Hello teachers! I am currently working with a 24 year old client that has come off of her hormonal IUD and is seeking support to get her menstrual cycle to begin again. She has been on birth control for almost 10 years, previously "the pill". Began menses at age 13 or 14, never really had a regular cycle, usually super light and once every few months and started birth control not long after, at age 15 and then switched too an IUD at age 20. She was a ballerina in high school and struggled with anorexia, which is no longer a concern for her and has developed a healthy relationship with food. There is some family history of irregular periods, and her mother had to have fertility support to have children (had 4 kids). I also feel it relevant to note that she originally came to me to seek support for depression and through herbal support and supplements she is no longer on antidepressants and feeling better than ever as far as that is concerned. Tongue diagnosis is new to me in this class so, I will do my best to describe here. based off the lectures with Andrew and previous case studies as reference, her tongue shows yin def heat, kidney and liver yin def, pronounced blood stagnation notable underneath of tongue. I recommended a tincture formula of vitex berry, dong quai, motherwort, dan shen, licorice and a tea blend of raspberry leaf and tulsi basil. She is also drinking infusions of red clover, oatstraw and hawthorn. I know that it can take some time to try to bring back a menstrual cycle after so many years of birth control, and the fact that her body has never really been able to try to have a regular cycle since shes been on contraceptives since starting menses. She has been taking this tincture blend for the last 2.5-3 months at 2 droppers full 2 times daily and about a month ago began feeling some mild cramping for a few days but no cycle. She had some bloodwork done and was referred to an endocrinologist who told her she had completely normal hormone levels, ruled out PCOS and it was probably genetic and she had "hypothyroidism amenorrhea". She did not have a positive experience with that doctor and may seek a second opinion. I would love your opinion on the bloodwork values and see if you have any recommendations, now that I have this information as to how I could possibly adjust her formula to support. Thanks in advance! This is the only bloodwork done: Estradiol - <20.0 pg/ml Testosterone - 22.2 ng/dL Beta HCG Quantitative - <5 mIU/mL TSH - 1.16 uIU/mL Prolactin - 7.87 ng/mL Follicle Stimulating Hormone - 4.59 mIU/mL Testo, Free LC-MS - 2.7 pg/mL

This is close to a case history and we really cannot do that on ATP What i can say briefly is that my preferred herb for this situation is Helonias, but it is an endangered species, so I don't use it anymore. The next best herb is Shatavari, (2 p) it can be combined with White Peony (1 p), Dang Gui (1 p), Chuan Xiong (1 p), Hong Hua/Safflower (1 p), Tree Peony (1/2 p) and Vitex (1 p). This will need to be taken for 3-6 months to re-establish a normal cycle. Deficiencies of Zinc, Magnesium, B-6, Vitamin E or omega 3 fatty acids can be an issue for some people as well. Also her TSH suggests she does not have a hypothyroid condition, so hypothyroid amenorrhea would be unlikely.

thank you I understand and appreciate you taking the time for the response. this is what I was looking for. I apologize for the case like question, Ive seen other questions in this forum with similar volumes of info and bloodwork so I assumed it was ok. thanks again!