The Problem With PCOS and How Acupuncture Can Help

Polycystic ovarian syndrome, or PCOS, affects between 8% to 20% of reproductive-age women worldwide. PCOS is a hormonal disorder which has numerous symptoms, many of which can seem unrelated. Typically, health care providers will look for these common characteristics in a potential PCOS patient: 

• Absence of ovulation

• Cysts on the ovaries

• Excess androgens

A PCOS diagnosis is not always definitive, but rather health care providers typically look for a grouping of several PCOS related symptoms in order to determine the diagnosis. Additional symptoms can include: irregular menstruation, infertility, excess hair growth, persistent acne, and/or stubborn weight gain particularly around the middle. Unfortunately, “researchers know that genetic and environmental factors contribute to the development of polycystic ovary syndrome (PCOS), but do not know exactly what causes PCOS”.

The problem with PCOS is that since the diagnosis is not always definitive (meaning the diagnosis is based off a number of symptoms a patient has rather than through any diagnostic test result) and “it is a multifaceted disorder affecting endocrine, nervous and cardiovascular systems and has many metabolic repercussions and clinical repercussions” with the causes of PCOS remaining unknown, patients who have PCOS are are left to manage the symptoms of PCOS as opposed to addressing whatever the root cause is. This leads to a lot of symptom chasing and frustration on the patient’s part. Many times, the solution from the Western doctor is to put a woman on birth control to “regulate” her cycle - which is not regulating anything because birth control, unless it is the copper IUD, cuts off communication between the brain and the ovaries or to utilize IVF to get a patient pregnant.

Often patients arrive at the acupuncturist’s office with a long list of complaints as a result of their diagnosis, with very little real help being offered by their Western health care provider. The biggest complaint is that of irregular menstruation and anovulation (lack of ovulation) leading to amenorrhea and infertility problems. Women often speak about having a history of irregular periods, with or without ovulation, and are now trying to get pregnant without success. 

Luckily for them, acupuncture has demonstrated efficacy in treating not only the symptoms of PCOS, but also in treating the fertility problems women with PCOS face. In a study published in the American Journal of Physiology Endocrinology and Metabolism in March 2013, it was shown that “repeated acupuncture treatments with manual and electrical stimulation in lean/overweight women with PCOS results in a higher ovulation frequency during the treatment period than in the control group.” Additionally, circulating levels of a variety of hormones (including estrone, estrone sulphate, estradiol, DHEA and testosterone) were found to have decreased significantly more in the acupuncture group compared to the control group. 

The efficacy of the acupuncture in PCOS cases can be contributed to a number of things, but the primary take away is that acupuncture has a profound effect on the central nervous system, and in turn on the endocrine system. Helping to regulate hormones naturally, helps to regulate the hypothalamic-pituitary axis which is vital to a well functioning female reproductive system. Acupuncture is a relatively side-effect free way of regulating these hormones, as well as promoting proper blood circulation in the female reproductive organs through its effect on the central nervous system. 

The takeaway here is that anyone seeking help for PCOS fertility issues - or any other PCOS related concerns - should feel confident seeking out an acupuncturist to help with these issues. Acupuncture is painless, effective, and relatively side effect free, which I know we can all get behind! If you or anyone you know is looking for help with PCOS related issues, feel free to give us a call at 646-760-9880 or email us at hello@aurumacupuncture.com to learn more about the benefits of acupuncture or to book an appointment! 

The Benefits of Acupuncture for Perimenopausal Symptoms

Being a woman of a certain age, I feel intimately aware of the changes my body is going through at this time. It’s hard to believe when you are in your most fertile prime that one day you will experience any of these changes, but it happens to everyone and everyones body handles it differently. I’m taking about perimenopause and menopause.

Perimenopause, the transition leading up to menopause - which can last up to ten years before the actual onset of menopause - brings with it a wide array of physical and emotional changes. From hot flashes to mood swings, night sweats, brain fog, and sleep disturbances, these symptoms can significantly impact a woman’s quality of life. At Ãurum Acupuncture, we specialize in natural, holistic therapies - including acupuncture and herbs - which have been gaining attention for its efficacy in managing perimenopausal symptoms.

How Acupuncture Helps

Acupuncture is an ancient practice rooted in Traditional Chinese Medicine (TCM). It involves the insertion of fine, sterile needles at specific points on the body to stimulate energy flow, or “Qi.” This stimulation is believed to help restore balance to the body’s systems, including hormonal regulation, which can be highly beneficial during perimenopause.

Several scientific studies have begun to explore how acupuncture can offer relief for women experiencing the challenges of perimenopause. A few of the key perimenopausal symptoms that acupuncture can alleviate with supporting evidence are listed below.

1. Relief from Hot Flashes and Night Sweats

Hot flashes and night sweats are among the most common complaints during perimenopause. These symptoms are caused by fluctuations in estrogen levels, which disrupt the body’s temperature regulation. Acupuncture has shown promise in reducing the frequency and severity of hot flashes. A randomized controlled trial published in the journal Menopause found that acupuncture significantly reduced the frequency of hot flashes in perimenopausal women over an 8-week period compared to a control group . The study suggested that acupuncture works by modulating the central nervous system, which helps in thermoregulation.

2. Improved Sleep Quality

Many women experience insomnia or disrupted sleep during perimenopause, often due to night sweats and anxiety. Acupuncture has been shown to help improve sleep by promoting relaxation and balancing the autonomic nervous system. A 2016 study in Acupuncture in Medicine found that perimenopausal women receiving acupuncture reported significant improvements in their sleep quality compared to those in the control group . The mechanism involves acupuncture’s influence on increasing the secretion of melatonin, the hormone responsible for sleep regulation.

3. Brain Fog

“Brain fog” is a common symptom many women experience during perimenopause. It manifests as memory lapses, difficulty concentrating, and a general sense of mental cloudiness. This cognitive decline is often linked to the fluctuating hormone levels, particularly estrogen, during the perimenopausal transition. Research has highlighted the impact of hormonal changes on cognitive function. A study published in The Journal of Clinical Endocrinology & Metabolism found that women in perimenopause often report issues with memory and concentration, which were correlated with declining estrogen levels. This hormone plays a critical role in cognitive processes, including verbal memory and executive function. Though brain fog can be frustrating, try not to worry too much, as it is usually temporary and improves after the menopausal transition. If you’re struggling with brain fog, acupuncture may provide relief by improving overall energy flow and reducing stress, promoting clearer thinking during this transition.

4. Reducing Mood Swings and Anxiety

The hormonal shifts during perimenopause can cause emotional disturbances, including mood swings, anxiety, and irritability. Acupuncture helps regulate the body’s stress response by stimulating the parasympathetic nervous system. A 2020 review in Frontiers in Psychiatry highlighted that acupuncture is effective in reducing symptoms of anxiety, which is particularly relevant for perimenopausal women . Acupuncture can help stabilize mood by releasing endorphins and serotonin, hormones that play a role in emotional well-being.

5. Hormonal Balance and General Well-being

As estrogen and progesterone levels fluctuate during perimenopause, women can experience fatigue, low libido, and general feelings of malaise. Acupuncture may help to naturally balance hormones by promoting the release of neurochemicals that influence the endocrine system. A study published in The Journal of Clinical Endocrinology & Metabolism indicated that acupuncture can modulate hormonal levels, contributing to overall improved well-being in perimenopausal women . Many women report feeling more energized and balanced after acupuncture treatments.

Why Choose Acupuncture for Perimenopause?

Acupuncture is a gentle, non-invasive therapy that works with your body’s natural processes. It offers an individualized approach to treating perimenopausal symptoms, tailored to the specific needs of each woman. Acupuncture can complement other treatments, such as herbal remedies, diet, and lifestyle changes, to create a holistic care plan that supports women through this life transition.

At Ãurum Acupuncture, we focus on creating a nurturing environment where our clients feel supported throughout their perimenopausal journey. Our skilled practitioners tailor each acupuncture session to address your unique symptoms and promote overall wellness.

For women seeking a natural, side-effect-free option for managing perimenopausal symptoms, acupuncture offers a promising solution. If you’re interested in learning more about how acupuncture can help, contact us at Ãurum Acupuncture for a consultation.

References: 1. Menopause. “Acupuncture for Hot Flashes: A Randomized Controlled Trial.” , 2. Acupuncture in Medicine. “The Effect of Acupuncture on Sleep Quality in Perimenopausal Women.”, 3. Frontiers in Psychiatry. “Acupuncture in the Treatment of Anxiety.”, 4. The Journal of Clinical Endocrinology & Metabolism. “Acupuncture’s Effect on Hormonal Levels in Perimenopausal Women.”

This post is for informational purposes only and not a substitute for professional medical advice. Always consult your healthcare provider before starting any new treatment.

Winter health tips for the Water Element

Winter is a time of quietude and introspection, where nature retreats to rest and recharge for the coming spring. In Traditional Chinese Medicine (TCM), the winter season is associated with the Water element and the Kidney and Bladder organs. During this time, it is crucial to nourish our bodies, support our immune system, and maintain our warmth. Here are some TCM-inspired foods and tips to help you stay balanced and healthy this winter.

1. Warm and Nutrient-Dense Foods
In TCM, it is recommended to consume warm, cooked foods during winter to support the body's Yang energy, which is responsible for warmth and metabolic activities. Nutrient-dense, hearty foods like soups, stews, and roasts are perfect. Root vegetables, whole grains, and proteins should be the mainstay of your diet.

2. Kidney-Nourishing Foods
TCM associates the Kidney with winter. The Kidney, in TCM, is the source of all Yin and Yang energies in the body. Nourishing the Kidney can help maintain balance and vitality. Foods that support Kidney health include black beans, kidney beans, bone broths, seaweed, and dark leafy greens. Salty foods are also linked to the Kidney, but moderation is key.

3. Hydrate Wisely
While it's important to stay hydrated, too much cold water can dampen the digestive fire. Instead, opt for warm beverages like herbal teas. Ginger tea, for instance, can help warm the body and aid digestion.

4. Rest and Reflect
Winter is a time for introspection and conservation of energy. Prioritize rest and make sure you're getting plenty of sleep. Activities such as meditation, yoga, tai chi, and qi gong can support inner peace and tranquility.

5. Keep Warm
TCM emphasizes the importance of keeping the body, particularly the lower back and feet, warm in winter to protect the Kidney's Yang energy. Dress warmly and consider using heat packs or warming herbs such as cinnamon and cloves.

6. Acupuncture and Herbal Medicine
TCM treatments like acupuncture and herbal medicine can help balance the body's Qi, or life force, during the winter months. If you're feeling out-of-sorts, consider booking a session at Āurum Acupuncture.

Winter, in TCM, is a time for restoration and preparation for the burst of life that comes with spring. By aligning your lifestyle and diet with the season, you can better support your body's natural rhythms and promote overall health and well-being.

Remember, everyone's body is different, and what works for one person might not work for another. Always consult with a healthcare professional or a trained TCM practitioner before making any significant changes to your diet or lifestyle.

Stay warm, eat well, and enjoy the tranquility that winter brings!

Unraveling the Needle: Dry Needling vs. Acupuncture

A question that continuously comes up in my practice - especially as needle-based therapies have gained immense popularity in recent years for their potential to alleviate pain, improve wellness, and enhance overall health - what is the difference between acupuncture and dry-needling? Two prominent practices that involve the insertion of thin needles into the body are acupuncture and dry-needling and it makes sense that people want to understand how to differentiate between the two. While these therapies may appear similar at first glance, they differ significantly in their origins, principles, techniques, and applications. 

First, it is important to understand what dry-needling actually is. The term “dry-needling” was first used by Janet Travell, MD to differentiate between “wet needling” or hypodermic injections and “dry needling” which is either insertion of a needle into muscle without injection or with the use of a filiform - or solid - needle. So by this definition, acupuncture is dry-needling. However, while the distinction between acupuncture and dry-needling can be complex, there are significant differences in the two practices. To better understand these differences, let's delve deeper into the key distinctions.

Acupuncture is an ancient practice originating in traditional Chinese medicine (TCM), dating back over 2,500 years. Acupuncture has a rich history deeply intertwined with Chinese philosophy and culture. It was initially used to balance the body's vital energy, known as Qi, and has evolved over centuries to treat a wide range of health issues. Whereas, dry-needling is a relatively modern therapy that has its roots in Western medicine. It emerged in the late 1970s with Czech physician, Karel Lewit, when he published his landmark paper ‘‘The Needle Effect in the Relief of Myofascial Pain'’ where he concluded that the insertion of needles into muscles to elicit a trigger effect had a remarkable ability to treat pain in musculoskeletal conditions. 

Acupuncture is rooted in the principles of TCM, focusing on the flow of Qi (or energy) through meridians or channels in the body. Acupuncture aims to balance Qi by inserting needles at specific acupoints along meridians, promoting the body's natural healing processes. Dry-needling is grounded in neuroanatomy and the understanding of trigger points, which are tight bands of muscle tissue that can cause pain and dysfunction. The primary goal of dry-needling is to release muscle knots and reduce pain by targeting specific trigger points.

Acupuncture uses thin, sterile needles, often made of stainless steel.Needles are placed at various acupoints, which may or may not coincide with trigger points, and are typically left in place for a longer duration to balance energy flow. In dry needling, solid, filament needles are used, typically without the addition of substances (hence "dry"). The needles are inserted directly into trigger points or tight muscle bands to elicit a twitch response, which helps release tension and relieve pain.

Acupuncture is employed for a broader range of health issues, including pain, digestive disorders, stress, anxiety, and more. Acupuncture seeks to restore balance in the body's energy flow, addressing both physical and emotional well-being. Dry-needling is commonly employed to treat musculoskeletal conditions such as muscle pain, tension, and myofascial pain syndrome. The primary objective is to reduce pain, improve muscle function, and enhance mobility.

The biggest difference, however, may be in the training. Acupuncturists undergo extensive training in TCM theories, meridian systems, and needle techniques, typically completing formal programs and obtaining licensure. Acupuncture is regulated in many countries, ensuring practitioners meet specific educational and ethical standards. Whereas, practitioners of dry needling, who often include physical therapists, chiropractors, and some medical doctors, have varying degrees of education in needling technique. Regulations regarding dry needling vary by region, and it may not be regulated in some places.

In summary, while acupuncture is highly regulated and dry-needling is mostly regulated, they are distinct practices with different practitioners, training requirements, and scopes of practice. Acupuncture is practiced by licensed acupuncturists, with a broader range of applications based on Traditional Chinese Medicine principles - which means they are able to treat musculoskeletal pain in addition to things such as women’s health, digestive health, autoimmune issues, etc. Dry-needling is primarily performed by physical therapists and focuses on musculoskeletal issues. Patients in Tennessee - or any other state in the US - seeking these therapies should ensure they receive treatment from qualified and licensed practitioners in their respective fields.

Chlorophyll, Chlorella, and the Importance of Blood

As daylight fades on 2021 and we move towards 2022, post-holiday hibernation is beginning.  The temperatures are finally getting cooler and my thoughts turn inward just as the season predicts. I look around and see the leaves have fallen from the trees and I’m reminded of a particularly potent pigment in mother nature: chlorophyll. 

“Chlorophyll is a photosynthetic pigment present in green plants that absorbs light energy and uses it to produce carbohydrates from carbon dioxide and water. Chlorophyll is crucial to the process of photosynthesis, which is responsible for sustaining the life process of green plants.” What I find so fascinating about chlorophyll is its similarity to another vital fluid: blood. 

As famous botanist Donald Peattie found in Tree: A Life Story, "Using spectrum analysis, [I] learned that the constituents of a chlorophyll molecule were eerily familiar. 'To me, a botanist's apprentice, a future naturalist,' he writes, 'there was just one fact to quicken the pulse. That fact is the close similarity between chlorophyll and hemoglobin, the essence of our blood.' This is no fanciful comparison, but a literal, scientific analogy: 'The one significant difference in the two structural formulas is this: that the hub of every hemoglobin molecule is one atom of iron, while in chlorophyll it is one atom of magnesium.' Just as chlorophyll is green because magnesium absorbs all but the green light spectrum, blood is red because iron absorbs all but the red. Chlorophyll is green blood."

What is the importance of this finding? Firstly, it leads us to the conclusion that plants are not as different from us as we may like to believe. Secondly, with such striking biological similarity, it is clear that we may use chlorophyll to nourish our own blood, because in Chinese Medicine (CM) we use “like to treat like”. 

I talk a lot about blood quality in session and the key difference between how CM views blood and how Western Medicine views it is, CM is more interested in the quality of blood rather than the quantity. If the quality is good, you will have enough quantity. Blood is categorized as connective tissue, therefore fresh, healthy, high quality blood is one of the vital fluids that keeps our bodies running and functioning optimally. 

That being said, I frequently recommend chlorella whenever a patient presents with any blood quality issues. Blood quality issues run the gamut and can be anything from pain to insomnia and everything in between. “Chlorella is a single-celled green algae found in bodies of freshwater and contains high concentrations of nutrients such as vitamin C, carotenoids, vitamin B complex and iron. The algae also contains a high amount of protein and can produce healthy oils high in polyunsaturated fats.” 

Why chlorella over chlorophyll? Though they are related, there are some key differences between chlorella and chlorophyll. Chlorella is a type of algae and chlorophyll is the substance plants use, along with sunlight, to make their own food. While straight chlorophyll is an excellent supplement, taking chlorella has added benefits such as:

• Delivers a high amount of nutrients to the body: Chlorella is packed with good-for-you stuff like vitamins B12 and C, iron, fiber, protein, antioxidants, and fatty acids.

• Helps the body process heavy metals and detox: One of chlorella's best-known benefits is that it's a great ingredient for helping rid your body of all the toxins that come from processed foods, the environment, and life in general which can disrupt our hormonal balance. It binds to heavy metals to assist with detox.

• Provides protective benefits to the body: While studies are mixed, this edible algae may also help strengthen the immune system, as well as possibly lower cholesterol, blood pressure, and manage blood sugars.

• Promotes weight loss:A 2008 study published in the Journal of Medicinal Food discovered that regular chlorella intake over a 16-week period resulted in a lower body fat percentage for the participants, along with lower cholesterol and blood glucose levels.

While supplements are not a cure-all, they are certainly part of the process of healing. Feel free to reach out directly with any questions and I look forward to seeing you in the clinic!

https://www.livestrong.com/article/470008-chlorella-vs-chlorophyll/

https://healthyeating.sfgate.com/chlorella-vs-chlorophyll-10702.html 

https://www.byrdie.com/chlorella-benefits