Vitex… Fertility Super Herb?

Vitex… Fertility Super Herb?

Article Overview

Vitex is a beautiful shrub native to Greece and Italy whose berries have been used in herbal medicine for centuries. It is considered one of the most popular herbs in Europe and other Western nations for the support of gynecological imbalances.

Modern clinical research and traditional use of Vitex have shown its amazing ability to help balance fertility hormones. Since Vitex does not contain hormones, it has a supportive, gentle and non direct action on the body. Vitex is one of the most useful fertility herbs available to us.

How Vitex Works

Our current understanding of Vitex is that it has a supporting and regulating effect upon the pituitary gland. The pituitary is known as the “master gland” because it controls many vital bodily functions such as sending chemical signals to the ovaries, telling them how much hormones to make. This communication is known as the hormonal feedback loop.

Vitex has been shown in studies to:

Vitex is one of the best fertility herbs available to us when it comes to balancing hormones and regulating the menstrual cycle.

Inhibit follicle-stimulating hormone (FSH): Vitex increases the secretion of luteinizing hormone (LH), which in turn increases progesterone.

Lengthens a short luteal phase: Studies have shown Vitex to be effective at lengthening the luteal phase. While it does not contain any hormones itself, it does help the body to increase its own production of luteinizing hormone (promoting ovulation to occur), which in turns boosts progesterone levels during the luteal phase of the cycle.

Increased progesterone levels: Vitex has been shown to stimulate the formation of the corpus luteum. The corpus luteum is responsible for the secretion of progesterone. In a study of 45 women, 86% responded positively with normalized or significantly improved progesterone levels.

Reduces advancement of mild endometriosis: Vitex is used in Germany by gynecologists to treat mild endometriosis and prevent it from advancing.

May help prevent miscarriage: Vitex has a beneficial impact on progesterone levels. If miscarriages are due to low progesterone, Vitex may help to normalize or increase progesterone levels. Vitex may be considered safe to use during pregnancy, but make sure to consult with a healthcare practitioner when using this herb during pregnancy. Also make sure to read our ‘Use During Pregnancy’ section below.

Relieves PMS: Clinical research has shown that Vitex may be very beneficial for PMS symptoms, especially depression, headaches, rashes, acne, allergies and sensitivity of the breasts. In one study improvement of PMS by the first month was experienced by 32% of the women. By the third month 84% of the women experienced improvement of their PMS.

Lack of menstruation (amenorrhea): In a study of 15 women with amenorrhea, 65% had resumed a menstrual cycle by the sixth month of use. Progesterone levels also increased.

Irregular menstruation: Vitex has been shown to help balance both an absent menstrual cycle as well as aid a menstrual cycle that is heavy or too frequent.

Uterine cysts: Vitex has been found to be helpful at reducing cysts that are growing within the smooth muscle layer of the uterus.

Stabilization of menstruation after stopping birth-control pills: After discontinuing estrogen-containing birth control pills, Vitex taken for several months has been shown to help stabilize the cycle and induce ovulation more quickly.

Helps stimulate milk production in new mothers: For over 2,000 years Vitex has been used to help stimulate mother’s milk. Begin using Vitex right after birth and continue for 10 days or more as needed.

Acne: Several studies have shown an improvement in the skin with the use of Vitex. Along with appropriate diet changes Vitex may help acne.

Most hormone related issues that disappear once pregnancy begins and then return after breastfeeding ends can be supported by the use of Vitex.

How to Use Vitex

For optimal results Vitex should be taken long-term. Clinical research shows that Vitex may start working within 10 days, but full benefits may not be experienced until 6 months or longer. For PMS, results are normally seen by the second menstrual cycle, but for lasting changes it may need to be taken for up to a year or more depending on how long the imbalance has been present.

Vitex is making fundamental changes in the delicate chemistry of the body, this is why it takes some time to have an effect. Since Vitex is a harmonizing and nourishing herb, it works behind the scenes to restore balance in a gentle way. Unlike a refined synthetic drug which forces the body to change, Vitex works to nourish and support the system bringing about long term balance.

Vitex Use & Dosage
Vitex is generally suggested to be taken once a day in the morning on an empty stomach (half an hour before breakfast). If Vitex is being used as part of an herbal blend containing other herbs, use as directed on the bottle. Vitex should be used all month long without a break.

  • Capsules: 900-1,000mg a day
  • Tincture: 60-90 drops a day

Which is the best Vitex to take?
Vitex comes in many forms, loose herbs, capsules, tea, tincture and powder. We find that capsules and tincture offer the most consistent results since it is easier to control the dosage. Many of the compounds needed from Vitex are easily extracted in alcohol (tincture) versus water (tea). Vitex is very strong tasting, almost bitter, so I would not suggest making a tea unless you blend other herbs with it, that is one reason capsules are so convenient.

Does Vitex Work for Everyone?

Vitex generally works for most adult women in their childbearing years (from age 18-perimenopause), but there are some cases where it may have no effect.

Women who have less than ideal lifestyle habits will probably not experience the full effects of Vitex. For those who have low energy reserves, weak immune systems, eat mostly processed foods, have been on antibiotics or steroids for a while – changes in diet and lifestyle are necessary prior to beginning the use of Vitex. Without making these changes in addition to using Vitex, you may not experience results.

Perimenopause is the time leading up to menopause. Perimenopause typically begins at the age of 40. As perimenopause progresses toward menopause, it is normal for menstrual cycles to become irregular and for hormone levels to fluctuate. As ovarian reserve diminishes and egg health declines, FSH levels may rise. For some women Vitex may be helpful in maintaining regular cycles and lowering higher FSH levels, but Vitex cannot reverse the aging process. It may or may not be effective for women in perimenopause, each woman is different. Vitex cannot bring back the menstrual cycle in women who have gone through menopause.

Safety & Side Effects

Vitex has been used for over 2,000 years with no significant side-effects reported. Some minor and infrequent side-effects (1-2% of users may experience) have been nausea, gastrointestinal upset, skin reactions, and headache. Women with a history of depression taking Vitex for menstrual irregularity may experience an exacerbation of depressive symptoms.

Even though it has been shown to have no interference with oral contraceptives (birth control), due to limited research, Vitex should not be used in conjunction with prescription medications that contain hormones in case it may interfere with their activity.

Some women do experience a shift in their cycle when they first begin using Vitex. The length of the menstrual cycle may shorten or lengthen temporarily before it finally stabilizes. This is just the body balancing itself out and is completely normal.

Safety ratings

  • German Commission E has approved the use of Vitex for menstrual cycle irregularities, premenstrual disturbances, and mastodynia.
  • The Botanical Safety Handbook has categorized Vitex as a class 1 herb. Class 1 herbs are herbs that can be safely consumed when used appropriately.

Vitex use During Pregnancy

It is believed that Vitex’s ability to increase progesterone levels has explained the positive results seen by herbalists and midwives who used it to help prevent recurrent miscarriages in women. No studies on humans have been done yet supporting this, only traditional use. There have been reproductive toxicology studies with female rats where they were given up to 80 times the concentrated used clinically in humans, showing no difference in offspring compared with the rats given none.

German research shows Vitex can be taken safely through the end of the third month of pregnancy and may help prevent miscarriage. Vitex is still considered safe to take after the third month, but it is thought that it may stimulate lactation too early, so for this reason it is suggested to not continue after the third month of pregnancy. Also, during the third month of pregnancy the placenta takes over progesterone production, so Vitex most likely won’t be needed.

If you are deciding to use Vitex during pregnancy, we suggest you consult with an herbalist or midwife for guidance and supervision.

Summary

Vitex is a fantastic herb for fertility, helping with a range of issues such as PMS, low progesterone, lack of ovulation, irregular menstrual cycles, lack of a menstrual cycle, acne and so much more. Vitex offers many benefits but requires patience and consistency of use. I find that it works best when used all month long and taken as one dose in the morning on an empty stomach.

References:
– Hobbs, Christopher, L.Ac. (2003). Vitex, The Women’s Herb. Summertown, Tennessee: Healthy Living Publications.
– Romm, Aviva. (2010). Botanical Medicine for Women’s Health. St. Louis Missouri: Churchill Livingstone.
– Mills, Simon; Bone, Kerry. (2005). The Essential Guide to Herbal Safety. pp. 333-36. St. Louis, Missouri: Churchill Livingstone/Elsevier
– Gardner, Z., & McGuffin, M. (Eds.). (2013). American Herbal Products Association’s botanical safety handbook (2nd ed., pp. 930-931). Vitex agnus-castus L. Boca Raton, Florida: American Herbal Products Association, CRC Press.

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[-] 746 Comments
  1. I stopped breastfeeding about 2 months ago and got my first post partum cycle on August 13 2016. I was tracking my cycle and also using opk’s and i think I ovulated on CD 30 but can’t be sure. I am still waiting on my period and know I’m not pregnant. This will be a 45 day cycle minimum which is very long. I would like to know if now is a good time to start taking vitex in order to regulate ovulation/menstruation or if I should give it a few more months since I stopped breastfeeding fairly recently. Thank you so much.

    • Dear Helli,

      The body needs time to regulate menstruation/ovulation and show pattern when breastfeeding is stopped. For many the cycle can be different month to month for quite some time, and others not long at all. Vitex could be considered if wanting to give the body a gentle, yet effective boost. I think our Top 10 Natural Fertility Boosters are also worthy of consideration.

  2. Hello,

    Should you take vitex if you have a regular cycle and no known fertility issues but just aren’t getting pregnant?

    • Dear Rachel,

      I’m not sure to be honest! Would you mind a few questions?

      Are you ovulating each cycle? Do you know when? How do you know that you and your partner do not have fertility health issues… have you had testing? How long have you been trying to conceive?

      If you’d like to reply via direct email, please do so here… I am happy to learn more about you and guide you to information that may be helpful.

  3. I am using Maca powder in morning and spirulina in the evening since few days and feeling better. I am trying to conceive since few months undergoing medication; I am not using tablets right now but does it have any effect if taken with tablets. What natural one can be used could you please suggest.

    • Dear Deepthi,

      If by tablets you are referring to medication or birth control, it is best to consult your doctor about taking Maca with it. Maca can be taken with other herbs and nutritional supplements. Spirulina is fine to take while actively trying to conceive, in pregnancy and beyond, with most other supplements.

  4. Your article mentions a possible shift in cycle as the body adjusts to the vitex. Does this include spotting? I am having (mostly brown) spotting, it’s not too heavy and mostly there when I wipe. I have been on the vitex about a month and I am assuming this is a good sign that my body/hormones are beginning to balance?

    • Dear Christina,

      Spotting can be caused by many events/things, but one main cause is disturbance in hormone balance – feedback loop. I know the word “disturbance” has negative connotations, but a disturbance can be for the better as is when using herbs to support the body in achieving hormonal balance.

      I can not know for certain if Vitex is the cause, but it may be. It is possible.

  5. Hi, I have been taking Vitex off and on for about 2 years. I have been trying to conceive for 4 years. I had a tubal pregnancy in Oct. of 2015 and lost a tube. I am now taking Vitex again in hopes that I can get pregnant with one tube. Any suggestions to make this even more possible as I want to have another child so badly.

    • Dear Kristen,

      I’m sorry to hear of what you’ve been through!

      With one functioning, healthy fallopian tube, conception may happen the months that ovulation occurs from the ovary on that side. Ovulation happens from one ovary one cycle and the other the next – the event alternates from side to side. So, knowing this, it is also going to be helpful to learn about tools to help you detect ovulation (if you do not already do this).

      Then the tips in our guide Healing From Ectopic Pregnancy may help you continue to support healing and prevent another from happening.

      I hope this is helpful!

  6. Hi, i have been using cabergoline on and off for abot 4years and i have not been able to get pregnant infact my prolactin level is so high that my doctor was scared he has never seen any that high. Please what can you recommend for me as i need to get pregnant asap so as not to loose my marriage. I live in Nigeria

    • Dear Lumie,

      It may be most helpful to first find out what is causing your prolactin levels to be so high. Do you know this? Is it that cabergoline isn’t working because it hasn’t been taken consistently, isn’t the right dose for your needs, or simply isn’t the right medication? I share causes of hyperprolactinemia and more in my guide Natural Treatment Options for Hyperprolactinemia that may be helpful to learn.

  7. Hello! I I miscarried on april at 5 weeks and since than I’m not getting pregnant. This cycle I started to use vitex for fertility 40mg berry extract a day in the morning in form of supplement called Prefemin 20 mg which is only one vitex avaliable in my country and ment for PMS. On this dose of vitex I ovulated on cycle day 26 and started period 12 days later after stopping it for 3 days. Usually I have 29-33 day cycles. Why vitex delayed my ovulation for 2 weeks? Is that because of incorrect dose that i was taking? I read that it raises prolactin at low dosage and lowers at high dose? Should I use 1000 mg dose? Or vitex is not for me?
    The same happened when I used vitamin D. Cycle 45 days

    • Dear Kate,

      I am very sorry for your loss!

      For many women who begin the use of herbs and supplements are known to impact hormonal balance, the cycle can shift temporarily before settling on “normal”. Many also do not realize that the cycle may settle on a new “normal”, slightly different than what they experienced before using herbs. This is all completely okay! That the cycle shifted is commonly viewed as a sign the body is responding to the herb’s actions. We often see cycle shifts work themselves out within 1-3 cycles of use.

      It is always best to follow the suggested use of the product purchased. That said, general suggested use of Vitex is 900-1000mg per day each day of the menstrual cycle without taking a break. It may be most helpful to find a practitioner who can help you know the best use for your needs. We are more than happy to offer this through a Fertility Consultation.

  8. Hi, I have normal cycles ranging 28-30 days. I was on birth control for 1.5 year and my period came normal when i left it so i don’t have menses irregularities however I do have hormonal acne & some facial hair. PCOS ultrasounds came negative. All thyroid tests are good as well and I’m in good general health.We have just started TTC and it is only been 3 months but I don’t want to wait for a year and that is why i started some supplements to support my cause. I’m taking Maca, Prenatal, Royal Jelly, coq10 ubiquinol all month along and RRLT till ovulation and was thinking to start vitex. Can you tell me what time of day should i take which supplement and which to stop upon ovulation/period?

    • Dear Amas,

      Please follow the manufacturer’s recommended dosage for the product you have purchased, but below are general suggested use guidelines for each supplement/herb:

      Maca – 500-3,000mg per day each day of the menstrual cycle in one to two doses before afternoon.
      Prenatal multi – any time of day as directed
      Royal Jelly – 500-3000mg of pure royal jelly per day, taken in 2 – 3 separate doses throughout the day, between meals and all month long.
      CoQ10 Ubiqiunol – 100 mg per day, with a meal that contains fat and all cycle long
      Red Raspberry Leaf – best taken as an infusion (herbal tea). Drink 1 cup, 1-3 times a day.
      Vitex – 900-1,000mg per day upon waking with water (only one dose daily) each day of the menstrual cycle without taking a break.

      You may also appreciate our guide 6 Ways to Promote Hormonal Balance to Prevent Cyclic Acne.

      Take care!

  9. Hi There,

    I am 27 and have been ttc for a year now. I have been taking 1200mg of vitex, 2500mg of Maca and 1500mg of freeze dried Royal Jelly. Are any of these supplements harming my fertility when taking them all together? I have been taking Vitex for around 4 months, Maca for around 2 months and royal jelly for about a month. Could you please also suggest how much to take of each?

    Thank you so much for the help!!

    Erin

    Thank you for your help!

    • Dear Erin,

      Fertilica Maca, Vitex and Royal Jelly can be taken together. This is fine! They are not known to harm fertility and are complementary to one another.

      General daily suggested use of each is:
      Maca: 500-3,000mg all cycle long, taken in 1-2 doses before mid-day
      Vitex: 900-1,000mg all cycle long, taken first thing upon waking with water
      Royal Jelly: 500 – 3000mg of pure royal jelly per day, taken in 2 – 3 separate doses throughout the day, between meals

  10. Hello,

    I am currently ttc. According to my doctor i do not ovulate. Therefore 3 years ago i took clomid and got prego but lost my son at 18 weeks (he had down syndrome), then in feb i took it again and got prego but lost the baby at 11 weeks. I think both miscarriages are linked to the clomid. Is vitex a good option for me?

    • Dear Jessica,

      I am very sorry to here of your losses!

      While I have not known Clomid to cause miscarriage, it is working only by tricking the body into action. It is not able to correct hormonal balance or support fertility health by helping the body be a healthy as possible.

      Vitex may be a useful part of a natural fertility program. It is known to support hormonal balance and healthy progesterone levels (low progesterone is but one reason some women miscarry). Consider also the tips we offer in our guide 5 Steps To Decreasing the Chance of Recurrent Miscarriages.

      Take care!

  11. Hi, I have been using DIM Plus and Vitex for a few months now possibly 6 months. I had irregular periods all my life and I have been using both of these to regulate periods. I have been having periods every month now until this month where I missed it for July 28th was my last starting period and it has been a few weeks I suppose to get one. I checked to see if I was pregnant and an in-home test was negative, scheduled an appointment for a real test and it came back negative. The nurse says it may be the DIM Plus or Vitex, but I am confused for they both helped regulated my period and possibly ovulation. I am thinking about stopping one of them or both now.

    • Dear Brittany,

      It has not been my experience that either DIM or Vitex used long term, showing positive effects, stop menstruation.

      There could potentially be a variety of factors causing this delay in menstruation. Poor nutrition, dietary changes, fertility health issues, levels of hydration, age, stress and changes in stress levels (even minor changes), weight loss or gain, changes in exercise routines and even travel can all impact menstrual cycle timing. It may help to think about if any of these may be culprit.

      DIM could be stopped to see what happens, but Vitex is best weaned off of over a week’s time.

  12. I’m in my mid 30s and my DH is in early 40s. We been trying to conceive for the past 13 months. My periods are regular (28-30 days). I have been pregnant 3 times in past without problem. Its been several of years since our last child. My ob said if my periods are regular and i had no problem in past then i shouldn’t have problem. OB told me to come back if one year hits but my insurance doesn’t cover fertility treatments. I was looking into vitex and maca. I read vitex isn’t good if period is regular. I do have fiborid and its very small my ob said it shouldn’t effect fertility but i read fibriods are cause of high estrogen and low progesterone. How much vitex should i take and what CD days?

    • Dear Z,

      Fertilica Vitex suggested use is 900-1000mg daily each day of the menstrual cycle without taking a break (all cycle long). There may be other helpful tips in our guide The Best Natural Remedies for Uterine Fibroids…

      Some things that come to mind which you may or may not already know/have addressed:
      – charting ovulation to know your fertile window from cycle to cycle
      – testing for male fertility health issues
      secondary infertility

      I hope this is a helpful start to learning about natural therapies for fertility.

  13. Hello, I am 39, and my husband and I have been trying to get pregnant for the last 6 months. I’ve been doing a lot to change my diet and lifestyle to get my hormones in balance. My cycle is regular (29-30 days) although my menstrual flow only last about 2 days (heavy/medium) and 2 days very light. Until recent changes in diet/lifestyle I was getting severe PMS and cramping. This seems to have improved. I bought vitex a while ago to help with hormone balancing but have not started taking it… something has been holding me back. I guess I read somewhere that it could actually cause problems? Since my cycle seems pretty regular, do you think it would be useful? Could it be harmful in any way?

    • Dear Sylvia,

      Fertilica Vitex is not known to cause harm! Some women do experience minor, temporary cycle shifts when they first begin taking Vitex. We typically see these subside within 1-3 cycles of use. There are only a very few women for whom Vitex isn’t effective or causes side effects rendering it not the best herb for their needs. This is not something I see often at all.

      All that said, if you are hesitating, then it may be worth holding off and trying something else, or sticking to your program. There is great wisdom is a “gut feeling” or “women’s intuition”. Trust that!

      If you want, consider learning more about natural therapies like Fertility Massage or Castor Oil Therapy. Both offer amazing support to the reproductive system in many ways.

  14. Hi, I’m 50 and started taking Vitex 3 months ago to help with irregular periods. My cycle is regular now, but I have an ovarian cyst. Could it be from taking the Vitex which stimulates ovulation? Wondering if I should stop taking it.

    • Dear Pam,

      Fertilica Vitex is not known to cause ovarian cysts. We share the most common causes of ovarian cysts here…

      We feel it best for women 50 and older need to work with a doctor, a reproductive endocrinologist, who can monitor hormonal balance and determine fertility. It is completely normal for menstruation to shift and start to become irregular as a woman nears and enters menopause. Herbs alone may not help the menstrual cycle to stay as regular as wished.

      All my best!

  15. Is it okay to take Maca and Vitex since they both regulate hormones? I’ve been taking Maca root powder in my smoothies for the past six months and want to start taking Vitex, but I wasn’t sure if using both could have negative effects?

  16. I have limited access to health stores which sell these items and only found one that sells a Vitex but it is 80mg and says to take one pill daily.

    Can I take multiple doses or stick to the amount suggested?

  17. My husband and I have tried to conceive since we’ve been married (6 years). I finally went to the doctor and the only thing on my blood work was Low VitaminD (9) and Low Iron. That is the only plausible reasons they gave me. I hope Vitex helps!

    • Dear Samantha,

      While Vitex is an amazing female fertility health herb, there are rather easy ways to boost vitamin D and iron levels through supplementation and diet.

      Vitamin D supplements are very easy to find and readily available. Just 15 minutes with skin exposed to the early morning (before noon in the day) helps the body create 10,000 to 25,000 iu of vitamin D. If you have concerns about exposing your skin to the sun or in the grey winter months, a supplement is just fine. Consider learning more about Fertility and Vitamin D – The Connection.

      Iron is readily available in so many animal and plant foods. Grass feds meets, legumes and of course beets are great sources of iron. There are whole food iron supplements like Blood Builder too. Consider learning more about how Low Iron Levels May Affect Your Fertility as well.

      It may also help to consider testing for your husband, tracking ovulation, if you do not already, to learn your fertile window each cycle and more in-depth fertility testing with a reproductive endocrinologist.

  18. Hi,
    Do you know of any research in taking vitex while still breastfeeding?
    Thanks!

  19. Hi, I’ve been ttc for 2 yrs, (I’m 38 and my partner is 44), I had an early MC 14 months ago but nothing since. I’m keen to start using Vitex to lengthen my luteal phase, my cycle is 25/26 days and I don’t get a peak opk until day 16), I live in the UK, can you recommend a good online supplier? Thank you.

  20. Hey There,
    I was taking Vitex 1000mg and Metformin 1000mg last year and I had a miscarriage at 13 week. I stop taking both meds around the 9 week but I stopped cold turkey. Could that had been why I miscarriage and/or if I take it again should I take it till after 13-16 weeks. Sorry I am so scared to take it, but I know it is why I conceived in the 1st place.

    • Dear Monica,

      I am sorry to hear of your loss and that you are worried or scared!

      So many times, in fact most of the time, miscarriages happen for reasons that are unknown. They happen not because of anything the mother did. I can not know if stopping Vitex was the cause of your miscarriage. I have not worked with anyone, in my time so far with the Natural Fertility Company, whose miscarriage is a result of stopping Vitex.

      I am also not certain of the guidelines for using and/or stopping Metformin in pregnancy. This is best discussed with your doctor.

      If you wish to take it again, it is best to wean off of in early pregnancy under the supervision or your herbalist or midwife. It might help to seek the counsel of one as you begin to prepare for conception again.

      All my very best!

  21. Hi there,
    My Naturopath has put me on Vitex to help regulate my cycles and to boost Progesterone, as we are TTC.
    I’m on a prescribed supplement that contains 2g of Vitex (as well as Withania, B6 etc). This seems to be a high dose compared to what you mention above? I’ve been on it for nearly 4 months but haven’t seen any significant changes as yet. I am also advised to take it with breakfast every morning, not 30mins before. Does it sound like i’m doing everything right? Would love a second opinion! Thanks so much.

    • Dear Lauren,

      It is great that you are working with a Naturopath! I have no reason to dispute your Naturopath’s suggested use. 2g or 2000mg may be fine and with breakfast is fine as well. He/she has likely seen its effectiveness used in this way with other clients or learned this through research. As you may have also read here, Vitex is able to offer the most support when diet and lifestyle are optimal.

  22. please l live in Owerri, lmo state of Nigeria. Do you have distributors in Nigeria? lf so, what is their contact addresses to enable me buy the product ( vitex). ls Vitex the name written on product? if the product is not in Nigeria,how can l buy the product?

  23. Hello, I’ve started taking Vitex 2 weeks ago after reading about it here as I found out I’m having raised FSH and low progesterone (I’m 34). The brand I’m using states “Agnus Castus Berry Extract, equivalent to 1000mg dried berry per tablet, standardised to yield 600 μg Aucubin” advising to take one to two tablets/day. Is one tablet equivalent to 1000 mg of Vitex? I’m taking 1 tablet in the morning on an empty stomach 30 mnts before breakfast. I’m also taking a pre-pregnancy (conception) multivitamin + maca root. Will it be more effective to take 2 Vitex tablets/day, and if so should I take them at once? is it OK to continue taking the multivitamins as well? Any other advice would be welcome

    • Dear Sakura,

      It seems to me that if the serving size in one capsule, that one capsule would contain an amount of Vitex equivalent to 1000mg. General suggested use of Vitex is 900-1000mg per day, so one (if 1000mg) would be fine. Vitex can be taken with a multivitamin and Maca. This is fine!

      Do consistently use Vitex for a minimum of three months time, or longer as we share in this guide what clinical research shows. Consider also learning more about FSH Levels and Your Fertility by clicking that link.

  24. Hi,
    I started taking Vitex 1,200mg along with Maca 1,500mg, Royal Jelly equivalent to 1000mg, L-Arginine 500mg and Evening Primrose Oil 1300mg daily on 7/24/2016 (11 days ago). I noticed on the second day of taking it I got horrible acne; right now it is starting to clear up, however for the last 2 days (yesterday and today) I had bad nausea after taking the pills. Would I still benefit from Vitex if I lowered the dosage to 800mg? I have Anovulatory cycles; low estrogen low progesterone. Can Red Clover and Raspberry Leaf help me? Can they be combined with the above herbs?

    Thanks for reading and Thanks in advance!!
    Marita

    • Dear Marita,

      Are you taking all of the supplements together? It may be best to split them up. Try taking Vitex first thing in the morning at a dose of 900-1000mg (the general suggested use) and Maca and EPO with food. While very rarely women have experienced digestive upset from Vitex, Maca may be more of a culprit. General suggested use of Maca is 500-3000mg daily. The dose of each Vitex and Maca could be lowered to see if that helps.

      The traditional suggested use of Royal Jelly is 500 – 3000mg of pure royal jelly per day, taken in 2 – 3 separate doses throughout the day. Royal Jelly is best taken between meals. L-Arginine suggested use is 1000 per day, but starting with 500mg is fine.

      Be sure to be eating well; a clean whole food diet and when taking supplements with food, that the food is substantial (I have worked with many who take supplements with little food or lite meals and experience stomach upset).

      Red Clover and Red Raspberry leaf each have varying fertility benefits. They can both be used with the other supplements/herbs being taking if you felt they may benefit your needs (click each to learn more about them).

  25. Hello, I had bloodwork showing on CD 20 my progesterone level was .03 & my OBGYN said it means I don’t ovulate. My cycles are only 21 days apart, sometimes 23.
    I’ve been taking 1200mg of Vitex (3x day of 400mg) since April along with a natural progesterone cream (did loading 80mg/day for 3 mos., now just 40mg/day).
    In the most recent two cycles I have started having minor changes, such as breast tenderness & possible OV cramps. Still no luck in achieving BFP, even though we are very active (min 4x week) in trying.
    My question is how long to wait before giving up on Vitex and Progesterone cream and seeing a professional fertility specialist.

    • Hello Holly!

      As we share in this guide clinical research suggests it is best to use Vitex consistently for at least 6 months (up to a year). That said, only you know how it feels to allow Vitex and your entire natural fertility program that amount of time.

      21-23 day cycles are short. Short cycles can cause fertility issues due to lack of ovulation, too short of a follicular or luteal phase, lack of nutrition, deficiencies, anemia or low body weight. One of the best herbs that has been used for luteal phase defect is Vitex. In studies, vitex helped 83% of women experiencing luteal phase defect. Learn more about Luteal Phase Defect here

      I wish I could help you more in knowing when to go see a fertility specialist. This is such a personal decision! Best wishes!

  26. Hi,

    I am ttc since 6 months. I am not sure if i ovulate regularly although my periods are regular. Also, I am on levothyroxine 25 mg for subclinical hypothyroidism. I started taking Vitex 1000mg a day in the morning empty stomach. But I am experiencing breakouts and hairloss. what can I do to avoid the side effects. Also, can I take Vitex andthyroid medications together?

    • Dear RShah,

      It is going to be best to speak with your healthcare provider about combining Vitex, any herbs, with your medication. If you choose to continue to combine them, it is important to continue to have your thyroid levels monitored and medications adjusted if needed.

  27. I have read conflicting statements about the use of vitex and progesterone cream. Can these be used together? If so, what is the best way to use?

    • Dear Iliana,

      Fertilica Vitex can be used with Fertlica natural progesterone cream.

      General suggested use of Fertilica Vitex is 900-1000mg per day each day of the menstrual cycle first thing upon waking each day with water.
      General suggested use of Fertilica Natural Progesterone cream is 40mg day, split into two 20 mg doses (one in the a.m. and the other in the p.m.) during the two weeks before menstruation starts, before cycle day 1.

  28. Hello! I purchased a different brand then what your site offers which has 400 mg capsules. I watched a YouTube video Hethir did that says something about 1000mg is the ideal dose to take. The bottle says I can take 1-3 per day, but with 3 thats 1200mg. Should i take the 800mg or 1200mg a day? Also, during a period do i continue use through it or stop taking it, then continue once bleeding has stopped?

    • Dear Kristin,

      The general suggested use of the brand purchased is best.

      That said, to reach 1000mg with 400mg capsules, consider taking 2 1/2 capsules. You can do this by opening a capsule, emptying 1/2 into a small amount of some apple sauce, honey, yogurt, a Fertility Smoothie, or any tasty food to consume. Then, close up the capsule and save that for the next day.

  29. I was just prescribed prometrium capsules and I’m assuming I should not take Vitex while taking prometrium but I just wanted to confirm that. Thank you!

    • Dear Laura,

      That is correct! It is best not to combine herbs with the potential to impact hormonal balance with Prometrium or medications that impact hormonal balance.

  30. I recently started taking Vitex in the capsules form, I heard about all these benefits and decided to try it. Im 22 years old with an irregular menstrual cycle and get massive migraines when I’m about to start on my period, and continue to have migraines all year round. So far taking the capsules I’ve only had minor headaches and not migraines. I was wondering as to how long i need to take Vitex? Some websites say to only take it for 3 months and others say to take it for 6? Is too much of the herb bad for the body?

    • Dear Deedee,

      I am so grateful for the relief of your migraines. That is great!

      Vitex is best used for at least 3 months time and as long as 6 months to one year’s time. I know that range of 6 months is a long time, but it is typically at the 12 month mark that we suggest weaning off of Vitex to see how the body maintains hormonal balance on its own. There is always too much of even a good thing, but the use of Vitex for up to 12 months is fine based on the clinical research.

      One more thing, a fun fact about quinoa: It is thought to help people who suffer from migraines. Quinoa is high in magnesium which helps to relax blood vessels in the body. It is also high in riboflavin (B2) which has been shown to reduce the frequency of migraines.

      I hope you continue to see and feel results!

  31. I have Taken this herb for a one year . I’ve been pregnant three times to take this medicine. Unfortunately I had a problem in the my immune and Ihave abortion.My pituitary accustomed to the drug in the long-term effect and does not work. How do I take this medicine?

  32. Hi, is it okay to take Vitex with Rainbow Light Prenatal? I’m ttc. Thanks!

  33. I am interested in starting to take vitex as I am dealing with secondary infertility and candida. I take a lot of other supplements including:
    A multi-vitamin
    Vitamin D
    Folate
    Magnesium
    Red Raspberry Leaf
    Candex

    I also take Synthroid in the morning. Is this OK to take with all of these? Can I take it with my Synthroid in the morning?

    Thanks!

    • Dear Annalee,

      Fertilica Vitex can be taken with a multivitamin, vitamin D, folate, magnesium, Red Raspberry leaf and Candex, but please talk to your doctor before using it with your thyroid hormone.

  34. Is vitex fine to help to conceive even if period is regular?and also is it safe if I also take levotyroxine?

    • Dear Marianna,

      Fertilica Vitex can be consider for menstrual cycle regulation even if your period itself is regular. It is best to consult your healthcare provider about combining Vitex with medications including thyroid hormones.

  35. I started using vitex and Maca both capsules about a little over a month ago after loosing a 20week twin pregnancy. Since I started using them, I must say I have noticed a significant increase in libido as well as increase in cervical mucous which is great because I used to be very dry no matter what. But this is my concern, I’m on my second cycle since giving Birth in may and I noticed my period has been very light (a little more than spotting) and not bright red which is unusual as my periods used to be somewhat heavy plus, it has lasted over my normal 5days. Is this normal? Ttc as soon as. I just need and advise.I take the vitex 1tab 3x daily for the first 8weeks as instructed on bottle. It is 400mg and a Nature’s way brand and after 8weeks to take 1caps/daily

    • Dear Derah,

      I am so sorry to hear of your loss!

      Menstruation can change after pregnancy (no matter the outcome) and can shift temporarily when first beginning the use of herbs that are known to influence hormonal balance. My professional opinion is that there is no need for concern as you work to achieve balance. Maca and Vitex can both be fairly fast acting, but clinical research shows that it can take Vitex 6 months+ to show full benefits. Considering sticking with your program, which we feel should include a wholefood Fertility Diet, moderate daily exercise and stress management.

      The additional tips in our guide 5 Steps To Decreasing the Chance of Recurrent Miscarriages may be helpful as well.

      All my best!

  36. Can Vitex be started at any point during your cycle, or should you begin at particular cycle day? (My goal is to increase progesterone and diminish premenstrual spotting. Cycle is regular, 28-29 days. Spotting occurs 5 days prior. 21 day progesterone blood test came back at 7.5)

    • Dear Melissa G.,

      Fertilica Vitex can be started on any cycle day and is best used each day of the menstrual cycle (without taking a break) for a minimum of three months time, up to 6 months to a year.

  37. I have slight PCOS and have periods very irregularly and recemtly very rarely. I really would like to conceive. Is vitex a good idea? Where can I purchase it? And are there any regular daily vitamins that I should not take if I take Vitex?

    • Dear Jane,

      Fertilica Vitex may be a valuable tool for you, but with PCOS there is more to consider. PCOS is a complex endocrine system disorderi which the coordination of the production of and delivery of hormones to where they need to go within the body isn’t happening properly.

      Consider learning important information in this article titled How to Reduce the Damaging Effects of PCOS on Fertility Through Diet and Herbs.

      It is important to support your body in re-learning balance by promoting healthy hormonal balance, a healthy uterine lining, regular ovulation, improved estrogen metabolism, reduced cravings for sweets and improved digestion all of which you will learn how to do in the article above.

      Many other herbs can be combined with Fertilica Vitex, as can nutritional supplements. We suggest against combining hormonal medications with herbs that can also impact hormonal balance (like Vitex).

      I hope this is helpful!

  38. Hello, I am 30, and since going off the pill 3 years ago, I have charted my cycles, and I’ve consistently had a 9-10 day LP. In addition, I also always spot for about 5 days before I get my period. My progesterone levels tested ok. I decided to try it out this month, hoping to get rid of the spotting. I took one, 250mg capsule on cycle days 8 & 9. I took it in the morning before breakfast and by afternoon I had bright red bleeding on both days. It was light bleeding, but still blood. It freaked me out, and I stopped taking vitex. Did I overreact? was it actually working? I already have a lot of spotting during the month and definitely do not want any more.

    • Dear Abby,

      It is hard for me to answer your questions. I have not heard of Fertilica Vitex at 250mg one time per day being that fast-acting. It often takes several months of use to see its effects. Could this have been ovulation spotting rather than from Vitex? When do you ovulate each cycle?

      It would be best to work with one of our fertility herbalists to offer a clear holistic perspective on your situation to analyze and assess properly. She will then be able to share what it will take to bring your body back into balance. It is helpful for her to know your lifestyle, health history, fertility challenges and detailed questions, etc. Our Fertility Herbalists offer this detailed support through a Fertility Consultation.

  39. Is it ok to use Vitex, dong quai and DIM together?

  40. Hi, when researching how to take Vitex, you are either told to have a break from it when your period comes or take it everyday without a break. Can you please explain whether I should take it everyday and why this is best? Just trying to get my head around the reasons behind why there are 2 different theroies. Thanks

    • Dear Amy,

      Our site’s founder, through her research of Vitex and use of Fertilica Vitex with clients, has learned that for those with hormonal imbalance and menstrual cycle irregularities, Vitex is best taken daily at a general suggested dose of 900-1000mg first thing in the morning with water. As with many herbs, there are different suggested uses based on each practitioners research and use of them with clients.

  41. Hi, I’d like to start Vitex, as I had a miscarriage 3 months ago & my periods since then have been very light. I have a history of PPD and PPA and have been experiencing anxiety/depression when my period hits. Once ovulation hits, it totally goes away and I feel great until the next period comes. I believe low progesterone is directly linked to my mood. Would this be a good supplement for me, or wouldn’t it b/c of the depression/anxiety factor? I’d think it would be good b/c low progesterone=low mood and high progesterone=good mood for me, but I saw a statement saying taking Vitex may exacerbate depressive symptoms so I thought I should check. Thank you SO much!

    • Dear Jennifer,

      I am very sorry to hear of your loss!

      Vitex may not be the go-to herb for you unless you can be monitored in its use at a proper dose for your individual needs. I say that because while Vitex is a very safe herb, it has been found that some women who have a history of depression may experience an exacerbation of their depression symptoms when taking Vitex. The only way to know if Vitex will exacerbate symptoms for you is to try it. That of course would be entirely up to you!

      Another way to supplement progesterone directly is by using natural progesterone cream. Our Progesterone Fertility Guide shares more information about it and considerations to make.

      Light, bright red menstruation may also be a sign of a lack of circulation to the uterus (called a ‘cold uterus’ in Traditional Chinese Medicine). This may be helped by these herbs and natural therapies like:

      Dong quai
      Self Fertility Massage
      Castor Oil packs

      I hope this is all helpful!