Acupuncture and Acupressure for Menstrual Cramps
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Acupuncture and Acupressure for Menstrual Cramps

Unveiling the Mystery of Menstrual Cramps

Menstrual cramps, also known as primary dysmenorrhea, can cause significant discomfort and disrupt the daily lives of many women. These cramps occur as the uterus contracts to shed its lining during menstruation, resulting in pain and discomfort that can range from mild to severe. Symptoms commonly experienced include lower abdominal pain, backaches, cramping, bloating, and fatigue.

Understanding Acupuncture and Acupressure

While over-the-counter pain relievers are commonly used to manage this condition, alternative approaches like acupuncture and acupressure have gained recognition for their potential in alleviating menstrual cramp symptoms. It is commonly used to treat many chronic pain and has also been recommended by the National Institute of Health for the treatment of several diseases, including primary dysmenorrhea. It has also been recommended by Canada’s Primary Dysmenorrhea Consensus Guideline, in the treatment of primary dysmenorrhea. 

Acupuncture, originated from traditional Chinese medicine, is a technique in which practitioners insert fine needles into the skin to treat health problems. The needles may be manipulated manually or stimulated with small electrical currents (electroacupuncture). Acupuncture has been in use in some form for at least 2,500 years and has gained popularity worldwide since the 1970s. According to Chinese medicine theory, the body contains meridians, or energy pathways, through which Qi (pronounced "chee"), the vital life force, flows. Imbalances or blockages in Qi flow can lead to various health issues, including menstrual cramps.

According to the World Health Organization, acupuncture is used in 103 of 129 countries that reported data. In fact, acupuncture has been approved and promoted by many authorities in the U.S., such as FDA and NIHResearch has shown that acupuncture may be helpful for several pain conditions.

Acupressure, on the other hand, applies pressure to the same points using fingers, hands, or specialized tools. Both acupressure and acupuncture aim to stimulate the body's natural healing response and bring about relief from pain and discomfort. Similar to acupuncture, the use of acupressure is based on meridian theory, which proposes that acupressure stimulates meridians, a network of energy pathways throughout the body, to increase the flow of qi (bioenergy), subsequently altering the symptom experience.

The Benefits of Acupuncture for Menstrual Cramps

Acupuncture has shown promising results in managing menstrual cramps. Studies have indicated that acupuncture can help reduce the severity and duration of menstrual pain, as well as alleviate associated symptoms such as bloating and fatigue. The stimulation of specific acupuncture points is believed to promote the release of endorphins, the body's natural pain-relieving chemicals, and regulate hormonal imbalances that contribute to menstrual cramps.

During an acupuncture session, a trained acupuncturist will carefully select acupuncture points that target the reproductive organs, lower abdomen, and lower back. The insertion of fine needles into these points is generally painless, with many individuals reporting a sense of relaxation and well-being during the treatment. The duration and frequency of acupuncture sessions may vary depending on individual needs and the severity of symptoms.

Exploring the Power of Acupressure for Menstrual Cramps

Acupressure, the non-invasive counterpart of acupuncture, has also been demonstrated to provide relief from menstrual cramps. Studies testing the efficacy of acupressure for symptom management have been a focus of research, particularly during the last decade. By applying pressure to specific points, acupressure helps restore the balance of Qi and promotes the body's self-healing mechanisms. It can be performed by a trained practitioner or self-administered with proper guidance.

One commonly used acupressure point for menstrual cramps is the Sanyinjiao (SP6) point, located above the ankle on the inside of the leg. Applying firm pressure to this point for a few minutes can help relieve cramping and promote relaxation. Other points commonly targeted for menstrual cramps include the Zhongwan (CV12) point on the abdomen, the Guanyuan (CV4) point below the navel, Ciliao (BL32), and Taichong (Liver 3) acupoints.

Many women find acupressure techniques convenient and accessible for managing menstrual cramps. It can be practiced at home, at work, or anywhere one can find a quiet and comfortable space. Regular acupressure sessions leading up to and during menstruation can contribute to the reduction of pain and discomfort.

Combining Acupuncture and Acupressure Techniques

Some practitioners may combine acupuncture and acupressure techniques to maximize the benefits of both approaches, in a wide range of pain-related scenarios, even for cancer patients and labour. This combination therapy can involve receiving acupuncture treatment followed by self-administered acupressure between sessions. The synergy between these practices can help maintain the balance of Qi and provide ongoing relief from menstrual cramps. However, it should also be noted that many researchers have claimed that the efficacy and superiority of this combination still need more research and validation.

Precautions and Tips for Acupuncture and Acupressure

While acupuncture and acupressure are generally safe when performed by trained professionals or practiced with proper guidance, certain precautions should be taken. It is important to consult with a qualified practitioner and disclose any underlying health conditions or medications you may be taking. After all, the U.S. Food and Drug Administration (FDA) regulates acupuncture needles as medical devices and requires that they be sterile and labeled for single use only. 

Although relatively few complications from using acupuncture have been reported, however, complications have resulted from use of nonsterile needles and improper delivery of treatments. When not delivered properly, acupuncture can cause serious adverse effects, including infections, punctured organs, and injury to the central nervous system. If you are pregnant or have specific medical conditions, such as bleeding disorders, it is essential to seek for professional advice before undergoing acupuncture or acupressure. 


Acupuncture and acupressure offer promising therapeutic benefits for managing menstrual cramps. These ancient healing practices aim to restore balance within the body, stimulate natural healing responses, and provide relief from pain and discomfort. Whether through the insertion of fine needles or the application of targeted pressure, acupuncture and acupressure can be valuable additions to your self-care routine. By seeking professional guidance, understanding the principles behind these techniques, and incorporating them into your menstrual wellness practices, you can empower yourself with effective tools to alleviate menstrual cramps and improve your overall well-being.

  • Shetty, Geetha B., Balakrishna Shetty, and A. Mooventhan. "Efficacy of acupuncture in the management of primary dysmenorrhea: a randomized controlled trial." Journal of acupuncture and meridian studies 11.4 (2018): 153-158.
  • Lefebvre, Guylaine, et al. "Primary dysmenorrhea consensus guideline." J Obstet Gynaecol Can 27.12 (2005): 1117-46.
  • U.S. Food and Drug Administration. CFR Code of Federal Regulations Title 21. 2023.
  • Lee, Eun Jin, and Susan K. Frazier. "The efficacy of acupressure for symptom management: a systematic review." Journal of pain and symptom management 42.4 (2011): 589-603.
  • Shetty GB, Shetty B, Mooventhan A. Efficacy of Acupuncture in the Management of Primary Dysmenorrhea: A Randomized Controlled Trial. J Acupunct Meridian Stud. 2018 Aug;11(4):153-158.
  • Han, Ji-Sheng. "Acupuncture and endorphins." Neuroscience letters 361.1-3 (2004): 258-261. 
  • Cabýoglu, Mehmet Tugrul, Neyhan Ergene, and Uner Tan. "The mechanism of acupuncture and clinical applications." International journal of neuroscience 116.2 (2006): 115-125.
  • Jun EM, Chang S, Kang DH, Kim S. Effects of acupressure on dysmenorrhea and skin temperature changes in college students: a non-randomized controlled trial. Int J Nurs Stud. 2007 Aug;44(6):973-81.
  • Chen HM, Wang HH, Chiu MH, Hu HM. Effects of acupressure on menstrual distress and low back pain in dysmenorrheic young adult women: an experimental study. Pain Manag Nurs. 2015 Jun;16(3):188-97.
  • Li, Tao, et al. "Clinical efficacy and safety of acupressure on low back pain: A systematic review and meta-analysis." Evidence-Based Complementary and Alternative Medicine 2021 (2021): 1-15.
  • Molassiotis, Alexander, Paola Sylt, and Helen Diggins. "The management of cancer-related fatigue after chemotherapy with acupuncture and acupressure: a randomised controlled trial." Complementary therapies in medicine 15.4 (2007): 228-237.
  • Smith, Caroline A., et al. "Acupuncture or acupressure for pain management in labour." Cochrane Database Syst Rev 7 (2011).
1.Unveiling the Mystery of Menstrual Cramps
2.Understanding Acupuncture and Acupressure
3.The Benefits of Acupuncture for Menstrual Cramps
4.Exploring the Power of Acupressure for Menstrual Cramps
5.Combining Acupuncture and Acupressure Techniques
6.Precautions and Tips for Acupuncture and Acupressure