304(9):E934-43. doi: 10.1152/ajpendo.00039.2013. Epub 2013 Mar 12.

Johansson J1, Redman L, Veldhuis PP, Sazonova A, Labrie F, Holm G, Johannsson G, Stener-Victorin E.

Abstract

Acupuncture has been demonstrated to improve menstrual frequency and to decrease circulating testosterone in women with polycystic ovary syndrome (PCOS). Our aim was to investigate whether acupuncture affects ovulation frequency and to understand the underlying mechanisms of any such effect by analyzing LH and sex steroid secretion in women with PCOS. This prospective, randomized, controlled clinical trial was conducted between June 2009 and September 2010. Thirty-two women with PCOS were randomized to receive either acupuncture with manual and low-frequency electrical stimulation or to meetings with a physical therapist twice a week for 10-13 wk. Main outcome measures were changes in LH secretion patterns from baseline to after 10-13 wk of treatment and ovulation frequency during the treatment period. Secondary outcomes were changes in the secretion of sex steroids, anti-Müllerian hormone, inhibin B, and serum cortisol. Ovulation frequency during treatment was higher in the acupuncture group than in the control group. After 10-13 wk of intervention, circulating levels of estrone, estrone sulfate, estradiol, dehydroepiandrosterone, dehydroepiandrosterone sulfate, androstenedione, testosterone, free testosterone, dihydrotestosterone, androsterone glucuronide, androstane-3α,17β-diol-3-glucuronide, and androstane-3α,17β-diol-17-glucuronide decreased within the acupuncture group and were significantly lower than in the control group for all of these except androstenedione. We conclude that repeated acupuncture treatments resulted in higher ovulation frequency in lean/overweight women with PCOS and were more effective than just meeting with the therapist. Ovarian and adrenal sex steroid serum levels were reduced with no effect on LH secretion.

Treating Gynaecological Disorders with Traditional Chinese Medicine: A Review

Jue Zhou1 and Fan Qu2

J. Traditional, Complementary and Alternative Medicines 2009

 

Abstract

Traditional Chinese Medicine (TCM) has significant advantages in treating gynaecological disorders. The paper has provided a brief introduction on the current progress of treating some gynaecological disorders including endometriosis, infertility, dysmenorrhea, abnormal uterine bleeding, premenstrual syndrome, menopausal syndrome, uterine fibroids, chronic pelvic inflammation, polycystic ovarian syndrome (PCOS), cervicitis and vaginitis with Chinese Herbal Medicine (CHM) and acupuncture. The use of TCM in the field of assisted reproductive techniques (ART) has also been included in the review. In addition, thirty-two commonly used Chinese medicinal formulas in treating gynaecological disorders have been introduced.

Chinese herbal medicine for endometriosis

Andrew Flower1 , Jian Ping Liu2 , George Lewith3 , Paul Little4 , Qing Li2

1 Complementary Medicine Research Unit, Dept Primary Medical Care, Southampton University, Ringmer, UK.

2 Centre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.

3 Department of Primary Care, University of Southampton, Southampton, UK.

4 Primary Care and Population Sciences, Faculty of Medicine, Aldermoor Health Centre, University of Southampton, Southampton, UK

Background

Endometriosis is characterized by the presence of tissue that is morphologically and biologically similar to normal endometrium in locations outside the uterus. Surgical and hormonal treatment of endometriosis have unpleasant side effects and high rates of relapse. In China, treatment of endometriosis using Chinese herbal medicine (CHM) is routine and considerable research into the role of CHM in alleviating pain, promoting fertility, and preventing relapse has taken place. This review is an update of a previous review published in the Cochrane Database of Systematic Reviews 2009, issue No 3.

Objectives

To review the effectiveness and safety of CHM in alleviating endometriosis-related pain and infertility.

Search methods

We searched the Menstrual Disorders and Subfertility Group Trials Register, Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library) and the following English language electronic databases (from their inception to 31/10/2011): MEDLINE, EMBASE, AMED, CINAHL, and NLH. We also searched Chinese language electronic databases: Chinese Biomedical Literature Database (CBM), China National Knowledge Infrastructure (CNKI), Chinese Sci & Tech Journals (VIP), Traditional Chinese Medical Literature Analysis and Retrieval System (TCMLARS), and Chinese Medical Current Contents (CMCC).

Selection criteria

Randomised controlled trials (RCTs) involving CHM versus placebo, biomedical treatment, another CHM intervention; or CHM plus biomedical treatment versus biomedical treatment were selected. Only trials with confirmed randomisation procedures and laparoscopic diagnosis of endometriosis were included.

Data collection and analysis

Risk of bias assessment, and data extraction and analysis were performed independently by three review authors. Data were combined for meta-analysis using relative risk (RR) for dichotomous data. A fixed-effect statistical model was used, where appropriate. Data not suitable for meta-analysis were presented as descriptive data.

Main results

Two Chinese RCTs involving 158 women were included in this review. Although both these trials described adequate methodology they were of limited quality. Neither trial compared CHM with placebo treatment. There was no evidence of a significant difference in rates of symptomatic relief between CHM and gestrinone administered subsequent to laparoscopic surgery (RR 1.04, 95% CI 0.91 to 1.18). There was no significant difference between the CHM and gestrinone groups with regard to the total pregnancy rate (69.6% versus 59.1%; RR 1.18, 95% CI 0.87 to 1.59, one RCT). CHM administered orally and then in conjunction with a herbal enema resulted in a greater proportion of women obtaining symptomatic relief than with danazol (RR 5.06, 95% CI 1.28 to 20.05; RR 5.63, 95% CI 1.47 to 21.54, respectively). Oral plus enema administration of CHM resulted in a greater reduction in average dysmenorrhoea pain scores than did danazol (mean difference (MD) -2.90, 95% CI -4.55 to -1.25). For lumbosacral pain, rectal discomfort, or vaginal nodules tenderness, there was no significant difference between CHM and danazol. Overall, 100% of women in both studies showed some improvement in their symptoms. Women taking CHM had fewer side effects than those taking either gestrinone or danazol.

Authors’ conclusions

Post-surgical administration of CHM may have comparable benefits to gestrinone. Oral CHM may have a better overall treatment effect than danazol and it may be more effective in relieving dysmenorrhoea when used in conjunction with a CHM enema. CHM appears to have fewer side effects than either gestrinone or danazol. However, more rigorous research is required to accurately assess the potential role of CHM in treating endometriosis.

 

 

Plan Language Summary

Chinese herbs for endometriosis

Endometriosis is a common gynaecological condition causing menstrual and pelvic pain. Treatment involves surgery and hormonal drugs, with potentially unpleasant side effects and high rates of reoccurrence of endometriosis. The two small studies in this review suggest that Chinese herbal medicine (CHM) may be as effective as gestrinone and may be more effective than danazol in relieving endometriosis-related pain, with fewer side effects than experienced with conventional treatment. However, the two trials included in this review were small and of limited quality so these findings must be interpreted cautiously. Better quality randomised controlled trials are needed to investigate a possible role for CHM in the treatment of endometriosis

Source: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006568.pub3/epdf/full