Perimenopause & menopause are a time of metamorphosis

Acupuncture and functional medicine support

Our Second Spring, an opportunity to transform

The themes that come up during perimenopause and menopause can be physical, emotional and spiritual. Many people come to the clinic for help with irregular cycles, anxiety and hot flashes, but the conversation often shifts to changing priorities, evolving relationships and a new connection to one’s life’s purpose.

In Chinese Medicine, this stage of life is known as our Second Spring—an empowering time of renewal, wisdom and self-discovery. 

arrive 65 - Arrive Reproductive Medicine

You are designed to handle this transition, but it doesn't always feel that way

The systems meant to steady us during this shift are often depleted or overextended by the time we arrive here. We’ve spent decades caring for others, advancing careers, and holding so much together. By supporting the whole body, we can rebuild our innate capacity to handle this transition.

The changes you're feeling are not random

This quick, two-part quiz blends Chinese Medicine and western science to help you understand what your symptoms are trying to tell you during this season of life.

Hands w plant edited - Arrive Reproductive Medicine

Perimenopause and Menopause Treatments

This transition isn’t a moment—it’s a chapter. And your body may need different kinds of support along the way. Many people come in as symptoms arise or simply to decompress when life feels full. For those who want deeper, more comprehensive care, we can bring in Functional Medicine approaches like liver detox support and gut healing, along with cycle tracking and advanced hormone testing.

With comprehensive care we can:
This approach is for you if you're:

Getting Started

Step 1:

Schedule a New Patient Peri/Menopause Visit ($225) online or text our clinic to make an appointment.

Step 2:

We will recommend a treatment plan at your initial visit after a thorough evaluation and listening to your goals. 

Questions?

We’d love to hear from you! Email us or book a free 15-minute consultation.

Frequently Asked Questions

Yes.

Acupuncture can support hormone regulation in early perimenopause, ease hot flashes and night sweats, improve sleep quality, and help calm an overtaxed nervous system. In my practice, acupuncture sessions often include other lifestyle tools and advanced lab testing for blood sugar management, joint pain, immune system changes and other pieces of the health puzzle that gets stirred up in this chapter.

Yes, though these hormones fluctuate quite a bit as you move through perimenopause, so testing tends to be more reliable earlier in perimenopause, before cycles become too unpredictable. We can also talk through whether serum (blood) or urine testing makes more sense for you based on your specific symptoms and where you are in this chapter. These two hormones are really just one piece of the picture and the other markers below are usually the centerpiece of the treatment plan.

We usually get a good sense of the estrogen and progesterone picture just by understanding your cycle and hormone patterns over time.

A comprehensive lab panel including fasting insulin, a complete thyroid panel, iron and ferritin, vitamin D, and vitamin B12 helps us understand the combined impact of your overall health on the symptoms you’re experiencing. In my practice, this is the entry point for understanding what’s going on, and it’s relevant no matter what stage of perimenopause or menopause you’re in.
If you still have your ovaries, you may still produce estrogen and progesterone, even without a uterus to signal a period. In my practice I offer the Mira Monitor, an at-home urine test that lets us see whether you’re still ovulating and gives a real-time picture of what your hormones are doing, without relying on a menstrual cycle as a marker. And regardless of what anatomy is present, a comprehensive lab panel that goes beyond basic hormone testing can offer a lot of insight into what’s driving your symptoms.

My focus is on hormonal health, fertility, IVF, and perimenopause specifically. I’m board-certified in reproductive acupuncture with more than 20 years of experience and yes, I’m right there in it myself!  In addition to acupuncture, I bring in functional medicine and lifestyle support and comprehensive lab testing that you won’t find in your doctor’s office. We can look deeper at testing through blood, advanced hormone urine tests and microbiome stool tests to support more complex health challenges and to build a fully personalized treatment plan. I stay current with research and protocols and love to brainstorm with my patients to help create a team and path that makes sense for them, especially in this age of information overload. Learn more about me here.

Not at all. Acupuncture can ease symptoms but it doesn’t change your actual estrogen and progesterone levels the way HRT does. For those who prefer not to go on HRT, acupuncture combined with supplements, herbs, and lifestyle support can offer a lot of relief on its own. Others choose HRT for symptom relief and its longer-term benefits, and use acupuncture alongside it to manage symptoms HRT doesn’t fully address, as well as a regular check-in point throughout the transition. I don’t prescribe HRT myself, but I can help you think through whether it’s a good fit based on your symptoms and goals, and refer you to a prescribing provider if needed.

Some patients come in periodically as specific symptoms arise, while others start with a more concentrated stretch of visits to build momentum before shifting to a lighter, maintenance cadence. A more comprehensive treatment plan usually includes an initial visit followed by 7 follow-up visits over about three months and includes acupuncture, herbal consultation, targeted supplements, functional medicine support, foundational nutrition guidance, cycle tracking, and lab testing as needed. Everything is shaped around your specific symptoms and goals, and can change as your needs change over time.
This is a question I hear every day in the clinic. In many cases standard testing does not encompass markers that are crucial for understanding this phase of life. Getting a deeper understanding of blood sugar, thyroid and some basic nutrients is so important but so often missed. Plus, not all symptoms can be tracked down in a blood test. In my practice, I take the time (45-60 minutes) to take a thorough health history before creating a treatment plan which can include a review of lab results and a plan to fill in the gaps.

"Wow, I feel completely fortified by my session with Anne. Her words and work set me on the path of shedding what I don't need, feeling grounded in myself, and embracing what I need to fill my well. Seriously, I feel at ease in my body and mind. Powerful session— Thank you is not enough!" -S.B.

Want to learn more?

Let's Chat!

Schedule a free 15-minute consultation to see how I can support you.