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Emmenagogue: Herbs & Food to Stimulate MenstruationCLASSIFICATION OF FOOD, HERBS, & LIFESTYLE

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AYURVEDIC PERSPECTIVE ON EMMENAGOGUE

Herbs which stimulate menstruation. Emmenagogues are used for scanty menstruation, to relieve menstrual pain, and improve blood flow in the pelvic area and uterus.

Emmenagogues are herbs or foods that stimulate menstruation in cases of:

  • Scanty or delayed menstruation,
  • Menstrual pain and/or
  • Insufficient blood flow in the pelvic area and uterus.
Use them in cases of menstrual retention to restore regular, healthy monthly menses when there are symptoms of:

Ayurvedic View of Healthy Menstruation

Women tend towards an excess of blood, while men tend towards an excess of energy.

Healthy menstruation clears this excess, which reduces heat, irritability, water retention, and malaise, leaving women feeling refreshed and grounded.

Menstruation is not specifically a detoxification process like urine, feces or sweat. Instead, it clears toxins and substances alike. Therefore it is more properly a draining process rather than detoxification (Source: Holmes).

Emmenagogue Contraindications

It is a serious error for a clinician to force menstruation in cases of blood deficiency.

Emmenagogues are also contraindicated in pregnancy as they have an abortive effect.

Click here to review the basics of reproductive health.

Causes of a Long Absent Menstrual Cycle (Pathogenesis)

Amenorrhea, light periods, or long menstrual cycles have the following main causes:
  1. Poor Liver Function The liver plays a large role in healthy menstruation. A poorly functioning liver will be unable to clear hormones efficiently, delaying menstruation.
  2. Suppressed Uterus Function Due to Reproductive Hormones The following reproductive hormones suppress uterine function:
  3. Pregnancy or pregnancy hormones such as progesterone
  4. High levels of lactation hormones (prolactin)
  5. Deficiency / Low Weight (Vata)
    • General deficiency from too much exercise, or weight loss.
    • Blood deficiency (anemia)
    • Estrogen deficiency (menopause, stopping birth control pills)
    Do not use emmenagogues to encourage menstruation in deficiency conditions. Instead, use nutritives, restorative diets, lifestyle and herbs. Example nutritive herbs for reproductive organs include shatavari, damiana, and saw palmetto.
  6. Stress / Tension (Vata) As the uterus is a muscle, stress can disrupt its smooth, natural contractions and restrict release of menstrual blood. Travel and emotional shock can also disrupt regular contractions during menstruation, which also disrupts the natural flow of blood from the uterus. In these cases clear toxicity, and use muscle relaxants that are not progesterone based.
  7. Uterine Cold (Kapha or Vata) Uterine cold refers to conditions of poor circulation and blood flow to the uterus. Use warming or vasodilator herbs that stimulate blood flow, especially those that have an affinity for the reproductive tract. Example: cinnamon, hing, rosemary, ginger, guggulu, frankincense.
  8. Excess / Congestion / Stagnation (Kapha) Congestion and stagnation in the pelvic area can interfere with healthy menstruation. Some causes include:
    • Blood stagnation or congestion (an excess condition)
    • Low thyroid, adrenal exhaustion
    • Ovarian tumors, cysts
    • Other abdominal obstruction such as constipation and abdominal obesity
    Turmeric stimulates the liver and invigorates the blood. Cholagogues such as bhumyamalaki are particularly useful to decongest (thin) the blood plasma, while having a mild laxative effect that clears the abdomen.

Notes on Treatment

  • Take appropriate herbs daily until flow arrives. Visit our article on amenorrhea and scroll down for a list of possible herbs.
  • Delayed menstruation - Take one week before onset is due
  • Scanty menstruation - Take 3-4 days before onset is due until flow arrives.

INGREDIENTS WITH EMMENAGOGUE QUALITY

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HERBS & SUPPLEMENTS WITH EMMENAGOGUE QUALITY

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HELPFUL FOR*

'Emmenagogue' may be helpful for these symptoms and causes below.

CONTRAINDICATIONS / AGGRAVATES / IS AGGRAVATED BY*

'Emmenagogue' may aggravate, or be aggravated by, these symptoms and causes below.

TYPE: HERBAL_ACTION

About the Author

John Immel, the founder of Joyful Belly, teaches people how to have a healthy diet and lifestyle through constitutional nutrition (Ayurveda & Greek Medicine). His approach is clinical, yet exudes an ease which many find enjoyable and insightful. John also directs the Joyful Belly College of Ayurveda, offering professional clinical training in Ayurveda for over 15 years.

John's hobbies & specialties include advanced digestive disorders, medieval Catholic philosophy, & botany. He holds a bachelor's degree in mathematics from Harvard University. John, his wife Natalie and their 8 kids live in Asheville, NC

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* These statements have not been evaluated by the Food and Drug Administration. The information and products on this website are not intended to diagnose, treat, cure or prevent any disease.