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.