Amenorrhea


Amenorrhea (Lack of Menstruation)

Amenorrhea refers to the absence of menstruation in women of reproductive age. It is classified into two types:

  • Primary Amenorrhea: When menstruation has not begun by the age of 15.

  • Secondary Amenorrhea: When menstruation, previously present, stops for three or more consecutive months.

This condition can be temporary or long-term and may result from a variety of physical, emotional, hormonal, or lifestyle-related causes.


Common Causes of Amenorrhea

Several factors may contribute to the onset of amenorrhea:

  • Emotional Stress or Psychological Trauma: Deep emotional disturbances, suppressed grief, or ongoing psychological stress can interfere with the body's hormonal regulation.

  • Poor Nutrition: Deficiencies in essential nutrients, particularly healthy fats and high-quality proteins, can disrupt the endocrine system, leading to hormonal imbalance.

  • Excessive Exercise: Overtraining, especially in athletes or women who engage in intense physical activity, can delay or halt menstruation due to stress on the body and low body fat levels.

  • Hormonal Imbalances: Disorders involving the pituitary gland, thyroid, ovaries, or adrenal glands can lead to changes in menstruation.

  • Prolonged Use of Contraceptives: Extended use of birth control pills may sometimes cause menstruation to take months or even years to return to normal after discontinuation.

  • Negative Mental Associations with Menstruation: A subconscious aversion or negative perception of menstruation can contribute to irregular or halted cycles.


Natural and Herbal Remedies

Natural therapies are often used to support hormonal balance and overall reproductive health.

1. Emmenagogue Herbs – Natural Support for Menstrual Health
Gently Encouraging Menstrual Flow with Herbal Tradition

Emmenagogue herbs are botanicals traditionally used to stimulate or regulate menstrual flow. These herbs have been used across cultures for centuries to support women experiencing delayed, absent, or scanty menstruation (a condition known as amenorrhea), as well as to relieve mild menstrual stagnation and associated symptoms such as pelvic tension, bloating, or emotional imbalance.

At their core, emmenagogues work by supporting hormonal balance, improving blood circulation to the pelvic region, and gently stimulating uterine activity. While not suitable during pregnancy, these herbs can be helpful for re-establishing a healthy cycle in women affected by stress, hormonal shifts, or post-contraceptive amenorrhea.


How Emmenagogue Herbs Work

Emmenagogues act on the body through several mechanisms, depending on the specific herb:

  • Uterine Stimulants: Some herbs mildly stimulate the uterus, helping to encourage menstrual onset when delayed.

  • Hormonal Modulators: Others support the endocrine system and help restore natural hormone rhythm, particularly in cases of luteal phase deficiency or low progesterone.

  • Pelvic Circulatory Tonics: Certain herbs improve blood flow and relieve stagnation in the pelvic area, often reducing cramping and discomfort.

  • Detoxification Support: Some emmenagogues also act as liver tonics, supporting hormonal clearance and detoxification pathways vital for cycle regulation.


Common Emmenagogue Herbs, available as loose teas or herbal extracts.

1. Vitex (Chaste Tree Berry)
A hormonal regulator that works on the pituitary gland to support natural progesterone production. Often used for irregular cycles and post-pill amenorrhea.

2. Dong Quai (Angelica sinensis)
A traditional Chinese herb known for its blood-moving and nourishing properties. Helps improve circulation and regulate the menstrual cycle.

3. Mugwort (Artemisia vulgaris)
Warming and stimulating, mugwort is commonly used to bring on delayed menstruation and alleviate menstrual tension.

4. Pennyroyal (Mentha pulegium)
Historically used to stimulate uterine activity, this herb must be used cautiously and only under supervision due to its potency.

5. Ginger (Zingiber officinale)
A gentle circulatory stimulant and warming herb that supports blood flow to the reproductive organs and can relieve menstrual discomfort.

6. Blue Cohosh (Caulophyllum thalictroides)
Traditionally used by herbalists to help initiate menstruation when it has been absent. Often combined with black cohosh or motherwort for enhanced effect.

7. Parsley (Petroselinum crispum)
Often taken as a tea or tincture, parsley supports mild uterine stimulation and helps relieve menstrual delay.

8. Yarrow (Achillea millefolium)
Promotes circulation and regulates menstrual flow, especially in cases of irregular or painful menstruation.


When to Use Emmenagogues

Emmenagogue herbs may be helpful in cases of:

  • Delayed menstruation not due to pregnancy

  • Absence of periods post-birth control

  • Irregular cycles from stress or nutritional deficiency

  • Pelvic stagnation with bloating or discomfort

They are not appropriate during pregnancy, and their use should always be guided by a qualified practitioner, especially in cases of underlying reproductive conditions such as PCOS or endometriosis.

Emmenagogue herbs offer a gentle, time-tested way to encourage the return of menstrual flow and balance the body’s natural cycles. At Newtons Compounding Pharmacy, we’re here to help you navigate menstrual challenges with effective, individualized natural care. Visit us or speak to our team for personalized herbal recommendations.

2. Supplemental Support

Floradix Iron or a similar liquid iron supplement is often recommended to boost iron levels, especially when amenorrhea is linked to anemia or fatigue. Follow dosage instructions on the product label.


3. Homeopathic Remedies for Amenorrhea

Homeopathy offers individualized treatment based on both physical and emotional symptoms. Remedies are typically taken in 30C potency for 1–3 weeks. If there is no improvement, a single high-dose (200C or 1M) may be considered under supervision.

Graphites

  • Suitable for women with absent menstruation accompanied by swelling, constipation, or eczema.

  • Menstrual flow may be pale or scanty.

  • Patients may be overweight, chilly, and suffer from cracked skin and emotional indecisiveness.

  • Symptoms worsen with cold, hunger, or at night, and improve in fresh air.

Kali Carbonicum

  • For women with delayed, scanty, or pale menstrual flow.

  • Physical signs may include puffiness around the eyes, backache, fatigue, and excessive perspiration.

  • Emotional traits: overly responsible, easily startled, and nervous.

  • Symptoms worsen when alone, in cold air, or during early morning hours, and improve with warmth and dryness.

Natrum Muriaticum

  • Best for women whose first menstruation was delayed and continues to be irregular.

  • Symptoms include dry skin, headaches, cracked lips, and general weakness starting mid-morning.

  • Emotional signs: deep grief, hidden sadness, loss of libido, and pessimism.

  • Worsens with heat, sunlight, and emotional sympathy; improves with open air, rest, and seaside walks.

Pulsatilla

  • Ideal for gentle, weepy women whose periods start late or are erratic.

  • Flow may stop and start, be thick or clotted.

  • Aversion to fatty foods, lack of thirst, and frequent chills.

  • Symptoms improve with open air, gentle movement, and emotional support, but worsen in warmth or darkness.

Sepia

  • For irregular or absent menstruation often following childbirth or long-term contraceptive use.

  • Associated with uterine prolapse, fatigue, emotional detachment, and aversion to sex.

  • Women may suffer chills, hair loss, and sarcasm.

  • Symptoms worsen before periods, during intercourse, or in cold weather, and improve with warmth, exercise, and keeping busy.


Final Notes

Amenorrhea can be a complex condition influenced by physical health, lifestyle habits, emotional well-being, and hormonal function. Before beginning any herbal or homeopathic treatment, it is important to consult with a qualified healthcare professional, especially if amenorrhea persists for an extended period. Addressing underlying causes holistically often yields the best long-term results.