Female Infertility

Health Condition

Female Infertility

  • Vitex

    Vitex has been shown to improve fertility, particularly for women with luteal phase defect, it should be discontinued once a woman becomes pregnant.

    Dose:

    40 drops of a liquid extract with water or 35 to 40 mg of encapsulated powder each morning
    Vitex
    ×

    Vitex is occasionally used as an herbal treatment for infertility—particularly in cases with established luteal phase defect (shortened second half of the menstrual cycle) and high levels of the hormone, prolactin. In one trial, 48 women (ages 23 to 39) who were diagnosed with infertility took vitex once daily for three months.1 Seven women became pregnant during the trial, and 25 women experienced normalized progesterone levels—which may increase the chances for pregnancy. In another double-blind trial, significantly more infertile women became pregnant after taking a product whose main ingredient is vitex (the other ingredients were homeopathic preparations) than did those who took a placebo.2 The amount used in this trial was 30 drops of fluid extract twice a day, for a total of 1.8 ml per day. This specific preparation is not available in the United States. Some doctors recommend taking 40 drops of a liquid extract of vitex each morning with water. Approximately 35–40 mg of encapsulated powdered vitex (one capsule taken in the morning) provides a similar amount. Vitex should be discontinued once a woman becomes pregnant.

  • Multivitamin

    One trial found that taking a multivitamin-mineral supplement increased female fertility.

    Dose:

    Refer to label instructions
    Multivitamin
    ×
     

    A double-blind trial found that taking a multivitamin-mineral supplement increased female fertility.3

  • PABA

    Some women have achieved pregnancy after supplementing with PABA, which is believed to increase the ability of estrogen to facilitate fertility.

    Dose:

    Refer to label instructions
    PABA
    ×
     

    Some previously infertile women have become pregnant after supplementing with PABA (para-aminobenzoic acid), 100 mg four times per day.4 PABA is believed to increase the ability of estrogen to facilitate fertility.

  • Vitamin E

    In one study, infertile couples given vitamin E showed significantly improved fertility.

    Dose:

    Refer to label instructions
    Vitamin E
    ×
     

    Vitamin E deficiency in animals leads to infertility.5 In a preliminary human trial, infertile couples given vitamin E (200 IU per day for the female and 100 IU per day for the male) showed a significant increase in fertility.6

What Are Star Ratings
×
Reliable and relatively consistent scientific data showing a substantial health benefit.
Contradictory, insufficient, or preliminary studies suggesting a health benefit or minimal health benefit.
For an herb, supported by traditional use but minimal or no scientific evidence. For a supplement, little scientific support.

Holistic Options

Acupuncture may be helpful in the treatment of some cases of female infertility due to problems with ovarian function. In a preliminary trial, women who did not ovulate were treated with acupuncture 30 times over three months. Effectiveness was determined by a combination of measures indicating ovulation was returning to normal. Acupuncture treatment resulted in a marked improvement in 35% and slight improvement in 48% of trial participants.7 The beneficial results achieved with acupuncture may be due to alterations in the hormonal messages from the brain to the ovary.8

Auricular (ear) acupuncture has been studied in a preliminary trial and compared with standard hormone therapy for treatment of infertility. In both the acupuncture and hormone therapy groups, 15 out of 45 patients became pregnant. Although the pregnancy rates were similar with either treatment, side effects occurred only in women taking hormones.9 Still, double-blind trials are needed to conclusively determine whether acupuncture is a useful treatment for female infertility.

References

1. Propping D, Katzorke T. Treatment of corpus luteum insufficiency. Zeitschr Allgemeinmedizin 1987;63:932-3.

2. Gerhard I, Patek A, Monga B, et al. Mastodynon® for female infertility. Randomized, placebo-controlled, clinical double-blind study. Forsch Komplementärmed 1998;5:272-8.

3. Czeizel AE, Metneki J, Dudas I. The effect of preconceptional multivitamin supplementation on fertility. Int J Vitam Nutr Res 1996;66:55-8.

4. Sieve BF. The clinical effects of a new B-complex factor, para-aminobenzoic acid, on pigmentation and fertility. South Med Surg 1942;104:135-9.

5. Thiessen DD, Ondrusek G, Coleman RV. Vitamin E and sex behavior in mice. Nutr Metab 1975;18:116-9.

6. Bayer R. Treatment of infertility with vitamin E. Int J Fertil 1960;5:70-8.

7. Mo X, Li D, Pu Y, et al. Clinical studies on the mechanism for acupuncture stimulation of ovulation. J Tradit Chin Med 1993;13:115-9.

8. Chen BY. Acupuncture normalizes dysfunction of hypothalamic-pituitary-ovarian axis. Acupunct Electrother Res 1997;22:97-108.

9. Gerhard I, Postneek F. Auricular acupuncture in the treatment of female infertility. Gynecol Endocrinol 1992;6:171-81.

10. Hatch EE, Bracken MB. Association of delayed conception with caffeine consumption. Am J Epidemiol 1993;138:1082-92.

11. Stanton CK, Gray RH. Effects of caffeine consumption on delayed conception. Am J Epidemiol 1995;142:1322-9.

12. Williams MA, Monson RR, Goldman MG, et al. Coffee and delayed conception. Lancet 1990;335:1603 [letter].

13. Grodstein F, Goldman MB, Ryan L, Cramer DW. Relation of female infertility to consumption of caffeinated beverages. Am J Epidemiol 1993;137:1353-60.

14. Wilcox A, Weinberg C, Baird D. Caffeinated beverages and decreased fertility. Lancet 1988;2:1453-6.

15. Joesoef MR, Beral V, Rolfs RT, et al. Are caffeinated beverages risk factors for delayed conception? Lancet 1990;335:136-7.

16. Fenster L, Bubbard A, Windhan G, et al. A prospective study of caffeine consumption and spontaneous abortion. Am J Epidemiol 1996;143(11 suppl);525 [abstract #99].

17. Hakim RB, Gray RH, Zacur H. Alcohol and caffeine consumption and decreased fertility. Fertil Steril 1998;70:632-7.

18. Cramer DW. Letter. Lancet 1990;335:792.

19. Buck GM, Mendola P, Vena JE, et al. Paternal Lake Ontario fish consumption and risk of conception delay, New York State Angler Cohort. Environ Res 1999;80(2 Pt 2):S13-S18.

20. Howe G, Westhoff C, Vessey M, Yeates D. Effects of age, cigarette smoking, and other factors on fertility: findings in a large prospective study. BMJ 1985;290:1697-9.

21. Weinberg CR, Wilcox AJ, Baird DD. Reduced fecundability in women with prenatal exposure to cigarette smoking. Am J Epidemiol 1989;129:1072-8.

22. Grodstein F, Goldman MB, Cramer DW. Infertility in women and moderate alcohol use. Am J Public Health 1994;84:1429-32.

23. Florack EIM, Zielhuis GA, Rolland R. Cigarette smoking, alcohol consumption, and caffeine intake and fecundability. Prev Med 1994;23:175-80.

24. Hakim RB, Gray RH, Zacur H. Alcohol and caffeine consumption and decreased fertility. Fertil Steril 1998;70:632-7.

25. Green BB, Weiss NS, Daling JR. Risk of ovulatory infertility in relation to body weight. Fertil Steril 1988;50:621-6.

Copyright © 2024 TraceGains, Inc. All rights reserved.

Learn more about TraceGains, the company.

The information presented by TraceGains is for informational purposes only. It is based on scientific studies (human, animal, or in vitro), clinical experience, or traditional usage as cited in each article. The results reported may not necessarily occur in all individuals. Self-treatment is not recommended for life-threatening conditions that require medical treatment under a doctor's care. For many of the conditions discussed, treatment with prescription or over the counter medication is also available. Consult your doctor, practitioner, and/or pharmacist for any health problem and before using any supplements or before making any changes in prescribed medications. Information expires December 2024.

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