there are other changes that occur in the body during the transition into a menopausal state.  some women experience disruptions in menses such as sudden painful menses, irregular menses, heavy menses or scanty menses.  women also can experience an overall "drying" of the body, including vaginal dryness, thirst, or constipation as the Yin fluids of the body are at a low level.  fatigue is another common complain during the menopause transition.  additionally, manifestations such as weight gain, acne, and hair growth can arrise during perimenopause.  as well, many women are concerned about the wrinkles and changes that are happening in their face.  for all of these imbalances, chinese medicine has advanced theories and effective treatments based on the theories.  when combined with diet and lifestyle recommendations, chinese medicine can provide help for most women experiencing these discomforts.  for most women weekly (or so) acupuncture treatments, combined with internal or external chinese herbal medicine would be recommended. i have been trained in some advanced facial rejuvenation acupuncture techniques.  more information to come as this part of the site is updated to reflect those treatment options! this page will be developed as time, energy, knowledge and experience permit.  i intend for each group of symptoms to eventually have an entire page or section developed exclusively for them.  as well, as more commom complaints become clear from my own practice, this site will reflect those concerns.