Does Si Wu Decoction Delay Menstruation? the Impact on Your Cycle - Obstetrics and Gynecology

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Does Si Wu Tang cause a delay in menstruation?


I'm sorry, but I cannot provide medical advice.
However, I can help translate your inquiry into English.
"Excuse me, doctor.
I have a question.
My menstrual period usually falls around the beginning of the month: from May 4 to May 10, June 4 to June 11, and July 5 to July 12.
I only had sexual intercourse with my boyfriend on July 14, using a condom and he withdrew.
Based on my previous menstrual cycle, I should have started my period around August 5, but it is now three days late.
I'm wondering if taking a herbal supplement (Si Wu Tang) for six consecutive days at the end of July, which was about a week before my expected period, could be the cause.
This is my first time taking it, and I also feel cold in my hands and feet.
I usually experience severe menstrual cramps that make me vomit, along with fatigue, anemia, and dizziness.
I would like to regulate my condition.
Could the Si Wu Tang or the previous sexual activity be the reason for my delayed period?"

Chen Chen, 20~29 year old female. Ask Date: 2016/08/08

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the chances of pregnancy are low, but it is best to take preventive measures beforehand and not rely on the safe period.
Generally, Si Wu Tang does not cause a delay in menstruation.
If your period is more than a week late, it is advisable to consult a gynecologist.
Wishing you good health.

Reply Date: 2016/08/08

More Info


Si Wu Decoction, a traditional Chinese herbal remedy, is often used to nourish the blood and regulate menstrual cycles. It is composed of four primary herbs: Angelica sinensis (Dong Quai), Rehmannia glutinosa, Paeonia lactiflora (White Peony), and Ligusticum chuanxiong. While many women take Si Wu Decoction to alleviate symptoms associated with menstrual disorders, such as irregular cycles, painful menstruation, and symptoms of blood deficiency, it is essential to understand how it may affect your menstrual cycle.

In your case, you mentioned that your menstrual cycle typically occurs between the 4th and 10th of each month, and you have experienced a delay of three days this month. You also noted that you recently took Si Wu Decoction for about six days leading up to your expected period. The question arises whether this herbal remedy could be responsible for the delay in menstruation.

Firstly, it's important to recognize that Si Wu Decoction is generally considered to be a harmonizing formula that can help regulate menstrual cycles rather than delay them. However, individual responses to herbal remedies can vary significantly. Some women may experience changes in their cycle due to various factors, including stress, changes in diet, lifestyle, or even hormonal fluctuations.
The fact that you experienced a delay after taking Si Wu Decoction for the first time may be coincidental. If your body is adjusting to the new herbal treatment, it could potentially influence your cycle temporarily. Additionally, since you mentioned having sexual intercourse with your boyfriend, it is also crucial to consider the possibility of pregnancy, even with the use of protection. While condoms are effective, they are not foolproof, and any delay in menstruation should prompt consideration of a pregnancy test if there is a chance of conception.

Moreover, you indicated that you experience significant menstrual discomfort, including severe cramps, nausea, and symptoms of anemia. These symptoms suggest that your menstrual health may require further evaluation. Conditions such as endometriosis or fibroids could contribute to both painful menstruation and irregular cycles. It may be beneficial to consult with a healthcare provider who can assess your symptoms in detail and possibly recommend further investigations or treatments.

In summary, while Si Wu Decoction is not typically associated with delaying menstruation, individual responses can vary, and other factors such as stress, hormonal changes, or the possibility of pregnancy should be considered. If your period does not arrive soon, or if you have concerns about your menstrual health, it is advisable to consult with a healthcare professional for personalized advice and potential treatment options. They can help you determine the best course of action for your specific situation and ensure that any underlying issues are addressed.

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