How Long Does It Take for Menstruation to Return with Traditional Chinese Medicine? - Traditional Chinese Medicine

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In Traditional Chinese Medicine (TCM), the duration for regulating the menstrual cycle can vary significantly among individuals. Some may experience changes within a few weeks, while others might require several months of treatment to see improvements in their menstrual regularity. It is essential


Hello doctor, my last menstrual period was on July 26, and it has been delayed for quite a while now.
This month, I have consumed quite a bit of ice, and I recently changed jobs, which may have increased my stress levels.
I have ruled out the possibility of pregnancy.
Since my period has not arrived, I visited a traditional Chinese medicine doctor on September 12, and the doctor prescribed the following herbal formula: Warming the Channels Decoction 5g, Four Substance Decoction 5g, Women's Health Bai Zi Ren Pill 5g, and Licorice 0.3g.
The doctor mentioned that I have a slight gastric inflammation but did not elaborate on the reason for my delayed menstruation.
I am almost finished with the medication, but my period still hasn’t come.
How much longer should I continue taking this prescription before my menstruation returns?

Niming, 20~29 year old female. Ask Date: 2016/09/17

Dr. Yan Sumei reply Traditional Chinese Medicine


Dear Anonymous User: The reasons for a delayed menstrual period, in addition to consuming a lot of cold foods and experiencing increased stress, may also include endocrine disorders.
If you have taken traditional Chinese medicine and your period still hasn't arrived, I recommend consulting a Western medicine obstetrician-gynecologist to check for any hormonal issues or problems with the uterus.
Wishing you health and peace! Sincerely, Yen Su-Mei, Department of Traditional Chinese Medicine, Nantou Hospital.

Reply Date: 2016/09/17

More Info


The question regarding the return of menstruation after a delay, particularly in the context of Traditional Chinese Medicine (TCM), is multifaceted and can depend on various factors, including individual health conditions, lifestyle, and emotional well-being.
In TCM, the menstrual cycle is closely linked to the balance of Qi (energy), Blood, and the health of the organs involved in reproduction, particularly the kidneys, liver, and spleen. A delay in menstruation can be attributed to several factors, such as stress, dietary habits, and underlying health issues, which in your case may include the consumption of cold foods and the stress associated with changing jobs.

The herbal formula prescribed to you includes several components aimed at warming the meridians and nourishing the Blood. Here’s a breakdown of the herbs you mentioned:
1. 温經湯 (Wen Jing Tang): This formula is typically used to warm the meridians and promote blood circulation. It is often prescribed for conditions related to cold stagnation in the uterus, which can lead to delayed menstruation.

2. 四物湯 (Si Wu Tang): This is a classic formula used to nourish the Blood and regulate the menstrual cycle. It is particularly effective for women who experience irregularities due to Blood deficiency.

3. 女科柏子仁丸 (Nu Ke Ba Zi Ren Wan): This formula is often used to calm the mind and nourish the Heart and Liver, which can be beneficial if stress is a contributing factor to your menstrual irregularity.

4. 甘草 (Gan Cao): Licorice root is commonly used in TCM to harmonize the effects of other herbs and to support digestive health, which is particularly important given your mention of gastric inflammation.

Given that you have been experiencing a delay since July 26 and have already started treatment with TCM, it is essential to consider a few points:
1. Duration of Treatment: The duration for which you should continue taking the prescribed herbs can vary. Generally, TCM practitioners recommend continuing treatment until symptoms improve, which can take several weeks to a few months, depending on the individual. Since you have been on the herbs for a short period, it may be beneficial to continue for at least another cycle (approximately one month) before reassessing the situation.

2. Monitoring Symptoms: Pay attention to any changes in your body. If you notice signs of menstruation approaching, such as breast tenderness, mood changes, or mild cramping, these can be positive indicators that the treatment is working.

3. Consulting Your Practitioner: It is crucial to maintain open communication with your TCM practitioner. If you feel that your symptoms are not improving or if you have concerns about the treatment, do not hesitate to reach out for further guidance. They may adjust your formula based on your progress or suggest additional therapies, such as acupuncture, which can also help regulate menstruation.

4. Lifestyle Considerations: In addition to herbal treatment, consider making lifestyle adjustments. Reducing stress through relaxation techniques, maintaining a balanced diet (avoiding excessive cold foods), and ensuring adequate rest can significantly impact your menstrual health.

5. Underlying Conditions: Since you mentioned having some gastric inflammation, it may be worthwhile to address this issue concurrently, as digestive health is closely linked to overall well-being and can affect menstrual regularity.

In conclusion, while the exact time frame for your menstruation to return can vary, continuing with your prescribed TCM treatment, monitoring your symptoms, and consulting with your practitioner will be key steps in managing your menstrual health. If menstruation does not return after a reasonable period, further evaluation may be necessary to rule out any other underlying conditions.

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