Acupuncture for Perimenopause & Menopause | Middlesbrough

Acupuncture for Perimenopause and Menopause Symptoms Middlesbrough & Teesside

You are not imagining it, and your bloods being normal does not mean nothing is happening.

This is a private menopause clinic in Middlesbrough offering acupuncture for women in perimenopause, menopause and post-menopause. The starting point is an 80 minute assessment called The Full Picture Assessment, with Deanna Thomas, a registered acupuncturist qualified in obstetrics and gynaecology acupuncture.

We will not tell you what acupuncture will do for you. We will tell you exactly what we look at, how we work, and what a plan would involve, so you can decide for yourself.

Book The Full Picture Assessment£90 · 80 minutes Read what the assessment covers

No waiting list. Take your time deciding.

  • BSc (Hons) Acupuncture, MBAcC registered
  • DipObsGyn qualified
  • CNHC registered
  • Clinic in Acklam, serving Teesside

You are not imagining it

Menopause Deserves More Than a Leaflet and a Shrug

Most women who come to this clinic have already been somewhere else first.

They have been told their bloods are normal. They have been told it is stress, or their age, or just a busy period of life. Some have been offered HRT and are getting on well with it. Some cannot take it. Some are in menopause because of surgery or cancer treatment, and nobody prepared them for how sudden it would be.

The thing almost all of them say, in one form or another, is: I do not feel like myself.

That is a reasonable thing to want help with. It is also a reasonable thing to want properly assessed, by someone who has time to listen to all of it rather than one symptom at a time. If you are weighing up acupuncture alongside HRT, that is a common place to start.

Our approach

Why Look at the Whole Picture?

Acupuncture is one of the oldest continuously practised systems of medicine in the world. What has always defined it is not a single technique but a way of looking: at the whole person, rather than one symptom at a time.

That is what the 80 minute assessment is for.

Your sleep, your stress, your digestion, your energy, your pain, your cycle history and your medications are looked at together, in one appointment, by one practitioner who has the time to hear all of it. Not in isolation, and not across three separate ten minute appointments with three different people.

Most women who come here have been dealt with one symptom at a time for a while. Being asked about all of it, in one sitting, is usually the first thing they say felt different.

The starting point

What Is The Full Picture Assessment?

The Full Picture Assessment is an 80 minute appointment with Deanna that maps everything that is going on, builds a Chinese medicine diagnosis from it, and sets out a treatment plan you can then decide whether to follow. It costs £90 and includes your first acupuncture treatment.

It exists because menopause does not arrive as one symptom. It arrives as a cluster, and the cluster is different for everyone.

Two women can both be in menopause, both have hot flushes, and need completely different treatment. That is not a turn of phrase. It is how the diagnosis works. What the treatment is built on is the pattern underneath the symptom, and that pattern varies from woman to woman.

There is no standard menopause protocol here, because there is no standard menopause.

It is also why the assessment takes 80 minutes rather than 20. You cannot find the pattern without hearing the whole thing.

What the assessment covers

  • Your symptoms, all of them, in your own words and in the order they matter to you
  • Menstrual history, including where you are in the transition
  • Sleep: how you fall asleep, how you stay asleep, what wakes you
  • Stress, mood and emotional load
  • Pain, including joints, headaches and anything long-standing
  • Digestion, appetite and energy across the day
  • Current medications, including HRT, and any past or ongoing medical treatment
  • Your full medical history and lifestyle
  • What matters most to you, and what you would want to be different

Alongside this we take a Chinese medicine assessment, including pulse and tongue, and use AcuGraph to record a baseline reading of your energetic balance.

What you leave with

  • A written Chinese medicine pattern diagnosis
  • A treatment plan setting out how many sessions, how often, and when we review
  • Tailored nutrition and lifestyle guidance based on your pattern
  • Your first acupuncture treatment, in the same appointment
  • A clear picture of what we would be tracking, so you can judge progress for yourself

What it is not

It is not a diagnosis of menopause, and it does not replace your GP or menopause specialist. We do not prescribe, and we do not advise on your HRT. If something in your history needs medical attention, we will say so and ask you to speak to your GP.

Book The Full Picture Assessment£90 · 80 minutes · with Deanna

Book in your own time. No pressure.

Perimenopause

Acupuncture for Perimenopause: Do I Need to Wait Until My Periods Stop?

No. Most women who come to the clinic are in perimenopause rather than menopause, and many did not realise that was what was happening.

Menopause is defined as twelve consecutive months without a period. Perimenopause is the phase before that, when hormones begin to shift but periods may still be arriving, sometimes regularly.

Perimenopause can begin in your early to mid forties, sometimes earlier, and it can last several years. Periods may still be regular. Bloods may still read normal.

The assessment is the same whether you are in perimenopause or past your final period. What changes is the plan, because perimenopausal symptoms move. What is going on in month one is often not what is going on in month six, and the plan is reviewed on that basis.

More on acupuncture for perimenopause in Middlesbrough  ·  Periods, PMS and hormonal changes

What we assess

What Women Come to the Clinic With

These are the symptom clusters we assess most often. Every one of them is looked at as part of the whole picture, not treated in isolation.

Hot flushes and night sweats

The most common reason women get in touch. We assess pattern, timing, triggers and how far they are disrupting sleep. Hot flushes are also sometimes written as hot flashes.

More on night sweats → Ear acupuncture for hot flushes →

Sleep

Difficulty falling asleep and waking in the early hours are two different pictures in Chinese medicine, and we assess them differently. Chinese medicine describes disrupted menopausal sleep in terms of Heart and Kidney communication.

Acupuncture for insomnia →

Mood, anxiety and irritability

Tearfulness, a short fuse, a background hum of anxiety that was not there before. These reflect real hormonal and neurological change and are assessed as seriously as any physical symptom.

Acupuncture for anxiety →

Brain fog and cognitive fatigue

Losing words, losing the thread, thinking through treacle. We assess this alongside sleep and energy, because in practice they usually travel together.

Joint pain and stiffness

Often in hands, knees and hips, and often new. Assessed alongside your wider pain history.

Acupuncture for chronic pain →

Fatigue

The specific, bone-deep tiredness that sleep does not fix.

Changes in weight and body shape

We assess this honestly. Acupuncture is not a weight loss treatment and we would never present it as one. What we can do is look at digestion, sleep, stress and energy, which are the things that tend to be underneath it.

Vaginal dryness and urogenital symptoms

Common, rarely discussed, and welcome in the room. Please raise it if it is affecting you.

HRT and medical menopause

What If I'm on HRT, or Can't Take It?

Acupuncture can be used alongside HRT. You do not have to choose.

If you are on HRT

Bring the details to your assessment. We do not advise on HRT, we do not adjust it, and we would never suggest you change or stop it. That conversation belongs with your GP or menopause specialist. What we do is work alongside it, and factor it into your plan.

If you cannot take HRT, or have chosen not to

Some women are advised against HRT because of a personal or family medical history. Others simply do not want it. Either way, you are welcome here, and you will not be asked to justify the decision.

We will not tell you acupuncture is a replacement for HRT. It is a different thing, and it is honest to say so.

Read more about acupuncture and HRT →

If your menopause was caused by treatment

Surgical menopause, chemotherapy, tamoxifen and aromatase inhibitors can all bring menopausal symptoms on suddenly, often at a younger age, and often at a point when a lot else is already happening.

We see women in this situation and the assessment is adapted for it. We will ask you to keep your oncology or specialist team informed, and we will work within whatever they advise. If they would prefer you did not have acupuncture, we follow that.

The evidence

What Does the Research Actually Say?

Honestly: it is mixed. Here is the fuller picture rather than the flattering half of it.

What the supportive studies found

A 2015 meta-analysis of twelve trials involving 869 women in natural menopause reported reductions in hot flush frequency and severity, alongside improvements in menopause-related quality of life.[1]

A separate meta-analysis of trials in women with a history of breast cancer reported improvements in composite menopause symptom scores, with no serious adverse events recorded.[2]

A 2015 review of twelve studies on sleep in post-menopausal women found that most reported improvements in sleep complaints following acupuncture.[3]

What the more sceptical studies found

A Cochrane review of sixteen randomised trials found no evidence of a difference between acupuncture and sham acupuncture for hot flushes, and rated the overall quality of the available evidence as low or very low.[4]

A large sham-controlled trial found that real acupuncture and non-insertive sham acupuncture produced broadly similar results, with both groups improving substantially.[5]

What we take from that

The gap between those two sets of findings is the interesting part, and it is not a reason to distrust the whole field.

The most likely explanation is that a meaningful part of what happens in an acupuncture appointment is not the needles specifically. It is the time, the attention, the being asked properly and listened to, and an hour of lying still in a quiet room while somebody pays attention to you.

We are comfortable saying that out loud. In Chinese medicine the relationship between practitioner and patient has always been understood as part of the treatment rather than a confound to be subtracted from it.

What it means practically is this. We cannot tell you acupuncture will reduce your symptoms, and we will not. What we can tell you is exactly what the assessment involves, what a course of treatment looks like, and how we would review it with you at six sessions so that you can judge it for yourself.

Chinese medicine

How Chinese Medicine Understands Menopause

The "Second Spring"

In Chinese medicine, menopause is not framed as a failure or a decline. It is described as a Second Spring: a shift in where the body directs its resources, turning inward rather than outward.

Chinese medicine describes most menopausal symptoms as arising from a gradual decline in Kidney Yin and Kidney Essence, the deep nourishing energy associated with hormonal balance, sleep and emotional steadiness. As Yin declines, Yang rises unchecked, which is described in terms of heat, restlessness and irritability.

This is a framework for understanding patterns, not a description of biology. It is how the diagnosis is built, and it is why two women with identical hot flushes can end up with completely different treatment plans.

Kidney Yin deficiency

The pattern most often associated with heat symptoms: flushes, night sweats, dryness and restless sleep. Treatment aims to nourish Yin.

Heart and Kidney disharmony

When Kidney energy no longer anchors the Heart, sleep is described as becoming disturbed and the mind restless. Treatment aims to reconnect the two.

Liver Qi stagnation

Associated with stress and emotional load. Treatment aims to smooth Liver Qi.

Essence (Jing) depletion

Associated with cognitive change, fatigue and joint symptoms. Treatment aims to tonify Essence.

Your first appointment

What Happens at Your First Appointment

Six steps, then you decide whether to book a second.

Step one

The conversation, about 40 minutes

Unhurried, and led by what matters to you rather than a form.

Step two

Chinese medicine diagnosis

Pulse, tongue, AcuGraph baseline, and a written pattern diagnosis.

Step three

Your first treatment

Usually in the same appointment. You will lie down, fully covered apart from the areas being needled. Deanna explains every point being used and why. Most people find it calm. Many fall asleep.

Step four

Nutrition and lifestyle guidance

Practical, tailored to your pattern, and small enough to actually do.

Step five

Your plan

How many sessions, how often, and when we review. A course usually begins weekly and is reviewed after six sessions, then spaces out if you and Deanna agree that makes sense.

Step six

Review

Plans are not fixed. They change as you change. If something is not working, we will say so rather than keep going out of optimism.

Pricing

What It Costs

Clear pricing, no hidden extras, and full payment secures the appointment.

Start here

The Full Picture Assessment

£90

80 minutes · with Deanna

Full menopause and perimenopause assessment, Chinese medicine diagnosis, AcuGraph baseline, personalised treatment plan, nutrition and lifestyle guidance, and your first acupuncture treatment included.

Book the assessment

Menopause & Perimenopause Follow-Up

£75

60 minutes · with Deanna

Treatment, progress review and plan adjustment. For women already working with Deanna.

If you decide to continue: the 6-Session Treatment Plan

Most women who carry on after the assessment move onto the six session plan. It is £330 for six sessions, which works out at £55 a session rather than £75, and it is valid for six months.

So a full first course is £90 for the assessment plus £330 for the plan. £420 in total. The same six sessions paid one at a time would be £540.

You do not decide this at the assessment. You decide it once you have your plan in front of you and know what you are choosing.

Booking terms. Appointments are paid in full at the time of booking, with a 48 hour cancellation policy. Treatment plans are non-transferable and cannot be exchanged for cash or other treatments.

Health insurance. Some healthcare plans cover acupuncture with a BAcC registered practitioner. Worth checking your policy.

A lighter option

Is There a Shorter, Lower Cost Option?

Yes. Ear acupuncture with Anthony is a 40 minute treatment at £40.

Anthony delivering an ear acupuncture treatment at the clinic in Middlesbrough

It is a simpler, protocol-based treatment focused on hot flushes and night sweats specifically, rather than the whole picture. There is no full assessment with it.

Which one is right for you

Book the Full Picture Assessment if you want everything looked at properly, if you have a complicated history, if you are on HRT or in treatment-induced menopause, or if you are not sure what is going on.

Book ear acupuncture if hot flushes and night sweats are the main thing, you know that already, and you want a lower commitment starting point.

If you start with ear acupuncture and later want the full assessment, that is a normal route and not a problem.

Ear Acupuncture for Menopause & Hot Flushes

£40

40 minutes · with Anthony

Read about ear acupuncture for hot flushes

About Anthony  ·  More on ear acupuncture

Who you will be seeing

In Safe, Qualified Hands

Deanna Thomas, acupuncturist, at the clinic in Acklam, Middlesbrough

Deanna Thomas is a licensed acupuncturist based in Acklam, Middlesbrough, registered with the British Acupuncture Council and the CNHC.

  • BSc (Hons) Acupuncture
  • Lic.Ac
  • MBAcC
  • DipObsGyn
  • CNHC registered

Her qualifications include DipObsGyn, a postgraduate qualification in obstetrics and gynaecology acupuncture. She qualified as an acupuncturist in 2021 and as a reflexologist in 2009, and has worked in women's health throughout.

The DipObsGyn is the relevant one here. It is a specialist qualification in women's hormonal and reproductive health, and it is why the menopause assessment goes as deep as it does.

More about Deanna →

Finding us

Where the Clinic Is

Treatment room at the clinic on Acklam Road, Middlesbrough

The House, 283 Acklam Road, Middlesbrough, TS5 7BP.

Free parking on site. Ground floor treatment room.

Women travel to the clinic from across Teesside, including Stockton, Thornaby, Ingleby Barwick, Yarm, Marton, Guisborough, Redcar and Darlington. From most of Stockton and Thornaby it is a ten to fifteen minute drive.

Directions and clinic details →

Free resource

Not Ready to Book?

That is completely fine, and it is the right instinct if you are still weighing it up.

The free menopause guide covers what is happening during the transition, what the options are, and what to ask about. No obligation attached to it.

Download the free menopause guide

Common questions

Frequently Asked Questions

Does acupuncture work for menopause?

The honest answer is that the evidence is mixed and the clinic does not claim it will work for you. Trials comparing acupuncture with no treatment have generally found differences in favour of acupuncture, but trials comparing real acupuncture with sham acupuncture have generally found much smaller differences or none at all. What the clinic offers is a structured 80 minute assessment, a Chinese medicine diagnosis and a treatment plan you can decide whether to follow, reviewed after six sessions so you can judge it for yourself.

Is acupuncture good for menopause symptoms?

It depends what you are hoping for, and it would be misleading to give you a straight yes. The research on acupuncture for menopausal symptoms is genuinely uncertain, particularly once sham-controlled trials are taken into account. What many women say they value is having every symptom looked at together rather than one at a time, an hour of being properly listened to, and a plan with a review point built into it. Whether that is worth £90 to you is a fair question to weigh up before booking.

How does acupuncture help with menopause?

Chinese medicine describes menopausal symptoms in terms of patterns rather than single causes, most commonly a gradual decline in Kidney Yin and Kidney Essence, which is associated with heat, restlessness and disturbed sleep. Treatment aims to nourish Yin, anchor the Heart and smooth Liver Qi, depending on your individual pattern. This is a diagnostic framework rather than a description of biology, and it is why two women with identical hot flushes can end up with different treatment plans. The clinic does not claim a specific physiological effect.

What happens in a menopause acupuncture appointment?

Your first appointment is The Full Picture Assessment: 80 minutes with Deanna at the clinic in Acklam, Middlesbrough. About 40 minutes is a detailed conversation covering your symptoms, menstrual history, sleep, stress, pain, digestion, energy, medications and medical history. Deanna then takes a Chinese medicine assessment including pulse and tongue, records an AcuGraph baseline, and builds a written pattern diagnosis. Your first acupuncture treatment is included in the same appointment, and you leave with a written treatment plan.

How much does acupuncture for menopause cost in Middlesbrough?

The Full Picture Assessment is £90 for 80 minutes and includes your first treatment. After that, you can pay per session at £75, or take the 6-Session Treatment Plan at £330, which works out at £55 a session and is valid for six months. A typical first course is the assessment plus the six session plan, so £420 in total. There is also a shorter ear acupuncture option at £40 for 40 minutes.

How many acupuncture sessions do I need for menopause?

A course usually starts with weekly sessions and is formally reviewed after six. Practitioners generally consider six sessions the point at which you can sensibly judge whether to continue, and courses of eight to ten are common in the research literature. After the review, sessions typically space out to fortnightly or monthly if you and Deanna agree that makes sense. You are never committed beyond the appointment you have already booked.

Can I have acupuncture while I'm taking HRT?

Yes. Acupuncture can be used alongside HRT and you do not have to choose between them. Please bring details of your HRT to your assessment so it can be taken into account. Deanna does not prescribe, advise on or adjust HRT, and would never suggest you change or stop it. Any decision about your HRT belongs with your GP or menopause specialist.

What if I can't take HRT?

You are welcome at the clinic, and you will not be asked to justify the decision. Some women are advised against HRT because of their medical history, and others simply choose not to take it. Acupuncture is not a replacement for HRT and is not presented as one. What the assessment offers is a structured look at what is going on and a plan you can decide whether to follow.

Is acupuncture suitable if my menopause was caused by surgery or cancer treatment?

Yes, the clinic sees women in treatment-induced menopause, including after surgery, chemotherapy, tamoxifen and aromatase inhibitors, and the assessment is adapted for it. Please tell your oncology or specialist team that you are considering acupuncture, and let Deanna know what treatment you have had or are having. If your medical team advises against acupuncture, that advice is followed.

Can acupuncture help with perimenopause weight gain?

Acupuncture is not a weight loss treatment and the clinic would never present it as one. Body shape and weight often change during perimenopause even when nothing else has, and that change is real rather than a failure of willpower. What the assessment does is look at the things that usually sit underneath it: sleep, stress, digestion and energy. If weight is one of the things bothering you, bring it, and it will be taken seriously without being oversold.

Do I need a diagnosis or a blood test before I book?

No. You do not need a menopause diagnosis, a blood test result or a GP referral to book. Many women book because something has changed and nobody has been able to tell them what. If anything in your history suggests you should see your GP, Deanna will say so.

Does acupuncture hurt?

Most people describe it as a brief sensation rather than pain. Acupuncture needles are very fine, nothing like an injection needle, and what people usually notice is a short-lived heaviness, warmth or tingling as each one is placed. Needle nervousness is one of the most common things women mention beforehand. Deanna works slowly, explains each point, and stops whenever you want to.

Am I in perimenopause, or is it just stress?

It can genuinely be both, and they overlap heavily, which is why the assessment covers stress and sleep as thoroughly as it covers flushes and cycles. Perimenopause can begin in your early to mid forties, periods may still be regular, and blood tests may still read normal. A structured assessment is one way to get the whole picture looked at in one sitting rather than symptom by symptom.

Who is acupuncture not suitable for?

Acupuncture is not appropriate for everyone, and there are situations where Deanna will decline to treat or ask you to speak to your GP first. Certain bleeding disorders, some medications, and some acute or undiagnosed symptoms all need medical assessment rather than acupuncture. Any unexplained bleeding, particularly bleeding after twelve months without a period, should be discussed with your GP promptly. Acupuncture complements medical care and does not replace it.

Where is the clinic, and how far is it from Stockton or Yarm?

The clinic is at The House, 283 Acklam Road, Middlesbrough, TS5 7BP, with parking on site. It is a short drive from Thornaby, Ingleby Barwick and most of Stockton, and women also travel from Yarm, Marton, Guisborough, Redcar and Darlington.

Are you regulated and insured?

Yes. Deanna is a registered member of the British Acupuncture Council, which sets standards for training, practice and hygiene, and is registered with the CNHC. The clinic carries full professional insurance. Single-use, sterile needles are used and disposed of after every treatment.

If You Want the Whole Picture Looked At

You do not have to have decided anything. The assessment exists so that you can find out what is actually going on before you commit to a course of treatment.

Eighty minutes, £90, in Acklam. Come with your questions.

Book The Full Picture Assessment Get in touch first

No waiting list. No pressure. Book when you are ready.

Important. This page is for information and does not constitute medical advice. Acupuncture is intended to complement, not replace, care from your GP or menopause specialist. Individual experiences vary. If you are considering starting, changing or stopping any prescribed medication including HRT, speak to your doctor first. If you experience any unexplained bleeding, particularly after twelve months without a period, please contact your GP.

Research references

  1. Chiu HY, Pan CH, Shyu YK, Han BC, Tsai PS. Effects of acupuncture on menopause-related symptoms and quality of life in women in natural menopause: a meta-analysis of randomized controlled trials. Menopause. 2015;22(2):234–244.
  2. Chiu HY et al. Effects of acupuncture on menopause-related symptoms in breast cancer patients: a meta-analysis of randomised controlled trials. PLOS ONE. 2017.
  3. Bezerra AG, Pires GN, Andersen ML, Tufik S, Hachul H. Acupuncture to treat sleep disorders in postmenopausal women: a systematic review. Evidence-Based Complementary and Alternative Medicine. 2015;2015:563236.
  4. Dodin S et al. Acupuncture for menopausal hot flushes. Cochrane Database of Systematic Reviews. 2013.
  5. Ee C, Xue C, Chondros P, Myers SP, French SD, Teede H, Pirotta M. Acupuncture for menopausal hot flashes: a randomized trial. Annals of Internal Medicine. 2016;164(3):146–154. doi:10.7326/M15-1380

Registered and regulated

Member of the British Acupuncture Council CNHC registered practitioner