Ambulatorio Ospedaliero Agopuntura per la MENOPAUSA, Dr. Marco Visconti, menopausa, sindrome post menopausa, PMS, post menopausal sindrome, cefalee, vertigini, vampare, sudorazione, irritabilità, depressione, Ospedale Fatebenefratelli, cefalea orbitale, cefalea frontale, cefalea postprandiale, Ospedale Agopuntura, centro ospedaliero agopuntura per la menopausa, headache,menopause, sweating, Hot Flashes, Other Menopause Symptoms, menopause trigeminal neuralgia neuropati

Studi sulla menopausa condotti in occidente usando l'agopuntura

L’agopuntura è una metodica terapeutica della Medicina Cinese ampiamente utilizzata per trattare della menopausa (Sindrome post menopausale o PMS), sia in occidente che in oriente. Le dimostrazioni di efficacia dell’agopuntura (EBM) in questa indicazione sono numerose e, sebbene alcuni studi avessero in passato mostrato risultati contrastanti, recentemente sono state prodotte pubblicazioni che ne sostengono fortemente l’utilizzo per il suo trattamento.

Noi trattiamo tutte le forme di menopausa, compresi i sintomi che spesso l'accompagnano, tenendo presente che

la MENOPAUSA NON E' UNA MALATTIA,

ma segna un passaggio importante della donna da una situazione di fecondità e di procreatività, ad una fase di assopimento e scomparsa di questa funzione.
Spesso però questo passaggio non è preciso e puntuale ma avviene con difficoltà, ed è così che l'Agopuntura si propone come un potente mezzo di regolazione e accompagnamento durante questo passaggio fisiologico della donna.

Bibliografia Occidentale EBM

Acupuncture for hot flashes: a randomized, sham-controlled clinical study:
Ann Vincent, MBBS, MD,1 Debra L. Barton, PhD, RN,1 Jayawant N. Mandrekar, PhD,1 Stephen S. Cha, MS,1 Teresa Zais,1 Dietlind L. Wahner-Roedler, MD,1 Marina A. Keppler, LAc, MA, DiplAc,1 Mary Jo Kreitzer, PhD, RN,2 and Charles Loprinzi, MD1

ABSTRACT
Objective: Hot flashes are a significant problem in women going through the menopausal transition that can substantially affect quality of life. The world of estrogen therapy has been thrown into turmoil with the recent results of the Women’s Health Initiative trial report.
Pursuant to a growing interest in the use of alternative therapies to alleviate menopausal symptoms and a few pilot trials that suggested that acupuncture could modestly alleviate hot flashes, a prospective, randomized, single-blind, sham-controlled clinical trial was conducted in women experiencing hot flashes.
Design: Participants, after being randomized to medical versus sham acupuncture, received biweekly treatments for 5 weeks after a baseline assessment week. They were then followed for an additional 7 weeks. Participants completed daily hot flash questionnaires, which formed the basis for analysis.
Results: A total of 103 participants were randomized to medical or sham acupuncture. At week 6 the percentage of residual hot flashes was 60% in the medical acupuncture group and 62% in the sham acupuncture group. At week 12, the percentage of residual hot flashes was 73% in the medical acupuncture group and 55% in the sham acupuncture group. Participants reported no adverse effects related to the treatments.
Conclusions: The results of this study suggest that the used medical acupuncture was not any more effective for reducing hot flashes than was the chosen sham acupuncture.

Use of alternative and complementary medicine in menopause
H.J. Kanga, R. Ansbachera, M.M. Hammoudb,,
Division of Reproduction Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA bDivision of Women’s Health, Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA

Effects of acupuncture on hot flashes in perimenopausal and postmenopausal women-a multicenter randomized clinical trial

Kim, Kun Hyung OMD, MS¹; Kang, Kyung Won MS¹; Kim, Dong Il OMD, PhD²; Kim, Hyung Jun OMD, PhD³; Yoon, Hyun Min OMD, PhD⁴; Lee, Jin Moo OMD, PhD⁵; Jeong, Jae Cheol OMD, MS²; Lee, Myeong Soo PhD¹; Jung, Hee Jung MS¹; Choi, Sun-Mi OMD, PhD¹

Abstract
Objective: The aim of this study was to evaluate the effectiveness of acupuncture plus usual care for relief of hot flashes and menopause-related symptoms compared with usual care alone in perimenopausal or postmenopausal women.

Methods: A multicenter, randomized, controlled trial was conducted. Perimenopausal or postmenopausal women with average hot flash scores of 10 or higher during the week before the screening visit were enrolled and randomly divided into two groups. The treatment group received 12 sessions of acupuncture and maintained usual care for 4 weeks, whereas the control group underwent usual care alone. Hot flash scores were calculated by multiplying frequency by severity of hot flashes recorded in a daily diary. The primary outcome was the mean change in the average 24-hour hot flash score at week 4 from baseline. The secondary outcome was the mean change in menopause-related symptoms as estimated by the Menopause Rating Scale questionnaire at week 4. Follow-up assessment at week 8 was conducted in the treatment group only.

Results: The mean change in the average 24-hour hot flash score was −16.57 in the treatment group (n = 116) and −6.93 in the control group (n = 59), a difference of 9.64 (P < 0.0001). The total Menopause Rating Scale score, as well as the subscale scores for the psychological, somatic, and urogenital dimensions of menopause, showed significant improvement in the acupuncture group compared with the control group (P < 0.001). The mean change in the treatment group in the primary outcome was −17.58 at week 8.

Conclusions: Our results suggest that acupuncture in addition to usual care is associated with marked clinical improvement in hot flashes and menopause-related symptoms in perimenopausal or postmenopausal women.

Effects of acupuncture on hot flashes in perimenopausal and postmenopausal women-a multicenter randomized clinical trial

Abstract Objective: The aim of this study was to evaluate the effectiveness of acupuncture plus usual care for relief of hot flashes and menopause-related symptoms compared with usual care alone in perimenopausal or postmenopausal women.

Abstract
Objective: The aim of this study was to evaluate the effectiveness of acupuncture plus usual care for relief of hot flashes and menopause-related symptoms compared with usual care alone in perimenopausal or postmenopausal women.