Perimenopause & Menopause
Support for Hormonal Shifts, Emotional Transitions & Midlife Renewal
Menopause is not an ending—it’s a threshold. In East Asian Medicine, this time of life is honored as a powerful transition often called the “Second Spring”—a chance to shed, to soften, and to step more fully into authenticity and self-trust.
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Still, the path through perimenopause and the years following menopause can be physically and emotionally demanding. Symptoms like hot flashes, night sweats, anxiety, fatigue, sleep disruption, and irregular cycles are common, but they don’t have to be endured without support.
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At ECHO, we offer a holistic and empowering approach to this life stage. Using gentle acupuncture and personalized herbal medicine we help regulate the systems most impacted by hormonal transition—nervous system, sleep, mood, circulation, and digestion—so that your body can rebalance itself from within.
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Common Experiences We Support
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Hot flashes and night sweats
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Mood changes — including irritability, anxiety, or emotional reactivity
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Shifts in menstrual cycles or sudden hormonal changes
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Sleep disruption or difficulty staying asleep
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Fatigue, brain fog, or a sense of emotional flatness
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Vaginal dryness, changes in sexual experience, or pelvic discomfort
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A desire to feel more grounded, steady, and connected during a time of transition
Our Approach
Rather than suppressing symptoms, we work with your body’s natural intelligence—helping it move through this change with more ease and resilience. Treatments are individualized based on your constitution, cycle history, and current symptoms.
Sessions may include:
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Acupuncture to regulate temperature, mood, sleep, and circulation
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Herbal medicine to nourish depleted systems, calm fluctuations, and support hormonal rhythms
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Moxibustion or warming therapies, especially for fatigue or cold-type symptoms
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Gentle conversation and collaborative planning, paced for where you are
We work with individuals using hormone replacement therapy (HRT), those who cannot take it, and those who choose not to. Often, even with HRT, some symptoms persist—and East Asian Medicine is especially helpful in tending to those gaps. Care is flexible, collaborative, and grounded in honoring your unique path through this transition.
What to Expect
Whether you’re in early perimenopause or deep in the experience, this work can help you feel more steady, less reactive, and more connected to yourself. You don’t have to go through it alone—and you don’t have to wait until symptoms are “bad enough” to begin.
Related Services
This condition is most often supported through:
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Tending the Terrain
Private acupuncture with herbal prescribing to support hormonal transitions, nervous system regulation, and whole-body balance during perimenopause and post-menopause.
Learn More | Book a Session
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Restoring Ease
Private acupuncture with optional herbal support for perimenopausal or post-menopausal concerns involving chronic pain, migraines, joint discomfort, or inflammation that may qualify for insurance
Learn More | Book a Session
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Clarifying the Path
Individualized herbal consultations without acupuncture, focused on hormonal transitions, sleep, mood, energy, and systemic regulation
Learn More | Book a Session
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ECHO at Dusk
Community acupuncture for general wellness, stress support, and steady self care during midlife transitions
Learn More | Book a Session
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Scar Therapy
Gentle acupuncture to support abdominal, pelvic, or surgical scars that may influence circulation, comfort, or pelvic health during and after hormonal transitions
Learn More | Book a Session
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