Should You Use Chaste Tree for Irregular Periods After Stopping Medication? - Obstetrics and Gynecology

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Sage for menstrual regulation?


I have mild polycystic ovary syndrome (PCOS) and took menstrual regulation medication for over six months.
In July, my doctor advised me to stop the medication, and I did.
During the month after stopping the medication, I had my period, but I was concerned it might be irregular, so I bought Vitex (Chaste Tree) to take.
I started taking it on July 21, just as my period was ending, and I haven't gotten my period this month.
I took a pregnancy test this morning, and it was negative.
Should I go back to my gynecologist for more menstrual regulation medication? Also, is Vitex effective?

Niming, 10~19 year old female. Ask Date: 2021/08/18

Dr. Huang Yuande reply Obstetrics and Gynecology


Mild polycystic ovary syndrome (PCOS) often leads to delayed menstruation and infertility, or may result in a delay of one or two months without a desire for pregnancy.
In such cases, it is actually sufficient to simply monitor the situation.

Reply Date: 2021/08/18

More Info


When considering the use of Chaste Tree (Vitex agnus-castus) for managing irregular periods after stopping medication, it is essential to understand both the potential benefits and limitations of this herbal remedy, especially in the context of your medical history, including mild polycystic ovary syndrome (PCOS).

Chaste Tree is often used in herbal medicine for its potential to balance hormones and regulate menstrual cycles. It is thought to work primarily by influencing the pituitary gland, which in turn can help regulate the production of hormones such as progesterone. Some studies suggest that Chaste Tree may be beneficial for women experiencing irregular menstrual cycles, particularly those related to hormonal imbalances. However, the evidence is not universally conclusive, and individual responses can vary significantly.

In your case, since you have a history of mild PCOS and have recently stopped taking hormonal medications, it is not uncommon to experience fluctuations in your menstrual cycle. PCOS itself can lead to irregular periods due to hormonal imbalances, and stopping medication can further exacerbate this irregularity as your body readjusts to its natural hormonal rhythms.

Regarding your current situation, where you have taken Chaste Tree since the end of your last menstrual period and have not yet seen a new cycle, it is important to consider a few factors:
1. Timing and Dosage: The effectiveness of Chaste Tree can depend on the dosage and duration of use. If you have just started taking it, it may take some time for you to notice any effects on your menstrual cycle. Generally, herbal remedies can take several weeks to show results.

2. Underlying Conditions: Since you have mild PCOS, it is crucial to monitor how your body responds to any treatment. PCOS can cause irregular cycles, and while Chaste Tree may help some women, it may not be effective for everyone, especially if the underlying hormonal imbalance is significant.

3. Pregnancy Considerations: You mentioned that you have taken a pregnancy test that returned negative. It is essential to rule out pregnancy, especially if your periods are irregular. If you continue to miss your period, consider consulting with your healthcare provider for further evaluation.

4. Consulting a Healthcare Provider: Given your concerns about irregular periods and the potential role of Chaste Tree, it would be wise to consult with your gynecologist or a healthcare provider specializing in reproductive health. They can provide personalized advice based on your medical history and current symptoms. They may recommend returning to hormonal medications if they believe it is necessary to regulate your cycle effectively.

5. Potential Side Effects: While Chaste Tree is generally considered safe for most women, it can cause side effects in some individuals, including gastrointestinal upset, headaches, or changes in mood. If you experience any adverse effects, it is advisable to discontinue use and consult your healthcare provider.

In summary, while Chaste Tree may offer some benefits for regulating menstrual cycles, its effectiveness can vary, especially in the context of conditions like PCOS. It is essential to monitor your symptoms closely and maintain open communication with your healthcare provider to determine the best course of action for your menstrual health. If irregularities persist, returning to a gynecologist for further evaluation and possibly resuming hormonal treatment may be the most effective approach.

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