I recently asked in my Facebook support group what supplements women had used while trying to recover from hypothalamic amenorrhea / no period as I wanted to look further into the science behind each of them. I was astounded at the range of answers – 53 women used one or more of 65 different supplements!
How do I restore missing periods?
Unfortunately, many women are prescribed supplements instead of what we all know works – eating more, exercising less (particularly less high intensity exercise), and reducing stress. A common refrain was captured well by one poster:
Ellen: Oooh, I’ve tried so many supplements in hopes of sidestepping real lifestyle change! I’ve dabbled with vitex, maca, soy, estroven, bulletproof diet recipes, acupuncture…while some (acupuncture) really benefited me in other aspects like stress level, none served as proxies for eating bravely and resting bravely- which I am finally giving a go.
It is really important to take heed of what Ellen says – there is no way around making lifestyle changes. If you have no period due to HA, while you might (possibly – success is not guaranteed!) be able to get pregnant using injectable gonadotropins or IVF, those are not going to restore your system to balance or bring back that missing period / cycle. In the words of another wise woman:
Ali: Ashwagandha definitely helped with my energy levels while trying to fully recover…but I’m still a huge fan of going 100% all-in with food and exercise 🙂 I also tried maca and vitex with no luck whatsoever…but that was when I was half-assing it back in the day (excuse my french).
The Science Behind the Supplements
Over the next few weeks I am going to delve into the science that supports each of these supplements, looking at what they have been proven to do, what they might do, and what are unicorn dreams. I’m getting some help from the women in my facebook group as there are just too many for me to follow up without assistance!
First, here’s the list of all the supplements – ordered by number of women taking them (in parentheses), then alphabetically.
- Vitex (17),
- Maca (10),
- Seed cycling (9),
- Magnesium, Zinc (8),
- Acetyl-L-carnitine, fish oil (7),
- Ashwagandha, Vitamin D (6),
- evening primrose, Soy isoflavones (5),
- Iron, Omega 3 (4),
- B12, Don quai (3),
- B complex, B6, Chasteberry (same as vitex), cod liver oil, inositol, Multivitamin, probiotics, Progessence plus essential oil, Red raspberry leaf, royal jelly, Shavatari, Tribulus, Vitamin C (2),
- 5-htp, adaptogens, adrenal supplement, Calcium, chinese herbs, colloidal minerals, CoQ10, Dandelion, dessicated liver, DHEA, estroven, Fairhaven health FertileCM, Floradix liquid iron and vitamin supplement, folate, Free Wanderer, Herbal tea with chlorphyll, iodine, kefir, L-theanine, Licorice root, Melatonin, Moxa tea, natural dessicated thyroid, ovatrophin, Rhodiola, Selenium, Soy, spirulina, symplex F, Tulsi (Ginseng), turmeric, Unicorn’s Pearl, Vitamin K2, White Peony, Wild Yam, Women’s Chamber (1),
- black cohosh, estrosense, FertilityBlend (recommended but not taken).
Clearly some of these are minerals rather than “supplements” – but we will check them all out and report back as to their utility in regaining missing periods, and other ways they might support health as you work to recover from hypothalamic amenorrhea.
Birth control pills and missing periods…
While birth control pills aren’t a “supplement,” they are often prescribed to women with HA sometimes even with the idea that they will help with missing period recovery so I wanted to mention them in this post. It is important to note that will you will most likely bleed on birth control pills, but they do NOTHING to get your natural system working again, in fact, they suppress your natural hormones. So please don’t take birth control pills in hopes of “jumpstarting” your cycles because there is just no mechanism by which that works. Same with hormone replacement therapy. While that can potentially have its place in supporting your system while you work toward natural cycles, it does not jumpstart them either.
Does Vitex help with no periods?
My first post on this will be coming soon, talking about the most popular herb/supplement taken by those in our group – Vitex. Stay tuned!