Mazandaran Association of Emergency Medicine Translational Health Reports 3092-6750 2 1 2025 12 20 Exploring the Synergistic Potential of Combined Acupuncture and Repetitive Transcranial Magnetic Stimulation for Postpartum Depression 236685 10.22034/thr.2025.236685 EN Zamdar H Rasul Karim Board-Certified Psychiatrist, Lecturer at Sulaymaniya University College of Medicine, Department of Clinical Sciences, Iraq 0009-0004-4892-9895 Journal Article <strong>Background:</strong> Postpartum depression (PPD) is a prevalent and serious global mental health disorder. Conventional pharmacological treatments like SSRIs have limitations, including side effects and breastfeeding safety concerns, prompting the exploration of alternative therapies.<br><strong>Objective:</strong> This narrative review synthesizes current evidence on the efficacy, mechanisms, and clinical implementation of combined acupuncture and repetitive transcranial magnetic stimulation (rTMS) for PPD.<br><strong>Methods:</strong> A narrative review was conducted to analyze and integrate existing research on the integrative use of acupuncture (a Traditional Chinese Medicine practice) and rTMS (a non-invasive neuromodulation technique) for treating PPD.<br><strong>Results:</strong> Evidence suggests that combined acupuncture-rTMS therapy may produce synergistic effects. Potential benefits include a greater reduction in depressive symptoms, improved neuroendocrine regulation, and enhanced overall quality of life compared to either intervention administered alone.<br><strong>Conclusion:</strong> The combination of acupuncture and rTMS represents a promising integrative approach for PPD. Further research is needed to optimize treatment protocols, identify predictive biomarkers, and evaluate long-term outcomes. https://www.threports.com/article_236685_818e7cf3fadedd79e3b77f49b1cd0de2.pdf