Does Taking B Vitamins Affect Menstrual Flow? Insights and Advice - Obstetrics and Gynecology

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Does taking B vitamins affect menstrual blood flow?


Hello, Dr.
Huang! I have been experiencing premenstrual syndrome (PMS) and menstrual symptoms.
Before my menstrual cycle starts, I often have breast tenderness and sometimes mild abdominal discomfort.
When my period arrives, I sometimes feel uncomfortable as well.
I previously consulted a gynecologist who suggested that I could take B vitamins to help alleviate my PMS symptoms.
This past month, I have intermittently taken B vitamins a few times and noticed that my menstrual flow this time is significantly heavier than usual.
I am wondering if this might be related to my recent intake of B vitamins.

P.S.
The B vitamins I am taking are from DHC! I am following the instructions on the label, taking only 2 capsules a day.
Here is the product's ingredient description:
Product Description: DHC Vitamin B Complex contains a balanced ratio of nine nutrients, including Vitamin B1, B2, B6, B12, folic acid, pantothenic acid, niacin, biotin, and inositol, which help maintain normal energy metabolism and promote the health of the skin, nervous system, mucous membranes, and digestive system.
Daily intake can help maintain vitality and keep you energetic every day.
The B vitamins are essential components that assist in the metabolism of amino acids and other nutrients, with each nutrient having distinct properties and functions that complement each other, making balanced intake advisable.

It is important to note that B vitamins are water-soluble vitamins that the body cannot synthesize on its own.
They cannot be stored in the body and are easily lost through sweat or urine, so they need to be actively replenished daily.

Food Sources: Whole grains, lean meats, liver, egg yolks, cheese, milk, etc.

Key Physiological Functions of Each Nutrient:
- Vitamin B1: Helps maintain normal functions of the skin, heart, and nervous system.
- Vitamin B2: Aids in normal energy metabolism and maintains skin health.
- Vitamin B6: Maintains normal amino acid metabolism and the normal shape of red blood cells.
- Vitamin B12: Aids in the formation of red blood cells and promotes the health of the nervous system.
- Folic Acid: Supports the formation of nucleic acids, nucleoproteins, and red blood cells, essential for normal fetal growth and development.
- Pantothenic Acid: Aids in the synthesis of body fat, cholesterol, and amino acid metabolism.
- Niacin: Enhances the health of the skin, nervous system, mucous membranes, and digestive system.
- Biotin: Aids in the synthesis of fats and glycogen, promoting skin and mucous membrane health.
Recommended Dosage: 2 capsules daily, taken with water in the morning and evening.

Niming, 30~39 year old female. Ask Date: 2019/07/15

Dr. Huang Jianzhong reply Obstetrics and Gynecology


I have always had issues with premenstrual syndrome (PMS) and menstrual symptoms.
Before my period starts, I experience breast tenderness and sometimes mild abdominal discomfort.
When my period arrives, I also feel a bit uncomfortable.
I previously consulted a gynecologist, who suggested that I could take more B vitamins to improve my PMS symptoms.
This past month, I have intermittently taken B vitamins and noticed that my menstrual flow this time is significantly heavier than usual.
I am wondering if this is related to my recent intake of B vitamins.
Answer: The significantly heavier menstrual flow compared to previous cycles may not necessarily be related to the recent intake of B vitamins.

By the way, the B vitamins I am taking are from DHC! I am following the instructions and taking only 2 capsules a day.
Here is the product ingredient description:
Product Description: DHC Vitamin B Complex contains a balanced ratio of nine nutrients, including Vitamin B1, B2, B6, B12, folic acid, pantothenic acid, niacin, biotin, and inositol.
These nutrients help maintain normal energy metabolism and promote the health of the skin, nervous system, mucous membranes, and digestive system.
Daily intake can help maintain vitality and keep you energetic every day.

Vitamin B complex is essential for the metabolism of amino acids and other nutrients.
Each nutrient has distinct properties and functions, and they work synergistically, making it important to consume them in balance.
It is particularly important to note that B vitamins are water-soluble vitamins that the body cannot synthesize on its own.
They cannot be stored in the body and are easily lost through sweat or urine, so daily supplementation is necessary.
Food Sources: Whole grains, lean meats, liver, egg yolks, cheese, milk, etc.
Main Physiological Functions of Each Nutrient:
- Vitamin B1: Helps maintain normal functions of the skin, heart, and nervous system.
- Vitamin B2: Aids in maintaining normal energy metabolism and skin health.
- Vitamin B6: Maintains normal amino acid metabolism and the normal shape of red blood cells.
- Vitamin B12: Aids in the formation of red blood cells and promotes the health of the nervous system.
- Folic Acid: Essential for the formation of nucleic acids, nucleoproteins, and red blood cells; crucial for normal fetal growth and development.
- Pantothenic Acid: Aids in the synthesis of body fat, cholesterol, and amino acid metabolism.
- Niacin: Promotes the health of the skin, nervous system, mucous membranes, and digestive system.
- Biotin: Aids in the synthesis of fats and glycogen, promoting skin and mucous membrane health.
Recommended Dosage: 2 capsules daily, taken with water in the morning and evening.

Reply Date: 2019/07/15

More Info


Taking B vitamins can indeed have an impact on various aspects of health, including menstrual flow. The B vitamin complex, which includes vitamins such as B1, B2, B6, B12, folic acid, niacin, and others, plays a crucial role in energy metabolism and the functioning of the nervous system. They are also involved in the synthesis of neurotransmitters and hormones, which can indirectly influence menstrual health.

In your case, you mentioned experiencing premenstrual syndrome (PMS) symptoms such as breast tenderness and abdominal discomfort. It is not uncommon for healthcare providers to recommend B vitamins, particularly B6, as they have been studied for their potential to alleviate PMS symptoms. Vitamin B6, for example, is known to help in the synthesis of neurotransmitters like serotonin, which can improve mood and reduce irritability associated with PMS.

Regarding your observation that your menstrual flow has increased since starting B vitamin supplementation, it is essential to consider several factors. While B vitamins are generally considered safe and are water-soluble (meaning excess amounts are typically excreted through urine), individual responses to supplementation can vary. Some women report changes in menstrual flow when they alter their diet or introduce new supplements, but this is not universally experienced.

The increase in menstrual flow could also be influenced by other factors, such as hormonal changes, stress levels, diet, or even the natural variability of your menstrual cycle. It's important to monitor your symptoms and menstrual patterns over time to determine if there is a consistent change associated with B vitamin intake or if it is a temporary fluctuation.

If you are concerned about the increase in menstrual flow, it would be wise to consult with your healthcare provider. They can help assess whether the change is significant and if any further investigation or adjustment in your supplementation is necessary. Additionally, if you are taking other medications or supplements, it is crucial to discuss potential interactions, although B vitamins generally do not have adverse interactions with most medications.

In summary, while B vitamins can support overall health and may help alleviate PMS symptoms, any significant changes in menstrual flow should be discussed with a healthcare professional. They can provide personalized advice and ensure that your supplementation is appropriate for your individual health needs. Remember that maintaining a balanced diet rich in whole foods, including fruits, vegetables, whole grains, and lean proteins, is also vital for overall health and can complement the benefits of supplementation.

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