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How To Get Your Period Back

How To Get Your Period Back

It can be quite frustrating if you are trying to get pregnant, yet have no period. Having a healthy cycle is step one for boosting your fertility naturally and being able to get pregnant. There is a myriad of reasons your cycle may be irregular such as stress, dietary deficiencies, low body weight, getting off of birth control pills, hormonal imbalance, perimenopause or other underlying issues.

Since the lining of the uterus is not being shed, it is very important to clear out the old blood and establish a healthy cycle again. This can be done naturally and effectively with herbs and nutrition. I have talked with many clients who have been offered synthetic estrogen to get their period going again… taking synthetic estrogen for this issue is like using a sledge hammer on a thumb tack.

Absent Period… Otherwise Known as Amenorrhea

Absent period is known as amenorrhea. Amenorrhea is divided into two distinct groups: primary amenorrhea and secondary amenorrhea, with secondary amenorrhea being the most common.

Note: Absent menstrual cycles due to perimenopause and menopause are not considered amenorrhea.

Primary Amenorrhea
Defined as the absence of menstruation by the age of 14 with no secondary sexual characteristics, or the absence of menstruation by the age of 16 regardless of secondary sexual characteristics. Examples of secondary sexual characteristics in women are enlargement of breasts, widening of hips, armpit, pubic and leg hair and body odor. Primary amenorrhea is uncommon, happening in about only 0.3% of women.

Often natural therapies do not work as well for women with primary amenorrhea because there is usually an underlying developmental issue for those women. In the case of primary amenorrhea, it may be best to find a reproductive endocrinologist to work with. We are not saying natural therapies and herbs will not work for primary amenorrhea, just that this condition is more difficult to work with. It is still very beneficial to eat well and choose healthy lifestyle practices.

Secondary amenorrhea
Defined as the absence of menstruation for the total of at least 3 previous menstrual cycle lengths, or at least 6 months in a woman who previously had a menstrual cycle and is still in her reproductive years. Reproductive years are defined as menarche, when a woman begins her menstrual cycle in puberty, until menopause, which happens around the ages of 40-55. Secondary amenorrhea is more common than primary amenorrhea.

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Causes of Absent Period

A menstrual cycle that has stopped is not a disease, it may be a sign that there is an underlying imbalance in the body. A regular menstrual cycle is regulated by a complex system of messages and actions orchestrated by the endocrine system. The endocrine glands work together to send messages via hormones. This is called the feedback loop.

In very simple terms the hypothalamus produces GnRH (gonadotrophin-releasing hormones) which signals to the pituitary to produce LH (luteinizing hormone) and FSH (follicle stimulating hormone) to signal to the ovaries that it is their turn to release estrogen and progesterone, which is recognized by the pituitary gland.

Simple right? Not so. As you can see a healthy cycle is dependent on each part of the feedback loop functioning properly. Think of it as an orchestra; if just one part of the cycle is off, it will throw the entire cycle off, causing imbalances that can affect regular menstrual cycles
.

Nutritional Deficiencies

Sometimes the body is not getting enough nutrition daily to be able to sustain normal functions, including the menstrual cycle. There are many very important nutrients the body requires to maintain a healthy menstrual cycle. Nutritional deficiencies can actually cause menstrual cycle irregularities and eventually may cause the entire cycle to stop.

What you eat daily makes up every part of your body. You are what you eat!

Learn how to eat a healthy whole food fertility diet! Harvard performed a recent study that showed an 80% decrease in infertility with the lifestyle changes made by switching to a fertility diet. Women who followed a combination of five or more lifestyle factors, including changing specific aspects of their diets, experienced more than 80 percent less relative risk of infertility due to ovulatory disorders compared to women who engaged in none of the factors.

Eating a wide variety of whole foods is vital to a healthy menstrual cycle. The body relies on the foods we consume daily to function at its best. There are key nutrients and foods that support a healthy menstrual cycle; if any of these are lacking there may be a deficiency that may be contributing to an absent period. Be sure you are getting enough of the following…

Iron: Studies have shown that women who do not get sufficient amounts of iron may suffer anovulation (lack of ovulation) and possibly poor egg health, which can inhibit pregnancy at a rate 60% higher than those with sufficient iron stores in their blood, according to researchers from Nova IVI Fertility Centre and Jaya College of Arts and Sciences in India, as published in 2014 in the International Journal of Current Research and Academic Review.

Foods rich in iron are divided into two groups heme and nonheme. This simply means it comes from an animal source or a non-animal source. Heme iron sources are grass fed, free-range organic bison, chicken, eggs, elk, beef, and wild caught Alaskan salmon. Nonheme iron-rich foods include blackstrap molasses, pumpkin and sunflower seeds, beans, nettles, amaranth, dark leafy greens, Turkish apricots (unsulphured), seaweed, and quinoa.

In their book The Fertility Diet, Jorge Chavarro, MD and Walter C. Willett, MD reveal, from the landmark Nurses’ Health Study, research proving that food can boost fertility. About iron in particular Chavarrio and Willett share, “In a study of women who were having ovulation problems, 40% became fertile after supplementing with iron.”

Vitamin C: Vitamin C may improve hormone levels and increase fertility in women. The body requires food sources of vitamin C for proper iron absorption, so be sure to eat a food high in vitamin C when consuming a food high in iron. Great food sources of vitamin C are red bell peppers, oranges, strawberries and hibiscus flower tea.

B Vitamins: Green vegetables are rich in B vitamins which are necessary for proper hormonal balance. Think of Swiss chard, kale, watercress, seaweed, spirulina, collard greens, nettles, parsley and basil!

Essential fatty acids: EFA’s are important for hormone production. Many women are low in EFAs, specifically omega 3. Some foods rich in EFAs are flaxseeds, walnuts, salmon, sardines, halibut, shrimp, snapper, scallops, chia seeds and cod liver oil.

Cholesterol: Cholesterol is necessary for hormone production. Avoid eating a ‘low-fat’ diet and make sure to eat a diet that includes whole fat animal products sourced from grass-fed animals. Foods rich in clean cholesterol: grass-fed beef, raw milk from grass-fed cows or goats, whole milk yogurt and kefir, free-range/pastured eggs, butter from grass-fed milk (Kerry Gold is a common one), and coconut oil.

Fiber: Fiber helps to remove excess hormones from the body which may be causing hormonal imbalance. Fiber also helps to regulate the blood sugar levels, which helps to reduce fertility issues such as PCOS and immunological issues, and promotes healthy hormonal balance. Some examples of high fiber foods are fresh fruits, vegetables, dark leafy greens, and beans.

Zinc: This is just one of the minerals that the body uses to keep hormone levels (like estrogen, progesterone and testosterone) stable throughout the entire menstrual cycle. A woman’s body needs a certain amount of zinc to produce mature eggs that are ripe for fertilization. The richest sources of zinc are oysters, raw pumpkin seeds, sesame seeds, and tahini (a.k.a. sesame seed butter).

A great way to support the body in getting all the necessary nutrients it needs daily is to take a whole food multivitamin. Including a whole food multivitamin, along with eating a fertility diet, is one of the first steps in getting your period back!

Being Overweight or Underweight

There is a direct link between anovulation and obesity. Body fat cells, called adipocytes, produce estrogen. Obese women may have too much estrogen due to too much body fat. Women who are underweight may also have anovulation due to lack of body fat. There may not be enough estrogen or adequate cholesterol levels being maintained to support the menstrual cycle. Studies out of Norwegian University of Science and Technology and the University of North Carolina have shown that women with extreme exercise habits have significantly lower levels of estradiol due to low levels of body fat in key areas of the body, leading to anovulation. We share dtudy details in our guide Is Exercise Good Or Bad For Fertility?.

Estrogen is essential for healthy bone formation, healthy gene expression, maintaining healthy cholesterol levels, and is vital for a healthy menstrual cycle. Too much estrogen, or too little in the body may cause the feedback loop to not function properly and the menstrual cycle may cease. Now you can see why it is so important to have adequate amounts of body fat; not too much and not too little!

PCOS

Polycystic ovarian syndrome, sometimes also called polycystic ovarian dysfunction, is the most common endocrine disorder in women of reproductive age. There are two distinct and consistent features of PCOS: absent periods or inconsistent menstrual cycles and hyperandrogenism (the body is producing too many androgens, the most common one being testosterone).

Stress

Stress may cause the body to stop the menstrual cycle. Stress causes the body to release stress hormones like cortisol and adrenalin that prevent our fertility hormones from being released at the correct times in the menstrual cycle. This can cause a disruption in the menstrual cycle by affecting how the adrenal glands function. Reducing stress and supporting adrenal health is essential to a healthy menstrual cycle and is a relatively easy fix for healthy fertility. The adrenal glands also directly impact thyroid health.

Thyroid issues

Poor thyroid function may cause the menstrual cycle to stop. An overactive thyroid that produces too many thyroid hormones is called Hyperthyroidism. Hypothyroidism is when the thyroid is underactive and does not produce enough thyroid hormones. An absent menstrual cycle is a sign of hyperthyroidism, where irregular or heavy cycles may be a sign of hypothyroidism.

Pituitary tumor

A pituitary tumor may cause disruption in the release and manufacturing of certain hormones which may cause the menstrual cycle to stop.

Premature Ovarian Failure

POF, also known as Ovarian Hypofunction, is defined as a loss of normal ovarian function before the age of 40. The menstrual cycle may cease before the age of 40, or become sporadic. This means that menopause comes earlier than normal.

Perimenopause and Menopause

Perimenopause is the time leading up to menopause. As perimenopause progresses toward menopause, it is normal for menstrual cycles to become irregular and for hormone levels to fluctuate. The menstrual cycle may become absent for many cycles and then suddenly come back for a couple cycles, and then goes away again, becoming sporadic for some years. As ovarian reserve diminishes and egg health declines, FSH levels rise and the menstrual cycle will become more and more irregular, until eventually it stops.

Menopause is defined as absent menstruation for a year or longer. Menopause may also be confirmed by elevated FSH levels between 60 to 100mL/L on two tests done at least 1 month apart, and/or LH levels greater than 50mIU/L and estradiol levels less than 50pg/mL. Natural therapies cannot reverse the aging process or bring back the menstrual cycles in a woman who has already gone through, or is going through menopause.

When to see a doctor!

If you have not had a menstrual period for 3 consecutive cycles or more, it is time to make an appointment with your healthcare practitioner. They can help you to determine what the causes may be. Most medical doctors will often prescribe oral contraceptives (birth control pill) to get the menstrual cycle to regulate. It is important to realize that this method will force the body to have a cycle and prevent pregnancy. Oral contraceptives do not solve the problem of why the menstrual cycle is absent to begin with. Luckily there are natural therapies such as herbs, specific massage techniques, supplements, stress reduction techniques, and dietary changes than can help support the body in regulating the menstrual cycle in most cases.

Herbs to Promote Menstruation

Before heading right for herbs that are known to help bring back the menstrual cycle (emmenagogues) it is also important to consider herbs that support healing of the cause of the absent menstrual cycle. Why is it you are not having a period to begin with? Once you know what is causing this to happen, you will be able to formulate a plan for yourself. This is vital when desiring to use herbs as well. For example, there are herbs that support hormonal balance through endocrine system support, some that help the body to respond to stress and others that have a direct action on the uterus.

Emmenagogues stimulate and normalize the menstrual cycle

Important caution: It is extremely important to rule out pregnancy prior to beginning any herbs for fertility, especially those used to bring back a menstrual cycle. Most herbs that help to regulate the menstrual cycle are not safe for pregnancy.

Herbs to Bring on Menstruation

The following herbs may help to bring on a menstrual period. All the herbs in this section will only be effective if the menstrual period is absent due to hormonal imbalance. If the menstrual cycle is absent due to nutritional deficiencies, these herbs may not be as effective. It is very important that dietary changes are in place before beginning any herbs to bring back the menstrual cycle.

Black Cohosh root (Actaea racemosa)
Black cohosh has been used for hundreds of years to help bring back the menstrual cycle. Black cohosh promotes regulation of the entire menstrual cycle while helping to support a calm uterus.

Dong Quai root (Angelica sinensis)
This is the main herb for this issue. Dong Quai works by promoting blood flow to the pelvis where it helps support the body to bring back an absent period. It does this by nourishing the blood (it is in nearly all Chinese herbal blood-building formulas because it is iron rich), improving hormonal regulation, and aiding in uterine tone.

Motherwort aerial parts (Leonurus cardiaca)
This herb is very effective at reducing uterine muscle spasm and cramping and improving uterine tone. Motherwort has been found to mildly stimulate the uterus, while also aiding the uterus to work efficiently, which is helpful in bringing on menstruation.

White Peony (Paeonia officinalis)
This herb helps build the blood and increase circulation to the reproductive organs. Overall, White Peony provides excellent hormone balancing support and aids in pain reduction and relaxation. White Peony moves the blood in the pelvic area, offering support for uterine stagnant conditions including absent period.

Since it can be challenging to source all of these herbs in the proper ratios, the team of Natural Fertility Specialists at Natural Fertility Info.com created a formula specifically to address this need.

We have been receiving great results and feedback from the Rejuvaflow formula. Click here for more information.

Herbs to Promote Regular Menstrual Cycles

The following herbs would be used once the first menstrual period comes back or after performing a Fertility Cleanse.

Shatavari (Asparagus racemosus)
Shatavari helps to promote regular menstrual cycles by aiding in regulation of estrogen levels. Shatavari is also an adaptogen that supports endocrine system function for healthy hormonal balance.

Tribulus (Tribulus terrestris)
This herb has been shown to normalize ovulation in infertile women. Tribulus supports healthy hormone levels, is a known female reproductive system tonic, and may increase libido.

Vitex (Vitex agnus-castus)
Vitex is another great herb for amenorrhea due to hormonal imbalance. It helps to balance the hormones while not containing any hormones within the herb itself. Vitex supports hormonal balance in the body by having an effect on the hypothalamic-pituitary-ovarian axis (hormonal feedback loop), correcting the problem at the source. Numerous botanical/herb books report clinical data and studies showing the effectiveness of vitex for all types of menstrual cycle irregularities when used for many months consistently.

Vitex has been found to help normalize ovulation, improve a short luteal phase, support healthy hormone levels, and reduce Polycystic Ovary Syndrome (PCOS).

In her book Botanical Medicine for Women’s Health, Physician, Midwife, and Herbalist Dr. Aviva Romm and Registered Herbalist Bevin Clair, MS, CHS share of reports showing that Vitex can be extremely helpful in bringing back the menstrual cycle in women with absent periods due to eating disorders and lack of menstruation due to breastfeeding. We do not advise weaning a baby until they are over a year old. For mothers of older babies who are ready to try to conceive again, and still have yet to begin menstruating, vitex may be an option.

If you have not had a menstrual cycle for two or more months, you may want to consider performing a Fertility Cleanse. Fertility cleansing helps to cleanse the uterus of old blood and tissues while helping the liver to get rid of excess hormones to promote a healthy menstrual cycle. If after doing a Fertility Cleanse your period still does not come back and you have implemented a nutrient dense fertility diet, consider herbs to bring back the menstrual cycle.

Self Fertility Massage
A uterus that is not stimulated to shed the endometrium, or sheds the endometrium inadequately each month, may become atrophied. This means the muscles lose their tone and strength. If the mucosa lining known as the stratum functionale is not stimulated to secrete mucus and build up the endometrium, then the uterus is not lubricated and may become “dry” and weak. You can see why this would not be the best environment to house an embryo. Having a regular menstrual cycle is essential to having a healthy uterus.

Here’s how Self Fertility Massage aids the body in regulating menstrual cycles:

  • Promotes hormonal balance*
  • Helps to reduce stress and stress hormones*
  • Improves communication within the endocrine system*
  • Increases circulation to the uterus, ovaries, and fallopian tubes*
  • Promotes the movement of fluids*
  • Helps the body to rid itself of old stagnant blood and tissues*

Learn all about how Self Fertility Massage may help to promote a healthy menstrual cycle here…

Summary

Overall, it is extremely important to begin by nourishing the body through good nutrition. Your dietary habits are your foundation; without that in place first, the body is not going to respond to herbs for amenorrhea as well. Second, be sure to include a good whole food multivitamin, reduce stress and exercise regularly. Third, consider an herbal program for getting the menstrual cycle back on track. Last, but not least, practice fertility massage regularly. This combination is a great plan for working to promote a healthy menstrual cycle long-term! Be patient, the body needs time to establish a cycle. Be gentle with yourself and your body will come back into balance.

References

Hethir Rodriguez - Certified Herbalist, Nutritionist, Birth Doula

Hethir Rodriguez is the Founder and President of Natural Fertility Info.com. She has been a Certified Herbalist for over 19 years, holds a Bachelors degree (BS) in Nutrition Sciences and is a Certified Birth Doula and Massage Therapist specializing in fertility massage. Since founding Natural Fertility Info.com in 2007, Hethir’s research, articles, and guides have been read by over 40,000,000 people, currently averaging at over 1,000,000+ readers per month.  Hethir has dedicated her life to helping provide a source for high quality, research based information and support for those on their journey to becoming parents.

Dr. Christine Traxler M.D., OB/GYN
Dr. Christine Traxler M.D., OB/GYN

Dr. Traxler is a University-trained obstetrician/gynecologist, working with patients in Minnesota for over 20 years. She is a professional medical writer; having authored multiple books on pregnancy and childbirth; textbooks and coursework for medical students and other healthcare providers; and has written over 1000 articles on medical, health, and wellness topics.  Dr. Traxler attended the University of Minnesota College of Biological Sciences and University of Minnesota Medical School,  earning a degree in biochemistry with summa cum laude honors in 1981,  and receiving her Medical Doctorate degree (MD) in 1986.

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  1. Good day,

    My name is Rene’, I have never gotten my period naturally. I only get my period when using Birth Control. I have undergone Two sets of IVF first 3 eggs ( Low quality ) did not make it , Then the second time around Two ( Best Quality eggs were implanted) and still nothing. The fertility Dr’s normally tries three times and then you rest.Since I have started to work for a homeopathic company and learned about natural medisine. As Per my Dr my Folicles are not developing into eggs due to not having a menstrual cycle.The condition is called RAS. I want to see if Natural remedies can help and make a difference 🙂 Any advise DR?

    Kindest regards,
    Rene

    • Dear Rene’,

      Thank you for reaching out to us! Just to be clear, I am not a doctor and we do not have a medical doctor on staff. I am sorry for all you are going through. There is indeed an intricate process where by hormones are produced and released at different times throughout the cycle in order for menstruation and ovulation to occur, and for eggs to mature properly.

      Natural therapies alone may not help menstruation come naturally/on its own, but there are natural therapies to learn about that are known to support egg health and uterine health. Here are two guides to help you begin learning about these:
      How to Increase Your Egg Health in 90 Days
      How to Increase Your IVF Success Rate Naturally

      I hope this is a helpful place to start!

  2. I am 37yrs old and have had my period in July, August, September, since this year started. Last year I had it 2wice and that was it. Am married and I want to be pregnant next year, what home remedies should I do to help me get pregnant without periods.
    In the past, I could go for a whole year with no periods. I have always been irregular since I was 15

    • Dear Oma,

      Are you supporting your menstrual health in any way? I’m curious as you’ve gotten a period three months in a row now and it seems that hasn’t been the case in the past, or ever. Diet, lifestyle and regular exercise are important, as is stress management.

      3 General Guidelines to Help Keep Your Period Regular

      1. See a doctor to determine what may be causing the irregular periods.
      2. Address your nutrition levels. Sometimes all it takes to bring back the menstrual cycle is to feed your body a wide variety of nutrient dense foods and to supplement with a whole food multivitamin.
      3. Make sure your reproductive organs are getting adequate circulation.

      For more information on the menstrual cycle or each of these issues, click here to read our complete Natural Menstrual Health Guide…

      I hope this helps you see what direction to go in, depending on what is causing your period to be irregular.

  3. hello, my name is zara eve. i am a 21 year old, i am about to be 22. okay so it is October now, but i had my last period some time in may. so i finally went to the doctor and got all my tests done. i had hypothyroidism before but now i have hyperthyroidism. so yeah. my doctor told me that she believes that i have not had my periods because of this. after i got off of my birth control my periods became regular, ok i would miss a month here and there bt i got them and they were as normal as ever and i was happy. but i did start breaking out a lot. but yeah in may i stopped so i am worried.

  4. hi there,
    Thank you for the information, I am worried also worried about my cycle, I used to be regular but suddenly became irregular which I don’t know why. And now, for 2 months I haven’t bled and for a month now I only have light brown discharge with a little blood and it usually came out in the morning or afternoon. I am worried about it and it makes me feel stressed. I’m 29 yrs old, never gave birth, never tried any medication about it, and never had sex. Could you give me some advice? Thank you so much.

    • Hello!

      I am sorry you are worried! So many things can cause menstrual cycle irregularities and periods to lighted or stop – changes in diet or weight or exercise routines, experiencing stress, starting or stopping natural therapies, even travel. Could any of these things be cause? Light bleeding that is brown is a sign of lack of circulation to the uterus (called a ‘cold uterus’ in Traditional Chinese Medicine) and old blood that is not properly being expelled. Consider a daily brisk walk, Fertility Yoga, gentle uterine massage or Castor Oil packs, and if this persists, talking to your healthcare provider.

  5. Thank you for the information, im worried about my cycle i skip even for 4 months sometimes i only have brown discharge is it normal ? what is the cause of that brown discharge? where can i get those above herbs? im not stressed my weight is normal i have never had a regular cycle since i always skip

    • Dear Wendy,

      There are a number of reasons a menstrual cycle may be irregular in women in their reproductive years such as stress, dietary deficiencies, low body weight, getting off of birth control pills, hormonal imbalance, perimenopause (the phase leading up to menopause), or other underlying health issues.

      Does your doctor know why this is happening for you? May I know how old you are?

      The herbs in this guide are available from The Natural Fertility Shop.

  6. Hi there,

    I need some advice with which supplement to take. I have just started taking vitex agnus castus to try and regulate my periods again after being on the contraceptive depo-nervosa for 18 months. My last injection was November 2017 and haven’t bled at all. Should I be taking dong quai root instead or is it okay to take both? I also have an aromatherapy oil blend to use on my skin to promote bleeding too. Many thanks.

  7. Hi there,
    I have been irregular for some time now. When I think my period is going to be regular again it stops. The doctor wants to put me on birth control but I really would like to try it in a different way without the oral contraceptives. I have had a lot of stress and I am under weight. That may be it? I want to know what I can improve in my diet or vitamins maybe to help my body.

  8. Hello.
    I went off Nuva Ring in December after about 10 years on birthcontrol. I have normal periods December January February and March. I haven’t have one since. I have seen a chiropractor who wants to start me on a natural treatment by getting my spine healthy as well as a Doctor who wants to start me on Progesterone.I have had tons of blood that has all come back normal. Wondering what I can do naturally to get my period back to try to conceive.

    • Dear Keehlin,

      Can you think back to March or April to think of anything that happened that may have contributed to the missing period? Chiropratic care and progesterone have potential to be helpful given what I know. If you choose both, please be sure you let each practitioner know your entire program. AND it is perfectly fine to combine medical and natural approaches. While this guide shares helpful tips, I would also suggest reading our guide How to Balance Your Hormones After Birth Control.

  9. Hey there!
    So i recently got off of birth control in early January and finally received my first period after being off of it in April. I knew that because my body was trying to regulate it could take time. However, although i seemed to have it normally in April and May, I didn’t get my period in June and It is now August and I still haven’t had it. I know Im not pregnant and it is not like me to be so irregular, could it be stress? Ive felt fatigued and bloated but no period, and no baby lol!

  10. I had a surgery to remove fibroid but after recovery fully from the surgery, my period does not flow well. Every month it gives a sign that I’m menstruating but it scanty and very dark and it been like this for almost two and half year now. What should I do?

    • Dear Ruth,

      Light, dark menstruation is often a sign of lack of uterine tone or low uterine circulation. Consider learning more about:
      – Self Fertility Massage
      – Castor Oil packs
      – Cleansing for Fertility
      – Systemic Enzyme Therapy
      – Staying hydrated with herbal tea and water
      – FertiliCare Phase 1 & 2

  11. Hello ma’am, I’m worried about my health because its been 6 months since I had my menstruation. I did all healthy ways to get back my period but it doesn’t work. I’m asking for your suggestion on this matter ma’am. thank you.

    • Dear Jarrah,

      I’m sorry you are worried! Can you think back over the past 6 months to try to pinpoint a stressful event, diet or lifestyle change, travel, anything that could have caused this? To be honest, the best first step may be to talk to a qualified healthcare provider (doctor or naturopathic doctor) who can examine you and run tests to determine the cause. Then, if you wish to address it and support the body naturally there are likely to be resources here. I’m also curious exactly what “healthy ways” you have tried already and for how long you tried them.

  12. I have purchased Fertilica Maca and Vitex and the Fertility massage program. I’m working with a 20 year old unmarried woman whose menstruation stopped 2 years ago and despite seeing many practitioners her period did not come back. She is underweight (I emphasized her eating more healthy fats and cholesterol foods); she had a pituitary gland tumor which increased her Prolactin levels. Prolactin levels are normal now with meds. I have taught her fertility massage, and how to make castor oil packs. I gave her the fertility diet and do visualizations for stress reduction. I want to start her on herbs but don’t know if I should give her vitex or maca or both. What would you recommend?

    • Dear Bracha,

      Vitex and Maca can be combined, but we can not suggest either with medication should she still be on it. Is there one she seems to need more than the other based on your evaluation? It may also be helpful for her to learn more about Red Clover (click that link) if putting on weight is challenging for her.

  13. Hello,when I was about 17 i was on the depo injection for just 1 time. I never went back after the first 3 months to get it again. After that my period that used to be every month turned into very irregular. then it suddenly just stopped for about a few months then came back again regularly. I have gone to my doctor & she told me i have Second Amenorrhea. She gave me these small pills that i had to take for 10 days to see if i would bleed or not. I did end up having a period, so she said that was a good sign.It’s so frustrating not knowing when i’ll get my period again. I am now 21 and its been about 5 months without having a period i dont know what to do. Can you please suggest anything?

    • Dear Alondra,

      Frustrating indeed! I’m sorry!

      I would lead you to our guide How to Balance Your Hormones After Birth Control. I personally see great benefit from a daily brisk walk, Self Fertility Massage, staying hydrated with water and herbal tea, and eating as healthy as you can. Perhaps that would be an easy place to start and the guide will share other tips that resonate with you.

      Trust your body! Regular will return!

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