18/02/2026
Sleep issues are often one of the earliest signs of perimenopause, and the one symptom most women come in for clinically.
Night-time cortisol spikes, low progesterone, and nervous system hyper-arousal can all interfere with sleep quality. Acupuncture helps calm the nervous system and support circadian rhythm signalling.
It does this by regulating the expression of core circadian clock genes—such as Clock, Bmal1, Per1, and Per2—in the suprachiasmatic nucleus, which is the brain's main master clock. It has been shown to restore the amplitude of these genes, helping to stabilize sleep-wake cycles.
In addition to this, acupuncture helps balance the levels of serotonin and 5-HIAA (a serotonin metabolite), which act as "switches" that help manage the alternation of sleep-wake phases.
Better sleep supports everything else — mood, energy, and hormone resilience.
Rest is a form of treatment.