Ringing in the Ears After Menopause Time to Stop Tinnitus
건강상담실

Ringing in the Ears After Menopause Time to Stop Tinnitus

One day, suddenly or gradually, you begin to feel discomfort such as a ringing in your ears or a hissing sound. At first, you might brush it off, but as time goes on, the sound becomes clearer, disrupting sleep at night and scattering concentration during the day. Especially for women going through menopause, this tinnitus symptom can be even more noticeable and significantly impact daily life. Is this discomfort in the ear accompanied by bodily changes simply a sign of aging, or is it another signal our body is sending? Dalimchae Korean Medicine Clinic Songdo branch focuses on finding and resolving the root cause of tinnitus appearing after menopause. 💡 **[Core Answer]** Top 3 most common causes of tinnitus like "ringing in the ears": ① Autonomic nervous imbalance / ② Menopausal hormonal changes / ③ Stress and overwork Dalimchae Korean Medicine Clinic improves tinnitus symptoms by restoring the balance of the brain and nervous system through an **autonomic nervous stabilization** treatment approach. ## Why Does Ringing in the Ears Become Worse After Menopause? Could It Be Due to Hormones? Many people complain, "I hear a ringing in my ears after going through menopause." Indeed, it is common for tinnitus symptoms to appear or existing symptoms to worsen in women after menopause. This is closely related to various physical and mental changes accompanying menopause. In particular, hormonal changes can influence the occurrence of tinnitus. According to a study published in *BMJ Open* in 2017 involving 2,736 postmenopausal Korean women, the risk of developing tinnitus significantly increased with longer duration of hormone replacement therapy (HRT) (OR=1.323, 95% CI 1.007 to 1.737, p=0.0441). This study suggests that hormonal changes in women after menopause may be related to tinnitus. However, tinnitus is not simply a matter of hormones. Menopause is often accompanied by psychological factors such as anxiety, depression, and sleep disorders, and such psychological stress directly affects our body's autonomic nervous system, potentially worsening tinnitus further. Our body is connected like a single organism, making it easy for imbalance in one part to spread throughout the entire body. The Songdo Tinnitus Korean Medicine Clinic comprehensively diagnoses and treats these complex causes. ## Is Tinnitus Simply an Ear Problem? Why Is the Autonomic Nervous System Important? Tinnitus is a subjective phenomenon where a person feels sound in the ear or head when there is no external sound. Many people think tinnitus is a problem of the ear itself, but it is actually closely connected to functional abnormalities in the brain and autonomic nervous system. Our autonomic nervous system is divided into the sympathetic and parasympathetic nervous systems, regulating vital functions such as heart rate, digestion, and blood pressure. When the balance of the autonomic nervous system breaks down due to stress, overwork, or menopause, the brain cannot rest and becomes excessively excited, which can manifest as sensory abnormalities like tinnitus. An exploratory study published in *Evidence-Based Complementary and Alternative Medicine* in 2019 reported that 3 weeks of acupuncture treatment on 30 adult tinnitus patients had a significant effect on regulating autonomic balance and improving tinnitus symptoms (significant decrease in THI score in DA group compared to SA group after 3 weeks of treatment, P=0.043). Furthermore, according to a literature review published in *The Journal of Korean Medicine Ophthalmology & Otolaryngology & Dermatology* in 2023, the connection between tinnitus and the autonomic nervous system has been reported through multiple studies, suggesting acupuncture could be a potential treatment for tinnitus. As such, tinnitus is deeply connected not only to the auditory system but also to abnormal neural activity in the brain and the autonomic nervous system that regulates it. Dalimchae Korean Medicine Clinic Songdo branch treats the root of tinnitus symptoms by finding it in autonomic nervous imbalance. ## How Does Korean Medicine Treat Menopausal Tinnitus? Autonomic Stabilization Is Key. At Dalimchae Korean Medicine Clinic, menopausal tinnitus is not viewed simply as a symptom, but as the result of a broken overall body balance. In particular, stabilization of the brain and autonomic nervous system is regarded as the most important treatment principle. When the balance between the brain and autonomic nervous system collapses, the brain cannot rest and operates excessively like an overheated engine. In Korean medicine, this is explained as an imbalance of "Su-seung-hwa-gang" (Water rises, fire descends), where the head should be cool and the lower abdomen warm for a healthy state, but due to stress or overwork, heat gathers in the head while the lower abdomen becomes cold. Consequently, overload occurs in the nervous system including the brainstem, generating tinnitus symptoms like ringing in the ears. Dalimchae Korean Medicine Clinic's **autonomic nervous stabilization** treatment focuses on lowering the heat in the nervous system and creating an environment where the brain can rest. In this process, herbal medicine treatment replenishes body fluids, removes unnecessary heat, and promotes smooth circulation of qi and blood to help restore the balance of the autonomic nervous system. Additionally, acupuncture treatment stimulates specific acupoints to calm the hyperactive sympathetic nervous system and activate the parasympathetic nervous system. Indeed, a study published in 2019 reported that acupuncture treatment has a positive effect on regulating autonomic balance in adult tinnitus patients. Such combined Korean medicine treatments are effective not only for tinnitus but also for improving accompanying menopausal symptoms such as insomnia, dizziness, and headaches. At the Songdo Korean medicine clinic, we carefully establish a treatment plan tailored to each patient's constitution and symptoms. ## Songdo Tinnitus Korean Medicine Clinic: When Should You Visit? Hurry If You Have These Symptoms. It is important to receive appropriate treatment for tinnitus in the initial stages. The longer symptoms are neglected, the more chronic they become, which can have a greater impact on quality of life. Check your tinnitus status through the checklist below, and if many items apply, consider visiting Dalimchae Korean Medicine Clinic Songdo branch. **[Tinnitus Self-Diagnosis Checklist]** * Hard to fall asleep at night, or waking up frequently even after falling asleep. * The sound in the ears becomes louder when stressed. * Hard to concentrate on conversation or watching TV due to tinnitus. * Experiencing headaches, dizziness, anxiety, or depression together. * Tinnitus sound becomes clearer when surroundings are quiet. * Tinnitus symptoms worsen when fatigued or feeling unwell. * Tinnitus symptoms started after menopause or existing symptoms worsened. **Judgment Criteria:** * **3 or more items apply:** High possibility of tinnitus due to autonomic imbalance. We recommend considering Korean medicine complex treatment. * **5 or more items apply:** Decreased quality of life due to tinnitus may be severe. Immediate visit for precise diagnosis and treatment is important. **Q. How long should menopausal tinnitus be treated?** A. The treatment period for menopausal tinnitus varies depending on the severity of individual symptoms, causes, and physical condition. Generally, initial tinnitus can improve within a relatively short period, but chronic cases require steady treatment and management. Dalimchae Korean Medicine Clinic guides you through the most effective period via personalized treatment plans. **Q. Can other menopausal symptoms be treated together with tinnitus?** A. Yes, that's right. Dalimchae Korean Medicine Clinic's autonomic stabilization treatment helps improve various symptoms commonly accompanying menopause, such as hot flashes, insomnia, depression, dizziness, and headaches, in addition to tinnitus. We aim for overall health promotion by helping our body regain its fundamental balance. **Q. Can tinnitus heal naturally?** A. Occasionally, temporary tinnitus disappears naturally through stress relief or sufficient rest. However, tinnitus occurring after menopause or chronic tinnitus is difficult to improve naturally, and neglecting it is likely to worsen symptoms. Active treatment and management are required. **Q. Is Korean medicine treatment at Songdo Tinnitus Korean Medicine Clinic safe?** A. All treatments at Dalimchae Korean Medicine Clinic Songdo branch are safely conducted based on long clinical experience and scientific evidence. We closely diagnose each patient's constitution and health condition to minimize side effects and maximize effectiveness through personalized prescriptions and treatments. Tinnitus like "ringing in the ears" that arrives after menopause is not a problem that can be solved by enduring. You no longer have to ignore the body signals you have sent for a long time. If you approach in the right direction, your body reacts faster than you think. Bring your current symptoms just as they are. Dalimchae Korean Medicine Clinic will find the cause together. Where life blooms. Herbal medicine is Dalimchae Korean Medicine Clinic. Check your similar symptoms first through Dalimchae Korean Medicine Clinic website AI consultation! This health information is compiled together by Dalimchae medical staff based on questions frequently received in the clinic room. Medical Supervision | Brain & Autonomic Nervous System Treatment Standards, Dalimchae Korean Medicine Clinic Songdo Branch, Korean Medicine Doctor Hyunmin Oh (Tinnitus Column)

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