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Article: How Can Acupuncture Support PCOS

How Can Acupuncture Support PCOS

How Can Acupuncture Support PCOS

Author: Renee Boyd, Acupuncturist

Have you ever felt like your body is a bit of a mystery? One day your skin is glowing, the next you're dealing with breakouts. One month your period is on time, the next it’s completely MIA. Maybe you’ve experienced unexplained weight gain or hair in places you didn't expect. 

These fluctuations can be caused by Polycystic Ovary Syndrome (PCOS), a common endocrine condition that affects people of reproductive age and can show up as irregular periods, acne, excess hair growth, weight challenges, and fertility difficulties. 

From a Chinese Medicine perspective, PCOS isn’t a single disease but a set of patterns reflecting deeper imbalance. Western care typically focuses on specific symptom control, whereas Chinese Medicine aims to rebalance the whole person using acupuncture, herbal formulas, diet and lifestyle - approaches that may help improve cycle regularity, ovulation and metabolic markers, according to recent clinical trials and systematic reviews. 

Understanding the Patterns 

In Chinese Medicine, symptoms are interpreted as patterns that guide treatment. Common patterns observed with PCOS include: 

  • Dampness and Phlegm: This pattern is often linked to sluggish metabolism, weight gain, and the formation of cysts.

  • Qi and Blood Stagnation: This can manifest as irregular or painful periods, emotional tension, or mood shifts.

  • Kidney or Spleen Deficiency: This pattern is tied to fatigue, irregular ovulation, and difficulties with fertility. 

How Acupuncture and Chinese Medicine Can Help 

Modern research shows that acupuncture and Chinese medicine can effectively manage PCOS symptoms and improve your overall health. Studies have shown that acupuncture can: 

  • Regulate cycles and hormones: Research indicates that acupuncture can help improve PCOS symptoms and reduce testosterone levels.

  • Support ovulation and fertility: Reviews suggest that acupuncture may help promote ovulation and improve the chances of conception.

  • Assist with metabolic health: Research indicates that acupuncture and certain herbal formulas may improve insulin sensitivity, support healthy weight management, and benefit overall metabolic balance. 

Acupuncture is rarely used in isolation. A comprehensive Chinese Medicine approach often includes herbal medicine to regulate hormones, dietary and lifestyle advice to support healthy metabolism, and stress reduction techniques, since emotional wellbeing is closely linked to reproductive health. 

A Holistic and Evidence-Informed Approach 

PCOS can feel overwhelming, but you do not have to navigate it alone. Acupuncture and Chinese Medicine offer a holistic, gentle, and evidence informed approach that works alongside your medical care. The focus is on helping your body return to its natural rhythm, supporting your energy, mood, menstrual regularity, and fertility goals. 

If you’re looking for a different way to approach your health, one that focuses on your body as a whole system, I invite you to explore the possibilities of Chinese Medicine. Shape 

References

Xu et al. (2024): Umbrella meta-analysis across 20 PCOS meta-studies (n ≈ 27,000) showing improved pregnancy (RR = 1.57), ovulation (RR = 1.25), reductions in LH, testosterone, HOMA-IR, BMI — particularly with ≥ 4 months of acupuncture therapy; no significant effect on live birth or fasting insulin. 
 
Wu et al. (2024): RCT of acupuncture + clomiphene vs clomiphene alone in obese PCOS showed benefits on hormone balance and gut microbiota. 
 
Ye et al. (2024): Narrative review summarizing multiple systematic reviews (including Cochrane) reporting improvements in hormone regulation, ovulation, and insulin resistance. 
 
Springer review (2024): Multi-herb Chinese formulas (e.g., Gui Zhi Fu Ling Wan) show potential but evidence varies. 
 
Li et al. (2024): Higher acupuncture “dose” may correlate with better IVF pregnancy outcomes. 


Frontiers meta-analysis (2023): Acupuncture + moxibustion combined with clomiphene for ovulation induction and pregnancy outcomes. 
 
Ethnopharmacology (2023): CHM plus acupuncture shows very low to moderate-certainty improvement in fertility & symptoms; more trials needed. 
 
Ovarian Research (2025): Broad overview of TCM, herbs, acupuncture in PCOS management. 

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