Perimenopause and 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 vitality, clarity, and self-trust.

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Still, the path through perimenopause and 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

• Hot flashes and night sweats

• Mood swings, irritability, or anxiety

• Irregular cycles or sudden hormonal shifts

• Sleep disturbances or trouble staying asleep

• Fatigue, brain fog, or emotional flatness

• Vaginal dryness, low libido, or pelvic discomfort

• A desire to feel more grounded and connected during 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:

• Acupuncture to regulate temperature, mood, sleep, and circulation

• Herbal medicine to nourish depleted systems, calm fluctuations, and support hormonal rhythms

• Moxibustion or warming therapies, especially for fatigue or cold-type symptoms

• Gentle conversation and collaborative planning, paced for where you are
   

We also 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:

• Tending the Terrain — for hormonal and systemic support
  Learn More | Book a Session

• Reclaiming Calm — for nervous system and emotional regulation
  Learn More  |  Book a Session

• Clarifying the Path — herbal consultation without acupuncture
  Learn More | Book a Session