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Research in this area is encouraging. A 2019 randomized controlled trial published in BMJ Open found a clinically relevant reduction in hot flushes and night sweats over a six-week acupuncture course. Perimenopause is distinct from menopause in that hormones are fluctuating rather than declining steadily — which can make the heat response especially unpredictable. Individual responses to acupuncture vary, and we'd recommend a few sessions to gauge how your body responds.