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Understanding Endometriosis

Endometriosis is a chronic inflammatory condition in which endometrial-like tissue grows outside the uterus, often affecting the ovaries, pelvic cavity, and surrounding structures. This can lead to pelvic pain, painful periods, painful intercourse, inflammation, adhesions, digestive symptoms, and fertility challenges.

Acupuncture offers non-pharmaceutical support that targets pain, inflammation, pelvic circulation, and nervous system balance—core drivers of endometriosis symptoms.

How Acupuncture Supports Endometriosis

1. Reduces Pelvic Pain & Pain Signaling

Endometriosis pain can stem from inflammation, nerve hypersensitivity, and muscular tension.

Acupuncture has been shown to:

  • Reduce menstrual and pelvic pain

  • Modulate central and peripheral pain pathways

  • Reduce prostaglandin levels

  • Relax pelvic floor and abdominal muscles

These combined effects help soften both chronic and cyclical pain.

2. Lowers Inflammation

Endometriosis is associated with elevated inflammatory cytokines and increased oxidative stress.

Acupuncture may help:

  • Reduce inflammatory markers (e.g., TNF-α, IL-6)

  • Regulate immune system activity

  • Decrease pelvic inflammatory responses

Lower inflammation can reduce pain severity and improve long-term pelvic health.

3. Improves Pelvic & Uterine Blood Flow

Restricted or stagnant circulation in the pelvic region can contribute to pain, tightness, and tissue congestion.

Acupuncture helps:

  • Increase uterine and pelvic microcirculation

  • Improve oxygenation of surrounding tissues

  • Relax uterine and pelvic musculature

Improved pelvic blood flow supports both symptom relief and overall reproductive wellness.

4. Regulates Hormonal Activity

Hormonal imbalances—particularly estrogen dominance—play a central role in endometriosis.

Acupuncture supports:

  • More balanced estrogen and progesterone interaction

  • Modulation of the hypothalamic–pituitary–ovarian (HPO) axis

  • Improved menstrual cycle regulation

Hormonal stability may decrease symptom flares and support long-term comfort.

5. Nervous System & Emotional Support

Chronic pelvic pain can activate the stress response, increasing muscle tension and inflammation.

Acupuncture helps:

  • Reduce sympathetic overactivation

  • Lower stress hormones

  • Improve sleep and mood

  • Support physical and emotional resilience

Regulating the nervous system reduces pain sensitivity and supports overall well-being.

Summary

Acupuncture supports individuals with endometriosis by reducing pain, lowering inflammation, improving pelvic blood flow, regulating hormones, and supporting emotional balance.
This holistic approach addresses multiple layers of the condition, offering meaningful relief and long-term pelvic support.

References

Armour, M., et al. (2019). The role of acupuncture in treating endometriosis-related pelvic pain. Journal of Obstetrics & Gynaecology Research, 45(1), 185–195.

Barcena de Arellano, M. L., et al. (2013). Immune involvement in endometriosis. Reproductive Biology and Endocrinology, 11, 1–10.

Kong, L.-J., et al. (2012). Acupuncture for dysmenorrhea: A systematic review. Cochrane Database of Systematic Reviews, 2012(1).

McKinnon, B., et al. (2016). Endometriosis: Inflammation, angiogenesis, and immune dysfunction. Reproduction, 152(3), R1–R15.

Rubin, L. H., & Harris, R. E. (2020). Acupuncture modulates central pain pathways in chronic pelvic pain. Pain Medicine, 21(1), 23–31.

Zhu, X., et al. (2011). Acupuncture for pelvic pain in endometriosis: A meta-analysis. Journal of Alternative and Complementary Medicine, 17(12), 1139–1149.