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MoonDragon's ObGyn Womens Health Information
UTERINE BLEEDING, POSTMENOPAUSAL




BASIC INFORMATION


"For Informational Use Only"
For more detailed information contact your health care provider
about options that may be available for your specific situation.


DESCRIPTION

Postmenopausal uterine bleeding (PMB) is defined as unexpected, vaginal bleeding that begins 6 to 12 or more months after menopause.

MoonDragon's ObGyn Information: Dysfunctional (Abnormal) Uterine Bleeding, Pre-Menopausal



FREQUENT SIGNS & SYMPTOMS

  • Vaginal bleeding, which may be a light-brown discharge or heavy, red bleeding (with or without clots). Mucus may accompany the bleeding. Bleeding episodes vary in length. The type or quality of the bleeding is not as relevant as the fact that it has taken place. Following menopause, women who are being treated with hormonal replacement therapy will likely encounter some bleeding and should consult with her health care provider about the types of bleeding to be concerned about.

  • Pelvic pain (sometimes).



    CAUSES

    There are many causes of postmenopausal bleeding.

  • The most common is hormone replacement therapy. Women who are taking hormone replacement therapy very often may develop PMB because the uterine lining is very sensitive to estrogen, which promotes growth of the endometrium, just as it does in the normal reproductive cycle that was operative prior to menopause. Lack of estrogen, on the other hand, may cause atrophy of the lining, and in this condition, the blood vessels of the uterine lining become so fragile because of estrogen lack that they spontaneously break and then bleed.


  • Overgrowth of the uterine lining is called "hyperplasia," may be the cause of abnormal post-menopausal bleeding, Some specific types are associated with a malignant potential. About 20 percent of true post-menopausal bleeders may have cancer of the endometrium (the uterine lining).


  • Cancer of the reproductive system (uterine, cervical, ovarian, vulvar or vaginal cancer , etc.).


  • Irritation or infection of the membranes lining the vulva.


  • Vaginal or endometrial atrophy (shrinking or wasting away of tissue).


  • Injury or trauma to the vagina, associated with reduced estrogen levels.


  • Polyps or benign tumors of the cervix.


  • Polyps on the inner uterine lining: Myoma - Polyps and fibroids are common benign growths that develop in the uterine cavity. The former is most often associated with irregular light spotting, staining or actual light bleeding. The latter may also present this way, but in fact may be associated with much heavier bleeding.


  • Hormone therapy that stimulates the endometrium (uterine lining), causing sloughing similar to normal menstruation. Estrogens (female hormones) used irregularly are a common cause of this.


  • Disorders of the blood cells, lymphatic system or bone marrow.


  • High blood pressure (hypertension).


  • Congestive heart failure.


  • Liver disorders.


  • Anticoagulant or aspirin-containing drugs.
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    RISK INCREASES WITH

  • Recent vaginal infection.


  • Adult women over 60, due to fragile blood vessels and thin vaginal or uterine lining.
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    PREVENTIVE MEASURES

  • No specific preventive measures.
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    EXPECTED OUTCOME

  • Depends on the underlying cause and treatment chosen.
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    POSSIBLE COMPLICATIONS

  • Anemia.


  • If cancer is the cause, it may spread to other body parts.


    • MoonDragon's ObGyn Information: Uterine Cancer



    TREATMENT


    GENERAL MEASURES

    DIAGNOSIS

    Unexplained postmenopausal bleeding requires further testing. Diagnostic tests may include:
      LABORATORY BLOOD STUDIES - HRT & ESTROGEN LEVELS. One of the major concerns for women using estrogen for menopause management is the return of menstruation. For most women, menstruation after menopause, if they are taking hormone replacement therapy, is perfectly normal. Furthermore, it is a good sign and it simplifies menopause management for the clinician. Estrogen circulating in the blood is beneficial because of the effects on the skeleton, skin, and genital organs. To accomplish these effects, one needs to get a therapeutic level of the hormones which simulate the natural levels women experienced before menopause. Most practitioners agree that the minimum level of serum estrogen to achieve any tissue effects is approximately 60 pg/ml (picograms/ milliliter). At approximately 100 pg/ml, there is enough tissue effect on the lining of the uterus to simulate menstruation. Serum estrogen levels in normally menstruating women range from 100 to 300 pg/ml. From a positive perspective, bleeding during menstruation means that you are getting enough estrogen into your body to achieve a tissue effect. Monthly menstruation tells you that the medication is actually working.

      There are several ways to take estrogen if your uterus has not been removed. If you are taking it with cyclic progesterone such as Provera (medroxyprogesterone acetate), than a short period 2-3 days after completing the progestin is totally normal. If you are taking estrogen and progesterone daily (not cyclically) and you occasionally have a little spotting, there is no cause for alarm. However, if you have irregular bleeding throughout the month, that is abnormal and you need to consult with your health care provider to make sure that there is no serious problem. The most typical problem is either a polyp or small fibroid within the uterine cavity. This can be diagnosed easily by transvaginal ultrasound. Only rarely is either malignant. The use of estrogen and progesterone combination therapy in any form reduces the risk of uterine cancer in women. Uterine cancer is a relatively uncommon cancer. In studies, the incidence of uterine cancer was cut by approximately 60 percent by taking combined hormone replacement therapy compared to non-users.

      The traditional view has been that post-menopausal bleeding was bad and equaled uterine cancer until proven otherwise. Considering that the risk of having uterine cancer for post menopausal women taking combined hormone replacement therapy is less than 1/1000 and that many of these women will be having post menopausal bleeding - particularly if they have an adequate dose of hormone replacement therapy means that newer models for the management of post menopausal bleeding have to be developed.

      MEDICAL HISTORY: A medical history is important in diagnosis of the underlying problem. The health care provider will need to know if the woman is using hormone replacement therapy (HRT) or if she has a history of known uterine fibroids, for example.

      PELVIC EXAM & PAP SMEAR: A thorough pelvic examination of the vulva, vagina and cervix (including a PAP smear) should exclude causes in the lower genital tract.

      UTERINE BIOPSY: A uterine biopsy requires the passing of a small tube-like device through the cervix and into the uterine cavity, suction is applied and small fragments of tissue are removed for microscopic examination.

      ULTRASOUND: An ultrasound of the pelvic area. This study can delineate the thickness of the uterine lining, and perhaps the presence of a polyp or fibroid. Thickened endometrial lining can be seen spontaneously without significant underlying pathology, as a result of hormone therapy, in cases of hyperplasias or cancer, or because of other benign growths. A number of studies have been done which show that a thin uterine lining (less than 5 mm) is never associated with uterine cancer. One must remember that ultrasound examinations are the sophisticated interpretations of "shadows" and do not make an absolute diagnosis, as is the case with microscopic analysis. Thus, an abnormal ultrasound examination requires further investigation.

      Another variation of vaginal ultrasound is hysterosonography where a small amount of fluid is placed in the uterine cavity at the same time the ultrasound is done. This outlines the contents of the uterine cavity. When there is a thickening of the cavity (more than 5 mm), hysterosonography is done. If the thickening is generalized, an endometrial biopsy is done in the office. If the thickening is localized, than a simple outpatient surgical procedure called a hysteroscopy ( where the health care provider looks inside of the uterus) and a D&C (a scraping out of the thickened area) is done.

    CONVENTIONAL MEDICAL TREATMENT

    Specific therapy, usually medications or surgery, is dependent on the cause.

    Hormone related post-menopausal bleeding is usually controlled by manipulation and alteration of hormone therapy. Certain hyperplasias may require extra progesterone-like supplementation in order to reverse this process. Polyps or fibroids protruding into the uterine cavity can removed with the hysteroscope, and the lining may then be sealed with electrical energy (endometrial ablation) to minimize any further PMB.
      DILATION & CURETTAGE (D&C): dilation and curettage (D&C) which is the dilation of the cervix and scraping out of the uterus with a curette that may be both diagnostic and a treatment to relieve the bleeding.

      A "D&C" may be considered an old, essentially obsolete, procedure whereby a sharp spoon-like instrument is passed blindly through the cervix, and a scraping of the lining is performed in order to obtain tissue for microscopic analysis. More often than not, because it is truly a blind procedure, polyps and fibroids will be missed, as well perhaps as an early cancer. Hysteroscopy is far more precise and accurate. Some health care providers believe a "D&C" should be used only to evacuate the products of conception from the uterine cavity at the time of a miscarriage and A "D&C" is marginally useful for establishing an accurate diagnosis in the case of post-menopausal bleeding and is almost worthless or treatment.

      HYSTEROSCOPY: This may include a hysteroscopic (telescopic instrument with fiberoptic light) examination. Hysteroscopy is a special test that entails the passing of a tiny telescope through the cervix allowing the actual visualization of the uterine cavity. Fibroids or polyps can be seen and removed, and suspicious area of tissue biopsied under direct vision.

    HYSTEROSCOPIC & RESECTOSCOPIC ENDOMETRIAL ABLATION

    Over the past decade, a technique has been developed that can reduce or stop your periods without a hysterectomy. This surgery can be done in women who have flooding either with or without fibroid tumors. This technique is called a hysteroscopic endometrial ablation or "roller ball surgery". Patients who have had this procedure have been followed for up to 10 years. During this period of time, they have experienced either complete, or almost complete, cessation of menses in over 90 percent of the cases. The "Roller ball" is done under general anesthesia or regional block (spinal or epidural). This is the outpatient procedure. Hospitalization is not necessary, except in rare instances.

    roller ball


    Endometrial ablation has traditionally been done using a hysteroscope. Some practitioners have switched to using an instrument called a resectoscope. This resectoscope is a special type of telescope that allows the health care provider to see inside the uterus during the procedure. It has a built in wire loop that uses hight frequency electrical energy to cut or coagulate tissue. The resectoscope has the advantage of being able to remove polyps and some fibroids at the time of ablation. In results reported to the FDA where resectoscopic endometrial ablation was done by experts, the success rate was approximately 95 percent, with 40 percent of women having no bleeding whatsoever in 1 year. Practitioners report patients treated with the resectoscope as part of those trials, 58 percent of women had no bleeding at all after 1 year. It takes extensive experience and skill to be able to safely use the resectoscope, and obtain this degree of success.

    Following the procedure, patients note a brownish to slightly bloody discharge, which occurs shortly after the procedure, and last up to 6 weeks. Patients are advised to refrain from any kind of exercise for at least 3-4 weeks because there have been reports of heavy bleeding following strenuous exercises (i.e., moving furniture, cutting wood, jogging). Half the patients will experience no side effects with the cautery technique, and are back to normal activity within 2-3 days: the other half will notice a cramp-like sensation, and are tired for several days. Over 90 percent of the patients are back to normal activity within 4-5 days after surgery. Most patients take 4-5 days off work following their surgery, although some individuals have returned to work within 24 hours.

    This operation may cause sterility, but it is not guaranteed. However, if a woman chooses to be permanently sterile, a tubal ligation should be performed. Prior to using either cautery technique, it is important that the menstrual cycle be modified. This is achieved by taking tablets called danocine (Danazol) or medroxyprogesterone (Provera). Danocrine is a medication usually used for a condition called endometriosis. Generally, 2-4 pills a day are taken for 6 weeks. The side effects of Danocrine include weight gain, growth of hair, acne, and general malaise. The side effects of Provera include slight weight gain, depression, and PMS like symptoms. The third approach is an anti-hormone shot called Depo-Lupron. This medication causes a state of temporary menopause with hot flashes, vaginal dryness, and sleep disturbances. Because Depo-Lupron is quite costly ($500/month for 2 months), it is not used as often for preparation for this procedure. Following the cauterization of the uterine cavity, patients are often given an injection of a long-acting progesterone called medroxyprogesterone-depo (Depo-Provera). The shot will last approximately 3 months. During this time, a rare patient may experience mild depression. Bleeding is generally reduced when this medication is used post-operatively.

    There is either reduction or cessation of the menstrual flow with this procedure. However, it takes 1 to 2 years to know exactly what the final results of the treatment will be. The complications of cauterization of the uterine lining include the risks of anesthesia and perforation of the uterus. A large volume of fluid is used during the procedure, and there is a rare chance of absorption of this fluid with mild alteration in blood products, i.e. electrolytes. The risk of perforation of the uterus is rare primarily because of the modifications that are employed in performing the technique and the skill of the practitioner. It takes extensive experience and skill to be able to safely use the procedure - Out of the first 100 women having this procedure, only 4 returned for a hysterectomy or more extensive gynecological surgery. 96 percent of the candidates were spared more extensive surgery.

    This procedure has fewer surgical risks than a hysterectomy and provides an option to hysterectomy for stopping or reducing menstrual flow or for removing small fibroids or polyps while preserving a young woman's fertility. A new procedure called a Uterine Balloon Ablation was approved by the FDA in December, 1997.

    UTERINE BALLOON ABLATION

    This uses a balloon placed in the uterine cavity through the cervix. Hot water is circulated inside the balloon to destroy the endometrium. Some experts are concerned about the balloon's ability to reach the cornual areas (the "top corners") of the uterus. Although the balloon's success rate in FDA studies was reasonable, the it had a much lower rate of amenorrhea the other currently available device - only 13 percent. Some medical practitioners see no advantages and many disadvantages to it's use, so they may not recommend this device.

    HYSTERECTOMY

    Cancer obviously requires a much more aggressive treatment. A hysterectomy is the removal of the uterus (hysterectomy).

    HOME TREATMENT TO EASE DISCOMFORT

    While you are waiting for your diagnostic tests results to arrive, it may be helpful to take frequent lukewarm baths to relax muscles and relieve discomfort. Sit in a tub of water for 10 to 15 minutes as often as necessary. Use heat to relieve pain. Place a heating pad or hot water bottle on the abdomen or back when resting.



    MEDICATION

  • If hormone medications are currently being taken, the dose may need to be adjusted. In other cases, hormones may be prescribed depending on the medical evaluation of the bleeding.


  • Medication to treat the underlying disorder, such as antihypertensives for high blood pressure.
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    ACTIVITY

  • Resume your normal activities as soon as symptoms improve.


  • Sexual relations may be resumed as soon as desired after diagnosis and treatment.
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    DIET

  • No special diet after treatment, but eat a well-balanced diet. Vitamin and mineral supplements are helpful to prevent anemia.

  • Eat an healthy all-food diet. The patients suffering from abnormal uterine bleeding should increase intake of whole grains, fresh ripe fruits, fresh green vegetables, legumes, seeds and fish of sardines, tuna, salmon varieties to endow body with adequate nutrition and minerals.


  • It is advisable for patients to avoid consumption of saturated meat products like beef, chicken, cheese etc. to stimulate the prostaglandin pathways which further assists in elimination of inflammation from body and also controls menstrual cramps and excessive flows.


  • The adequate consumption of iron rich food items is of utmost significance in the treatment of excessive bleeding. Inclusion of iron rich foods in major meals of day provides with a superior immune system together with prevents from iron deficient anemia. It is advisable for the patients to take half a cup of brewer's yeast or wheat germ daily once a day.
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    NUTRITIONAL SUPPLEMENTS & PRODUCTS

    The main objective of natural treatment for abnormal uterine bleeding is to control bleeding, repair the menstrual pattern and avoid endometrial hyperplasia. Given below are a number of tried and tested natural cures that can be exercised by a patient to get almost instantaneous relief. You should consult with a qualified herbal practitioner before taking any supplement to make sure you are using the right supplement(s) for your situation and for correct dosages.



    AGRIMONY PRODUCTS

  • Agrimony (Agrimonia Pilosa). In Traditional Chinese Medicine Agrimony is used to stop excessive menstrual bleeding. Its natural astringency has been effective both internally and externally for thousands of years to stop bleeding and bruising by "tanning" skin cells, making them impermeable to bleeding. Further, its vitamin K content works by promoting blood clotting that also controls bleeding. When used externally, this action also prevents bacteria from entering the wound. Used for various kinds of bleeding, such as hematemesis, hemoptysis, epistaxis, hemafecia, metrorrhagia, etc. It is also used to clear away toxic material and kill parasites and for skin infection, hemorrhoids, diarrhea, dysentery and malaria. Recently, used for bacterial food poisoning, and trichomonas vaginitis. Its active component agrimonine is a hemostatic.
    ALFALFA PRODUCTS

  • Alfalfa alkalizes and detoxifies the body. Eases inflammation, lowers cholesterol, balances hormones. Rich in nutrients it is good for anemia, bleeding-related disorders, bone and joint disorders, colon and digestive disorders, skin disorders, and ulcers.

    • ASHOKA BARK PRODUCTS

  • Ashoka Bark Powder (Saraca Indica) is a tonic for the uterus believed to help maintain proper function of the female reproductive system. The herb has been known to be used in uterine and uterine related indications. Helpful in managing conditions involving menhorragia (fibroids), bleeding hemorrhoids, hemorrhage, dysentry. The bark has a stimulating effect on the endometrial and ovarian tissues and is largely useful in menorrhagia due to uterine fibroids, in leucorrhea and in internal bleeding, where ergot is indicated. It is well established for its effectiveness in dysmenorrhea. Produces an estrogen-like effect that enhances the repair of the endometrial and stops bleeding. It is also useful in internal bleeding, hemorrhoids and also hemorrhagic dysentery. Oxytocic activity of the plant was seen in rat and human isolated uterine preparations. Estrogen-primed or gravid uterus was more sensitive to the action of the alcoholic extract. Pentolinium bitartrate completely blocked the oxytocic action. Seed extract is found effective against dermatophytic fungi. Its use in treatment of excessive uterine bleeding is extensive in India. The plant is used also in dysmenorrhea and for depression in women. Bleeding from piles is reduced with the plant. In the commonly used doses side effects are rare. Larger doses may cause constipation. Warnings: Do not take during pregnancy.

    • ASHWAGANDHA PRODUCTS

  • Ashwagandha is well established for its effectiveness in dysmenorrhea. Produces an estrogen-like effect that enhances the repair of the endometrial and stops bleeding. It is also useful in internal bleeding, hemorrhoids and also hemorrhagic dysentery. Oxytocic activity of the plant was seen in rat and human isolated uterine preparations. Estrogen-primed or gravid uterus was more sensitive to the action of the alcoholic extract. Pentolinium bitartrate completely blocked the oxytocic action. Seed extract is found effective against dermatophytic fungi. Its use in treatment of excessive uterine bleeding is extensive in India. The plant is used also in dysmenorrheal and for depression in women. Bleeding from piles is reduced with the plant. In the commonly used doses side effects are rare. Usage: 3 to 6 VCaps Daily. Warnings: Do not take during pregnancy.

    • BLACK COHOSH PRODUCTS

  • Black Cohosh has a history as a folk medicine for women's health conditions such as relieving menstrual cramps and easing menopausal complaints. Black cohosh (derived from species of buttercup) is effective against hot flashes and night sweats and can also lower the blood pressure, acting to the hypothalamus and pituitary gland. Black cohosh is also a traditional remedy for treating arthritis, muscle pain, sore throat, cough and indigestion. The juice of the plant has been used as an insect repellent and was made into a salve and applied to snake bites. Today, black cohosh is used primarily as a nutritional supplement for hot flashes, mood swings, night sweats, vaginal dryness and other symptoms that can ocur during menopause as well as for menstrual cramps and bloating. The parts of the plant used medicinally are the fresh or dried roots and rhizomes (underground stems). The active compound is believed to be 26-deoxyactein. Black cohosh can be taken in several forms, including crude plant, dried root, or rhizome (300-2,000 mg per day), or as a solid, dry powdered extract (250 mg three times per day). Standardized extracts of the herb are available, though they have primarily been researched for use with menopausal women suffering from hot flashes. The recommended amount is 20-40 mg twice per day. The best researched form provides 1 mg of deoxyactein per 20 mg of extract. Tinctures can are also used (2-4 ml three times per day). The Commission E Monograph recommends black cohosh be taken for up to six months, and then discontinued. Black cohosh should not be used during pregnancy.

    • BLOODWORT ROOT (GREAT BURNET) PRODUCTS

  • Bloodwort Root (Sanguisorba Officinalis), also known as Great Burnet, is a Traditional Chinese Medicine remedy employed mainly for its astringent action, being used to slow or arrest blood flow. It is said to cool the blood and stop bleeding and for bleeding due to blood-heat, mainly used for hematemesis, hematuria, hemorrhoids, also for hemoptysis, metrorrhagia, etc. It is used to clear away heat and toxic materials, for diarrhea and dysentery of dampness-heat type. Recently also used for typhoid fever. Topical application may be adopted for burn, skin infection, eczema, skin erosion. It is a hemostatic and inhibits the growth of various pathogenic bacteria.

    • CAT TAIL POLLEN (BULRUSH)

  • Cat Tail Pollen (Typha Angustata), is also known as Bulrush, is a Traditional Chinese Herbal Remedy used to stop bleeding and remove blood stasis. It is used for bleeding caused by trauma and blood-stasis, especially for metrorrhagia and menorrhagia; to promote blood circulation to remove blood stasis: For angina pectoria, postpartum abdominal pain, menalgia, abdominal pain and swelling and traumatic pain due to blood stasis. It has recently been used for hyperlipemia, especially for hypertriglyceridemia and hypercholesterinemia. It promotes diuresis and reduce stranguria: For stranguria complicated by hematuria and that of heat type. In addition, external use for exudative eczema. It strengthens the tone and promotes rhythmical contraction of uterus in animals and human. Its decoction lowers blood pressure and shortens blood clotting time.

    • CHASTE TREE (VITEX) PRODUCTS

  • Chaste Tree (Vitex) is one of the most popular herbs in European nations for hormonal disorders related to females. Since medieval times, the chaste tree has been used to treat all kind of menstrual disorders. Chaste tree should be consumed for at least 2-3 months to get permanent solution of problem. Although, it cannot be trusted to deliver instantaneous relief but its positive results are well guaranteed by the past studies.


    • Chaste Tree may help relieve different menstrual abnormalities associated with pre-menstrual syndrome, including dysmenorrhea. 40 drops of a liquid preparation delivers the equivalent of 40 mg of the dried berries of the plant. Vitex and Black Cohosh can be combined at 30 drops each, twice daily, to reduce dysmenorrhea.
    CIMICIFUGA RHIZOME (CHINESE COHOSH) PRODUCTS

  • Cimicifuga Rhizome (Cimicifuga heracleifolia Kom., C. dahurica (Turcz.) Maxim. and C. foetida L.) is a Traditional Chinese Herb used to expel wind and heat, clear away toxic materials and let out skin eruptions. Used for common cold of wind-heat type, and measles with indistinct eruptions, lift up yang-energy, for visceroptosis, clear away heat and expel fire, inhibiting myocardium, slowing heart rate and lowering blood pressure. In traditional Chinese medicine, the Chinese variety of Black Cohosh is thought to relieve pain and was used for headaches, gingivitis, diarrhea and skin disorders (from hives to measles). It may be combined with hemostatic herbs for use in menstrual bleeding disorders.

    • CINNAMON BARK

  • Cinnamon Bark is warming to the body, an analgesic, carminative, antiseptic, and antibacterial. It is used to treat chronic diarrhea, cramps, heart and abdominal pains. Cinnamon Bark is also used to treat coughing, wheezing, and lower back pains. It is especially useful for stomach problems; colic, flatulence, indigestion, dysentery, and spasms. It is useful in treating uterine hemorrhaging. Cinnamon Bark can be used as a tincture every fifteen minutes to stop uterine bleeding. Suggested Dosage or Use: Use 6 to 12 drops in juice, water, under the tongue or as desired. May be taken 3 times daily.

    • Note: There is a difference between Ceylon and Cassia cinnamon. In some recent studies in Europe, cinnamon derived from the Cassia plant contains a toxic compound known as Coumarin. This compound may carry a theoretical risk of causing liver and kidney damage in a small number of sensitive people who consume large amounts of cinnamon. The powdered cinnamon often sold as being true cinnamon in our supermarkets is typically derived from the Cassia plant. It is important to avoid high doses of it. Since cinnamon has an anti-clotting effect on the blood, caution should be exercised when it is used in combination with other blood-thinning products such as aspirin. Large quantities of cinnamon should be avoided during pregnancy due to the possibility of adverse effects on the uterus. Since cinnamon has been used as a sugar substitute in beverages, special caution should be taken. People who are taking medications for controlling blood sugar levels or blood thinners should consult with their health care provider before using cinnamon as a regular supplement.



    DIFFERENCE BETWEEN CINNAMON & CASSIA

    Although related, cinnamon and cassia are not obtained the same plant. They should be treated as separate foods, both from a nutritional and a health standpoint. Scientifically speaking, there is only one true cinnamon, which is most commonly called Ceylon cinnamon, and comes from the plant Cinnamomum zeylanicum. An alternative scientific name for Ceylon cinnamon is Cinnamomum verum, which simply translates as true cinnamon.

    The term cassia never refers to Ceylon cinnamon but rather to other species of cinnamon, including Cinnamomum cassia (alternatively called Cinnamomum aromaticaum) and Cinnamomum burmannii. While most simply referred to as cassia, you will often find Cinnamomum aromaticaum being referred to as Chinese cinnamon or Saigon cinnamon, and you will find Cinnamomum burmannii being called Java cinnamon or Padang cassia.

    Ceylon cinnamon is typically more expensive than any of the cassia versions, and it is also the cinnamon more closely associated with potential health benefits involving blood sugar regulation. However, since both forms belong not only to the same family of plants (Lauraceae, the laurel family) but also to the same genus (Cinnamomum). They share many characteristics, and in some studies on rats and mice, the cassia cinnamons have shown blood sugar regulating ability as well.

    What true cinnamon and cassia do not have in common is their coumarin content. Coumarins are naturally occurring plant components that can have strong anticoagulant properties. Because our blood needs to maintain its ability to coagulate in times of injury, excessive intake of coumarins over a prolonged period of time can pose health risks. While the level of naturally occurring coumarins in Ceylon cinnamon appears to be very small and lower than the amount that could cause health risks, the level of naturally occurring coumarins in the cassia cinnamons appears to be higher and may pose a risk to some individuals if consumed in substantial amounts on a regular basis. For this reason, organizations like the Federal Institute for Risk Assessment in Berlin, Germany have recommended that large amounts of the cassia cinnamons be avoided.

    Unfortunately, there is no way to tell the difference between cinnamon powders that have been made from Ceylon/true cinnamon versus the cassia cinnamons. If you are buying cinnamon powder to use in a recipe, we recommend purchasing a cinnamon product that identifies the source of its cinnamon or calling the manufacturer to obtain this information.

    In the case of stick cinnamon, however, there is one feature of the sticks you might want to look for in order to determine whether your cinnamon is true cinnamon or cassia cinnamon. That feature involves the texture of the sticks when you look downward at a stick so that you can see the end. When cinnamon sticks are rolled from the thick bark of the cassia plants, they look exactly as described-a one-piece, thick bark layer that does not show multiple layers of any kind. In the case of Ceylon cinnamon sticks (true cinnamon), since the plant bark is thinner, you may be able to see multiple layers of a thinner bark. That thinner layering of bark is one indication that your cinnamon sticks are made from true cinnamon. After finding true cinnamon sticks, of course, you can use a coffee grinder or a mortar and pestle to grind the sticks up into a powder.

    When used in ordinary seasoning amounts occasionally in the diet, it is unlikely that you will face added health risks from the cassia cinnamons. We do not see a reason to avoid the cassia forms of this spice when consumed on this limited basis. However, if you are an avid cinnamon lover and likely to consume large amounts of cinnamon, we recommend Ceylon cinnamon (true cinnamon) as your best choice. Regardless of your Ceylon versus cassia decision, we always encourage you to purchase organic cinnamon, along with organic versions of all spices and seasonings.

    References: WHFoods: Original Article

  • Anderson RA. Chromium and polyphenols from cinnamon improve insulin sensitivity. Proc Nutr Soc 2008;67(1):48-53. 2008.
  • Dugoua JJ, Seely D, Perri D, et al. From type 2 diabetes to antioxidant activity: a systematic review of the safety and efficacy of common and cassia cinnamon bark. Can J Physiol Pharmacol 2007;85(9):837-47. 2007.
  • Mang B, Wolters M, Schmitt B, et al. Effects of a cinnamon extract on plasma glucose, HbA, and serum lipids in diabetes mellitus type 2. Eur J Clin Invest 2006;36(5):340-4. 2006.
  • Matan N, Rimkeeree H, Mawson AJ, et al. Antimicrobial activity of cinnamon and clove oils under modified atmosphere conditions. Int J Food Microbiol 2006;107(2):180-5. 2006.
  • Vanschoonbeek K, Thomassen BJ, Senden JM,. Cinnamon supplementation does not improve glycemic control in postmenopausal type 2 diabetes patients. J Nutr 2006;136(4):977-80. 2006.
  • Verspohl EJ, Bauer K, Neddermann E. Antidiabetic effect of Cinnamomum cassia and Cinnamomum zeylanicum in vivo and in vitro. Phytother Res 2005;19(3):203-6. 2005.




    • LEVELS OF COUMARIN IN CASSIA CINNAMON VARY GREATLY EVEN IN BARK FROM THE SAME TREE

    ScienceDaily (Nov. 3, 2010) — A "huge" variation exists in the amounts of coumarin in bark samples of cassia cinnamon from trees growing in Indonesia, scientists are reporting in a new study. That natural ingredient in the spice may carry a theoretical risk of causing liver damage in a small number of sensitive people who consume large amounts of cinnamon.

    The report appears in ACS' bi-weekly Journal of Agricultural and Food Chemistry.

    Friederike Woehrlin and colleagues note that cinnamon is the second most popular spice, next to black pepper, in the United States and Europe. Cinnamon, which comes from the bark of trees, is sold as solid sticks and powder with the country of origin rarely declared on the package label. There are two main types: Ceylon cinnamon (also known as "true" cinnamon) and cassia cinnamon. Ceylon grows in Sri Lanka (formerly Ceylon), the Seychelles, and Madagascar. Cassia generally comes from China and Indonesia. Both types can contain coumarin, a natural flavoring found in plants. Studies have linked high coumarin intake to liver damage in a small number of sensitive people.

    The scientists analyzed 91 cinnamon samples purchased from stores in Germany. They found that coumarin levels varied widely among different bark samples of Cassia cinnamon. Therefore they analyzed cassia bark samples of five trees received directly from Indonesia and found a huge variation even among samples collected from a single tree. The study confirmed that cassia cinnamon has the highest levels of coumarin, while Ceylon had the lowest levels. On average, cassia cinnamon powder contained up to 63 times more coumarin than Ceylon cinnamon powder and cassia cinnamon sticks contained 18 times more coumarin than Ceylon sticks. "Further research is necessary to identify factors influencing the coumarin levels in cassia cinnamon and to possibly allow the harvesting of cassia cinnamon with low coumarin levels in the future," the report notes.

    Health officials say it is almost impossible for consumers to distinguish between Ceylon and cassia in cinnamon powder. Cinnamon sticks, however, do look different. Cassia cinnamon sticks consist of a thick layer of rolled bark, while Ceylon cinnamon sticks have thin layers of bark rolled up into a stick.

    Story Source: The above story is reprinted from materials provided by American Chemical Society, via EurekAlert!, a service of AAAS. Note: Materials may be edited for content and length. For further information, please contact the source cited above.

    Journal Reference:

    1.Friederike Woehrlin, Hildburg Fry, Klaus Abraham, Angelika Preiss-Weigert. Quantification of Flavoring Constituents in Cinnamon: High Variation of Coumarin in Cassia Bark from the German Retail Market and in Authentic Samples from Indonesia. Journal of Agricultural and Food Chemistry, 2010; 58 (19): 10568 DOI: 10.1021/jf102112p

    2. American Chemical Society (2010, November 3). Levels of coumarin in cassia cinnamon vary greatly even in bark from the same tree. ScienceDaily. Retrieved December 2, 2011, from http://www.sciencedaily.com­ /releases/2010/11/101103135352.htm



    TONIC UPLIFTER PRODUCT

  • Complete Tonic Uplifter (Shiquan Dabu) is made of extracts from Atractylodes, Poria, Licorice, Chinese angelica, Ligusticum, White peony, Prepared rehmania, Astragalus, Cinnamon bark, Panax ginseng, Chrysanthemum flower, Goji berry. Chinese medicine uses its overall blood and Qi tonifying, immune supporting, revitalizing, invigorating and natural healing promoting properties for lack of energy, withered complexion, weakness in legs and joints, poor appetite, night emissions, uterine bleeding, depression and hot flashes. Directions: As a dietary supplement, take 3 capsules 3 times daily 30 minutes before meal.

    • CYPERUS RHIZOME PRODUCTS

  • Cyperus Rhizome (Cyperus Rotundus / Nutgrass Rhizome) is a Traditional Chinese Herb used to disperse the stagnation liver energy, activate vital energy circulation and alleviate pain, regulate menstruation and prevent miscarriage. It is indicated for stagnation of liver energy with distension and pain of the hypochondria and breast, convulsions, dysmenorrhea, amenorrhea, irregular menstruation and menstrual cramps. It is for headache due to stagnation of liver energy; for those complicated by stomach-cold with epigastric pain, vomiting and acid regurgitation and for stagnation of liver energy and stomach energy with morning sickness and threatened abortion. Its 5 percent extract inhibits the uterine contraction in guinea-pigs, rabbits, cats and dogs in vitro.

    • DONG QUAI ROOT PRODUCTS

  • Dong Quai (Angelica Sinensis) has been used either alone or in combination with other Traditional Chinese Medicine herbs to help relieve painful menstrual cramps or dysmenorrhea, menstrual concerns and menopausal symptoms. Indication for use includes enrich the blood for blood-deficiency syndrome. It promotes blood circulation, regulate menstruation and alleviate pain. If is used for blood-deficiency, blood stasis or blood-dryness manifested as menoxenia, amenorrhea, menorrhalgia; or as headache, chest pain, abdominal pain and rheumatism, or as the early stage of skin infection or unhealed skin lesions, urticaria, eczema, prurigo, leukoderma, apoplexy, prolapse of rectum, bronchial asthma, arrhythmia, cor pulmonale, etc. Dong Quai tea is an organic way to regulate mood swings, cramps, and other minor symptoms of premenstrual discomfort.

    • ECLIPTA HERB PRODUCTS >BR>
  • Eclipta Herb (Eclipta Prostata; E. Erecta) is used in Traditional Chinese Medicine and in Ayurveda. It is used to nourish the liver and kidney, for the deficiency of liver-yin and kidney-yin manifested as dizziness, tinnitus, alopecia, looseness of teeth and poliosis. It is used to cool the blood to stop bleeding and for blood-heat syndrome manifested as hemoptysis, hematemesis, hematuria, metrorrhagia, hemafecia or dysentery with bloody stools. Recently, used for acute hemorrhagic necrotizing enteritis, also for coronary heart disease; external use for rice-field dermatitis, allergic dermatitis and eczema. It promotes lymphocyte-blastogenesis and is an anticoagulative and promoting fibrinolysis.

    • FEMALE REGULARITY PRODUCT

  • Female Regularity TCM Formula. Chinese medicine uses this time-honored formula to tonify the Qi and blood, activate female hormone, maintain healthy uterus smooth muscle tension, promotes gynecological regularity and postpartum recovery. It is also an analgesic. Direction for Use: As a dietary supplement, take 3 to 5 capsules 3 times daily. Not recommended for use by pregnant woman. Clinically, this product was used in menstrual disorders, sterility, and post partal deficiency. For Menstrual disorders: Mainly manifesting irregular menstrual cycle, profuse menstrual bleeding, light color and loose texture, lumbago, scanty blood, pink and clear blood like water, or with coagulated clots, leukorrhea, rubrorrhea, phthisis, hectic fever, massive hemorrhage, leaking blood, bloody fainting, bloody collapse, delayed or prior menstruation, menolipsis prior to climacteric period, functional uterine bleeding, uterine bleeding during puberty, climacteric period. This product is indicated for the above disorders.

    • OMEGA-3 FATTY ACID PRODUCTS

  • Flax Seed is a good source of omega-3 essential fatty acids, important for health and wellness. Flaxseed is also used in herbal medicine for the premenstrual syndrome. Diets low in omega-3 fatty acids (EPA and DHA) found in cold water fish have been associated with menstrual pain. Supplementation with fish oil, a good source of omega-3 fatty acids, can lead to a drop in menstrual symptoms. Hot flashes, the most common menopause symptom, are handled with the flaxseed. Omega-3 fatty acids and lignans act as phytoestrogens. Fish oil that provided 1,080 mg of EPA and 720 mg of DHA per day for achieves this result. The same amount of EPA and DHA plus 7.5 mcg per day of vitamin B-12 can lead to a greater decrease in menstrual symptoms, but taking only fish oil does not obtain as much relief. Six grams of fish oil per day provides the approximate levels of EPA and DHA used in relieving menstrual symptoms. Essential fatty acids (Omega-3 and Omega-6 oils) can be found in flaxseed, evening primrose, or borage oil. These will reduce inflammation and/or support hormone production.

    • GINGER PRODUCTS

  • Ginger (Zingiber Officinale) is known for its exceptional healing properties. Ginger consists of prostaglandin synthetase and cyclooxygenase-2 enzymes which are identified to rectify the altered ratio of prostaglandin-2 in body. Excessive quantity of prostaglandin-2 in body triggers the pain and augments irritation. Ginger cleanses the colon, stimulates circulation. A strong antioxidant and effective antimicrobial agent. Useful for bowel disorders, circulatory problems, fever, hot flashes, indigestion, bleeding, morning sickness, motion sickness, nausea, and vomiting. Ginger is a strong antioxidant and an effective microbial.

    • GINSENG ROOT (PANAX GINSENG) PRODUCTS

  • Ginseng Root (Panax Ginseng) is taken by athletes to improve strength and performance. It strengthens the adrenal and reproductive glands. Useful for bronchitis, circulatory problems, diabetes, infertility, lack of energy, and stress. Enhances immune function, promotes lung functioning and stimulates the appetite. Siberian ginseng belongs to a different botanical family than American and Korean ginseng, but the properties and uses of all three are similar. Ginseng is a Traditional Chinese Herb used to promote blood circulation to remove blood stasis, stop bleeding, relieve swelling and alleviate pain. It is used for various kinds of bleeding due to trauma and blood-stasis syndrome, such as hematemesis, hemoptysis, metrorrhagia, hematuria, hemafecia and epistaxis, which manifested as dark petechia, localized pain, dull-colored tongue with petechiae, etc. For amenia, menalgia, and trauma with blood-stasis syndrome. Recently also used for coronary heart disease, angina pectoris, hyperlipemia, chronic infectious hepatitis, etc. Its pharmacological actions include flavonoid glycoside, one of its components, increases coronary flow, reduces myocardial oxygen consumption and lowers arterial pressure. Cardiotonic on frogs' hearts in vitro; low concentration of its extract exerts a vasoconstrictive effect on the vessels of frog's leg and high concentration, vasodilative. Its liquid extract shortens clotting time and exerts hemostatic effect in rabbit.
    GOLDENSEAL PRODUCTS

  • Goldenseal (Hydrastis canadensis) acts as an antibiotic, cleanses the body, has anti-inflammatory and antibacterial properties; strengthens the immune system. Promotes functioning capacity of the colon, liver, pancreas, spleen, and lymphatic and respiratory systems. Decreases uterine bleeding, reduces blood pressure, and stimulates the central nervous system.

    • KAVA KAVA PRODUCTS

  • Kava-Kava (Piper Methysticum) can be helpful with anxiety and sleeplessness. Because of its sedative qualities, it should not be mixed with prescription sedatives, sleeping pills, or alcohol. It should be standardized to 70 mg. of kava lactones per capsule, with the daily dose being in the 140-280 mg range of kava lactones. It can even be used on an "as needed" basis for occasional stress or sleeplessness.

    • LADY'S MANTLE PRODUCTS

  • Lady's Mantle. The astringent properties in Lady's Mantle help reduce bleeding, particularly in cases of excessive menstrual bleeding and in menopause. It can also stimulate contractions during childbirth. This herb acts as a hormone balancer which means it can help regulate periods. Lady's Mantle has been used as a mild painkiller and is used in treating diarrhea and gastroenteritis. Externally, this herb is used as a douche for vaginal discharge, irritation, and infection. In lotions, Lady's Mantle works well for soothing rashes, eczema, cuts, wounds, sores, and insect bites. This herb is also used as a mouthwash or gargle for bleeding gums, mouth ulcers, and sore throats. Lady's Mantle comes in various forms and is an ingredient in many products. To regulate the menstrual cycle or reduce a heavy flow, take 200 ml (8 fl oz) as an infusion, 3 times a day. An infusion uses 1 ounce of the dried herb to 1 pint of boiling water in teacupful doses as required. In treating diarrhea, use 2 ml (40 drops) of a tincture, 3 times a day until symptoms subside. For other uses or formulations, read and follow product label directions.

    • LICORICE PRODUCTS

  • Licorice (Glycyrrhiza glabra) cleanses the colon and promotes adrenal gland function. Has estrogen- and progesterone-like effects. Beneficial for allergic disorders, asthma, chronic fatigue, depression, emphysema, fever, herpesvirus infection, hypoglycemia, and inflammatory bowel disorders. Whole licorice root can cause aldosterone-like activities such as fluid retention, high blood pressure, and potassium loss when taken at dosages exceeding 3 g daily for more than 6 weeks. Licorice in the DGL form (deglycyrrhizinated licorice) does not cause aldosterone-like activities; however, it is not clear DGL provides the same benefits as whole licorice. One possible side effect for men is reduced testostorone levels. Safety in young children, pregnant or nursing women, or those with severe liver or kidney disease is not known at this time. People taking Digitalis, Thiazide or loop diuretics, corticosteroid treatments could experience negative side effects. People using aspirin or other anti-inflammatory drugs while taking Licorice regularly might lower the risk of ulcers.

    • NETTLE PRODUCTS

  • Nettle (Urtica Dioica / Stinging Nettle) acts as a diuretic (increases the production and elimination of urine), expectorant (stimulates the removal of mucous from the lungs), pain reliever, and tonic (nurtures and enlivens). Good for anemia, arthritis, hay fever, allergic disorders, kidney problems, malabsorption syndrome. Improves goiter, inflammatory conditions.

    • RED CLOVER PRODUCTS

  • Red Clover. Plant estrogens, like those found in red clover isoflavone extract, although weaker than the estrogens given by prescription, are present in body storage 1000 times as abundant than the body's natural estrogens. Red clover extract has passed medical studies and shown to be helpful in menopausal symptoms, but strangely enough has not been shown to raise the body's natural estrogen supply (of estradiol). This is important when worrying about breast cancer patients who should not be taking estrogen. In fact, it has been shown that women with breast cancer excrete lower than normal amounts of isoflavone, so there is a logic to increasing the supply of isoflavone. This is being studied as possibly beneficial for these women, acting more like the selective estrogens (e.g., Tamoxifen) given women to decrease the risk of breast cancer.

    • RED RASPBERRY LEAF PRODUCTS

  • Red Raspberry (Rubus Idaeus) tea strengthens uterine tissue. Red Raspberry Leaf strengthens the uterine wall and regulates menstrual flow. It nourishes the reproductive organs, especially the uterine muscles, and helps strengthen and prepare the body for childbirth. It is also highly valued for soothing and astringent properties to the stomach and intestinal tract.

    • ST. JOHN'S WORT PRODUCTS

  • St. John's Wort (Hypericum Perforatum) has antidepressant and anti-anxiety properties. Do not use if you are taking antidepressants and can have serious side effects when taken with other medication like Prozac. The standardizations patients should seek are 0.3 percent hypericin or 0.5 percent hyperforin. 300 mg of the plant extract in tablet form should be taken three times a day, but may not show benefits for 8 to 12 weeks. It can be safely taken with prescribed estrogen replacement.

    • TEASEL ROOT PRODUCTS

  • Teasel Root (Dipsacus Asper) is a Traditional Chinese Herb used to invigorate the liver and kidney, strengthen the bone and muscle, expel wind-dampness, for deficiency of the liver and kidney manifested as backache, knee aching and rheumatism, and trauma. It is used to regulate blood flow, stop vaginal bleeding and calm the fetus. It is used for metrorrhagia and threatened abortion due to deficiency of the liver and kidney. It counteracts the deficiency of vitamin E and inhibits the growth of Pneumococcus. Indication for use includes derangement of Chong and Ren meridians due to deficient liver and kidneys manifested as profuse menstrual flow, uterine bleeding and threatened abortion (restless fetus). Teasel root (Xuduan) is used with Eucommia bark (Duzhong), Donkey hide gelatin (Ejiao), Mugwort leaf (Aiye), Astragalus root (Huangqi) and Chinese angelica root (Danggui).

    • U-O CLEAR (OVARIAN CYST & FIBROID SUPPORT) PRODUCT

  • U O Clear (Ovarian Cyst & Fibroid Support). The herbs work synergistically to strengthen the body's natural capability of female systems self-cleaning functions, especially for uterus and ovary. When symptoms of bloating, pressure, cramps or pains occur in the pelvic area, with or without irregular periods or bleeding, periods with blood dots, or clots, or low fever, tiredness, for women, it may due to the growth of cysts or fibroids, or endometriosis problems. U O Clear is a natural treatment for ovarian cysts.

    • UTERUS CARE TCM FORMULA PRODUCT

  • Uterus Care TCM Formula is made of prepared rehmannia root, schizandra fruit, eucommia bark, dissacus, oyster shell, common yam, cuttlefish bone, garden burnet root, common peony root, typha pollen and red berried mistletoe. Chinese medicine uses this well-known formula to tonify the kidney and control the Yin, enhance excitability and tension of the uterus smooth muscles, promote regular contraction of the uterus, maintain normal blood flow and avoid excessive uterus bleeding. Direction for Use: As a dietary supplement, take 3 to 5 capsules 3 times daily. Not for use by pregnant woman. Store in a cool and dry place out of the reach of children.

    • VALERIAN PRODUCTS

  • Valerian (Valeriana officinalis) improves circulation and acts as a sedative. Good for anxiety, fatigue, high blood pressure, insomnia, irritable bowel syndrome, menstrual cramps, muscle cramps, nervousness, pain, spasms, stress, and ulcers. It is especially effective if sleeplessness is related to hot flashes or other symptoms of menopause. Valerian is usually available in tea, tincture, and other mixtures. Patients should use only products that standardize the dosage and take between 300-600 mg of standardized extracts, best taken an hour before retiring, and best started at the lower dosage.

    • WOUNDWORT (SELFHEAL; ALL HEAL) PRODUCTS

  • Woundwort, also known as Selfheal or All Heal (Prunella Vulgaris) uses the leaves and young shoots of the plant to stop bleeding. It has been used as a styptic that has been used internally in Western medicine to stop hemorrhage, internal bleeding ulcers and excessive menstruation, and its gentle astringency also helps to control chronic and sudden diarrhea (although it is recommended that this application be used under the aegis of a health care provider). For external treatment, those astringent qualities may be applied to relieve hemorrhoids and decrease the bleeding of wounds and cuts. A poultice of fresh leaves and shoots can be used as emergency first aid on clean cuts. Woundwort tea helps heal internal wounds, and the tea can also be used in a poultice for external wounds, bruises, ulcers, and sores. The tea is used as a gargle for sore throat, mouthwash for bleeding gums, canker sores, and thrush. Woundwort tea can also be used to help treat hemorrhage, diarrhea, convulsions, seizures, epilepsy, hepatitis, jaundice, headache, high blood pressure, fluid retention, edema, and fevers. The Chinese believe the tea is useful in treating liver and kidney conditions, blood circulation, conjunctivitis, and boils. To use as an infusion, take 1 ounce of Woundwort in 1 pint of boiling water. Let it cool slightly. Drink 1 wineglassful several times a day. To use an extract, soak 1 teaspoon of this plant in 1 pint brandy or whiskey for a few days. Take 1 tablespoon a day, or as needed. For other formulations, or for other products that contain Woundwort, read and follow product label directions. It is best to consult your health care provider before using Woundwort if you have abnormal uterine bleeding, bleeding gums, or blood in the urine.






    • MENORRHAGIA SUPPLEMENTAL PRODUCTS

    Information, supplements and products for menorrhagia.



    Kalyx: Ashokarishta Ayurvedic Female Tonic, 15 fl. oz.

    Ashokarishta is useful in gynecological conditions like menorrhagia, leucorrhea and dysmenorrhea. Ashokarishta is also useful as a uterine tonic. Suggested Use: Dosage: 2 tablespoons mixed with 1/4 cup of water once daily before meals. Ashokarishta is a very effective treatment for menopausal symptoms, regulating menstruation and menstrual pain and discomforts. Alterative, stimulant and astringent. Used in leucorrhea, hematuria, and other female conditions.




    Herbal Remedies: Dong Quai Root, Nature's Way, 565 mg, 100 Caps

    Dong Quai root is native to China, this herb is used extensively throughout the Orient, particularly by women for menstrual concerns.




    Herbal Remedies: Dong Quai Root Powder (Angelica Sinensis), 4 oz. Bulk

    Dong Quai root (Angelica sinensis), referred to as the 'female ginseng', is rich in vitamins and minerals and is one of the most widely used herbs in traditional Chinese medicine. It is effective for female disorders such as menstrual disturbances, PMS and hot flashes due to its anti-inflammatory, analgesic, antiseptic, bactericidal and vasodilative effects. The herb is also used to regulate menstrual cycles, relieve menstrual cramps and alleviate symptoms related to PMS.




    Herbal Remedies: Dong Quai (Tangui Ladys), Organic Herbal Tea, 20 Tea Bags

    For maintaining normal gynecological functions, to regulate female hormone, cycles, alleviate cramps and mid-life hot flashes, and to prevent hair loss.




    Herbal Remedies: FemPrin Vitex Extract, Pharmaceutical Grade, Nature's Way, 425 mg, 60 Caps

    Femaprin's Vitex extract is unique formula combines clinically proven standardized Vitex Chaste Tree Berry extract with Vitamin B-6 to help alleviate the bloating, breast tenderness and mood changes associated with premenstrual syndrome (PMS). Femaprin is the most used supplement for balancing a woman's monthly cycle and for the avoidance of periodic discomforts. It has been trusted for over 40 years by European health practitioners.




    Kalyx: Manjistha Root Powder (Rubia cordifolia), 100 VCaps


    Ayurveda in the maintenance of general health and normal blood circulation. Recent studies revealed that the biologically active constituents of the extract facilitate the free circulation of blood by removing congestion and improving the quality of blood. An infusion of the root has also been prescribed in women after delivery to clear the uterine channels. It is used as an immune regulator. (its role in supporting heart health is evidenced by studies that show that it regulates blood pressure, blood vessel constriction and the tendency of blood to form Clots). Its evaluation as an anti cancer compound in the laboratory has been extensive, the extract showing weak activity in vitro and in vivo against standard tumour cell lines. The plant extract shows significant anti-inflammatory activity. The best herb for blood purification; blood circulation, controls bleeding, mends broken bones, amenorrhea, cancer, cleanses and regulates liver, spleen, pancreas, and kidneys; diarrhea, dysentery, dysmenorrhea, edema, destroys kidney and gall stones, heart disease, hepatitis, herpes, jaundice, menopause, menorrhagia, painful menstruation, postpartum uterus stimulation, paralysis, skin problems, tissue healing, traumatic injuries, skeletal disease, joint pain, rheumatoid arthritis, improves complexion, helps destroy benign and malignant tumors.




    Kalyx: Manjistha Root Powder (Rubia cordifolia), 100% Organic, 8 oz. Bulk

    Ayurveda in the maintenance of general health and normal blood circulation. Recent studies revealed that the biologically active constituents of the extract facilitate the free circulation of blood by removing congestion and improving the quality of blood. An infusion of the root has also been prescribed in women after delivery to clear the uterine channels. The best herb for blood purification; blood circulation, controls bleeding, mends broken bones, amenorrhea, cancer, cleanses and regulates liver, spleen, pancreas, and kidneys; diarrhea, dysentery, dysmenorrhea, edema, destroys kidney and gall stones, heart disease, hepatitis, herpes, jaundice, menopause, menorrhagia, painful menstruation, post partum uterus stimulation, paralysis, skin problems, tissue healing, traumatic injuries, skeletal disease, joint pain, rheumatoid arthritis, improves complexion and voice, helps destroy benign and malignant tumors.




    Herbal Remedies: Menstruation Decrease Formula (For Heavy Menstruation), 2 fl. oz.

    Use Menstruation Decrease Formula for heavy menstruation. Mistletoe helps strengthen nerves and improve circulation and Native Americans used it to stop bleeding after childbirth. Blessed Thistle is used for menopause and menstrual cramps. Witch Hazel is known to slow bleeding significantly. All of these helpful herbs and more can be found in Alternative Health and Herb's All Natural Menstruation Decrease Formula for Heavy Menstruation.




    Herbal Remedies: Red Raspberry Tincture, 100% Organic, 2 fl. oz.

    Red Raspberry supplement is said to be good for common female problems, but it's healing properties for other uses are sometimes overlooked. Red Raspberry Supplement is beneficial for pregnant women as it tones the uterine and pelvic muscles, preparing for an easier labor, as well as for the prevention of miscarriage. Red Raspberry Supplement relieves morning sickness. It also helps to increase the flow of the mother's milk, brings balance into the menstrual cycle, and will help alleviate excessive bleeding and cramps. Red Raspberry Supplement is safe and effective for children to use for diarrhea and stomach complaints.




    Herbal Remedies: Shepherd's Purse Herb Extract Tincture, Herbal Remedies USA, 2 fl. oz.

    Shepherd's Purse is mainly used to stop bleeding of all kinds including postpartum bleeding, excessive menstrual flow, acute bleeding symptoms of endometriosis, bleeding hemorrhoids, bleeding of the lungs, stomach, kidneys, uterus and nosebleeds.




    Herbal Remedies: Shepherd's Purse Tincture, 2 fl. oz.

    Shepherd's Purse is mainly used to stop bleeding of all kinds. Shepherd's Purse may be used for postpartum bleeding, excessive menstrual flow, acute bleeding symptoms of endometriosis, bleeding hemorrhoids, bleeding of the lungs, stomach, kidneys, uterus and nosebleeds.




    Kalyx: Squaw Vine (Partridge Berry), 90 VCaps
    Kalyx: Squaw Vine (Partridge Berry) Powder, 1/2 lb. Bulk
    Kalyx: Squaw Vine (Partridge Berry) Extract Tincture, 2 fl. oz.
    Kalyx: Squaw Vine (Partridge Berry) Extract Tincture, 8 fl. oz.

    Squaw Vine is used as a preparation for childbirth. Squaw Vine is often used for both menstruating and pregnant women. Native Americans used Squaw Vine in the last few weeks of pregnancy to prepare for childbirth. Used for menstrual irregularities (amenorrhea, dysmenorrhea, and menorrhagia) and for vaginal discharge (antiseptic properties for vaginal infections). Suggested Dosage or Use: Take 6 to 12 drops in liquid or under the tongue, 1 to 3 times/day or 2 capsules one time each day with water at an early to mid-day mealtime.




    Herbal Remedies: Stop Bleeding Menstrual Regulation Remedy, TCM Formula, Sanqi Zhixie, 100% Natural, 400 mg, 60 Caps

    Made of extracts from notoginseng, baked fossilized bone, Frankincense, myrrh, purple gromwell root, dragonis blood, pearl, deer horn glue, mentha, catechu, astragalus and corydalis, this time-honored formula is used in Chinese medicine to stop bleeding and pain and promote natural menstrual cycle.




    Herbal Remedies: U-O-Clear (Ovarian Cyst & Fibroid Support), 500 mg, 60 Caps

    Major Symptoms of fibroids or cysts may include:
    1. Heavy bleeding or abnormal menstrual cycles.
    2. Bloating or pains in the pelvic area.
    3. Tiredness, low fever, anemia, etc.
    4. Uterine or ovarian lumps confirmed by exams.

    When symptoms of bloating, pressure, cramps or pains occur in the pelvic area, with or without irregular periods or bleeding, periods with blood dots, or clots, or low fever, tiredness, for women, it may due to the growth of cysts or fibroids, or endometriosis problems. U-O-Clear is a natural treatment for ovarian cysts. U-O-Clear is a 100% natural herbal formula well proven in China to be effective to relieve the said symptoms caused by clots or abnormal growth of Uterus or Ovary tissues. U-O-Clear relieves most symptoms of cysts, fibroids and endometriosis with no known side effects. It works on the principle to supplement the body's cleaning function for the clots and sputum-fluids of female organs, especially for uterus and ovary, so that the growth of bad tissues could be stopped or reversed.




    Kalyx: Vidhari Kand Leaf Powder (Ipomoea digitata), 100 VCaps

    Relative to the sweet potato, it is commonly used as a general tonic and in hoarseness of voice, cough, enlarged liver and diminished lactation. Used as a powder, confection, decoction, milk decoction. It is recommended for emaciation in children. It enters into the composition of a compound decoction, which is nutritive, diuretic and expectorant, and useful in fevers and bronchitis. Powdered root is given for diseases of the spleen and liver, for menorrhagia, debility and fat accumulation.




    Kalyx: Vidhari Kand Leaf Powder (Ipomoea digitata), 100% Organic, 8 oz. Bulk

    Relative to the sweet potato, it is commonly used as a general tonic and in hoarseness of voice, cough, enlarged liver and diminished lactation. Used as a powder, confection, decoction, milk decoction. It is recommended for emaciation in children. It enters into the composition of a compound decoction, which is nutritive, diuretic and expectorant, and useful in fevers and bronchitis. Powdered root is given for diseases of the spleen and liver, for menorrhagia, debility and fat accumulation.






    NOTIFY YOUR HEALTH CARE PROVIDER


  • You or a family member has symptoms of postmenopausal bleeding. Women who are experiencing post-menopausal bleeding require investigation and the bleeding should not be written off as a normal "menopausal" experience.


  • Bleeding persists for 1 week, despite treatment.


  • Bleeding becomes excessive (saturates a pad more frequently than once each hour).


  • Signs of infection, such as general ill feeling, increasing pain, muscle aches, fever, headache and dizziness.


  • New, unexplained symptoms develop. Drugs used in treatment may produce side effects.




    • RELATED LINKS

    MoonDragon's ObGyn Womens Health Information: Uterine Bleeding, Dysfunctional

    MoonDragon's ObGyn Womens Health Information: Uterine Cancer

    MoonDragon's ObGyn Womens Health Information: Menorrhagia

    MoonDragon's ObGyn Womens Health Information: Fibroid Uterus

    MoonDragon's ObGyn Womens Health Information: Endometriosis

    MoonDragon's ObGyn Womens Health Information: Endometrial Hyperplasia

    MoonDragon's ObGyn Womens Health Information: Menopause Index



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    A website map to help you find what you are looking for on MoonDragon.org's Website. Available pages have been listed under appropriate directory headings.