The purpose of this single blind placebo controlled randomized is to investigate the effect of acupressure on the early menopausal complications. Study population are include menopausal women who have hot flash and nigh sweat and anxiety and sleep quality disorders and are referred to selected public health centers in Tehran. the informed consent is obtained from patients. The patients will randomly assign in to intervention and placebo groups (n= 35 each). Intervention group receive ( acupressure wrist band with push- button and education lifestyle changes during menopause) and placebo group receive (acupressure wrist band with out push- button and education lifestyle changes during menopause) for 4 weeks in the specific acupressure points ( include Shenmen,Fuliu,Sanyinjiao) in wirst and ankle. Main out come measures are frequency and severity of hot flash and night sweating and severity of anxiety and sleep quality score wich measure by qustionnaires (Pittsburgh and Spielberger) and diary card for frequency and severity of hot flash and nigh sweat before and after intervention.