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Women who suffer from hot flashes and other uncomfortable symptoms of menopause may be able to find relief through acupuncture, according to a new study.

The idea of having to lie still for 20 minutes with needles sticking out of you may not appeal to everyone. On the other hand, hormone replacement therapy — often employed to make menopause more bearable — has some problems of its own, including an increased risk of coronary heart disease, stroke and breast cancer.

So Turkish researchers recruited 53 postmenopausal women and assigned 27 of them to a five-week course of acupuncture (twice a week for 20 minutes at a time) and 26 of them got sham treatments that they thought were real. Women in the treatment group had needles inserted at 10 acupuncture points; women in the placebo group were treated with blunted needles that didn’t penetrate the skin.

At the end of the study period, the women who got acupuncture showed more relief from their symptoms compared with their counterparts who got the fake treatment.

Their hot flashes were less severe (there was no change for women who got the sham treatment). Both groups had improvements in their psychological symptoms (as measured by the Menopause Rating Scale), though the benefit was much greater for women who got acupuncture. Estrogen levels were significantly higher for the women in the treatment group compared with the controls. The results were published in the journal Acupuncture in Medicine.

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