top of page
abstracted lily flowers in watercolour style dark green.jpg

Subscribe to my newsletter and receive your free e-book and introductory course

How To Overcome Menstrual Irregularities and PSM with Chinese Medicine

Updated: Oct 18

Hi there, I'm Irena, and I know firsthand how challenging menstrual irregularities and PMS can be. Like many of you, I’ve struggled with these issues on my fertility journey, and I want you to know that you’re not alone. I’ve discovered that Chinese medicine can offer gentle and practical solutions to help manage these concerns, and I’m here to share what I’ve learned with you.


After ovulation, your body undergoes some amazing changes. An egg travels down a fallopian tube, and what's left behind is the corpus luteum. This little gland is crucial because it releases progesterone, or yang energy in Traditional Chinese Medicine (TCM), during the second part of your cycle. This hormone is essential for preparing your body for a potential pregnancy.


If the egg is fertilised, the embryo goes to the uterus for implantation, supported by steady progesterone levels. This helps keep the pregnancy in place and ensures that the endometrium, the lining of your uterus, stays strong. If implantation doesn’t occur, progesterone levels need to drop quickly so your period can start, marking the beginning of a new cycle.


Keeping your progesterone/yang energy levels stable throughout the second half of your cycle and then allowing them to drop sharply is vital to having a period that starts smoothly and without spotting. This balance minimises spotting and supports your overall reproductive health and well-being.


I understand how overwhelming this can all feel, so I’ve put together some in-depth insights and practical strategies for you to learn in my online course, Introduction to Natural Fertility.


Just remember that no matter how daunting your journey or how big the learning curve is, it's better to understand your body and take control of your fertility. So, let’s take the path together and empower you with the knowledge you need.


Fertility Advice from a Chinese Medicine Perspective: Lifestyle Tips for the Second Part of Your Cycle


Diagram of a person's reproductive system. Understanding how the body works can help to manage menstrual irregularities.

We’ve talked about the various stages of the menstrual cycle from fertility advice from a Chinese medicine perspective, covering topics like what your GP might not tell you, addressing irregular periods, and preparing for ovulation. 


And now, let's look at post-ovulation and how it can help manage menstrual irregularities.

To help keep things simple, I've created a diagram using Chinese medicine terminology. While it may not be a masterpiece, it does the job of illustrating the process!


As you can see, in the first part of your cycle, we focus strongly on nourishing the blood. In the second part, our goal is to prevent stagnation.


Understanding Stagnation


But what exactly do we mean by stagnation? Quite simply, it’s that feeling of getting heavier and more sluggish during the second part of your cycle. In Chinese medicine, the first part of the cycle is when your body is shedding the endometrium, which is about rest and recuperation. 


The second part, however, is about movement and keeping things flowing smoothly. We want to invigorate the blood and have great circulation to prevent PMS.


Stagnation can be managed by maintaining an active lifestyle, focusing on gentle exercises like yoga or tai chi, and incorporating movement into your daily routine. Eating nourishing foods that support blood flow and avoid those that contribute to stagnation is also beneficial.

Remember, the key to a healthy menstrual cycle lies in balance. By nurturing your body and keeping things moving, you can create a more harmonious cycle and enhance your overall well-being.


Managing Irregular Menstrual Cycles with the Right Level of Activity


We’ve all had those moments when we can't be bothered with exercise, but we feel so much better once we do. Managing irregular menstrual cycles can be similar: You might feel lethargic during the second part of your cycle, but some exercise can invigorate you. However, this isn't the time for drastic changes. Don’t go from being a couch potato to attempting a 5K run overnight!


For example, if you work from home or have an office job, start with simple walks. Start with 10 minutes a day, then gradually increase to 20 minutes, and eventually aim for half an hour. If you're already a jogger, incorporate some regular sprints. For weightlifters, slowly add kettlebell routines. 


The key is to match your current fitness level and progress incrementally. Most importantly, you should enjoy and look forward to your exercise sessions, so make sure you do an exercise that you actually like!


The Power of Basic Stretching


While our bodies and menstrual irregularities differ, regular stretching is one of the most beneficial activities during the second part of my cycle. It was so relaxing! Do you already do regular stretching in the morning and evening? If so, make that a part of your daily routine; believe me, you will feel the benefit. 


Another pro of stretching is that it prevents the build-up of irritation often experienced during this phase. Start from the moment you think you've ovulated and make stretching a steady routine. Trust me, you’ll love it!


Handling Stress in the Second Part of the Cycle


Now, onto stress. I've already mentioned stress, but I want to expand on it because stress can cause irregular periods. Stress can be particularly hard to handle in the second part of the cycle due to the hormonal changes you experience. Therefore, relaxing as much as possible is crucial because stress interferes with progesterone levels.


Luckily, fertility advice from a Chinese medicine perspective offers various ways to manage stress, so let’s look at some practical ways to minimise stress.


  • Permit yourself to avoid people who stress you out. Don’t see anyone who has annoyed you in the past unless you absolutely must. 

  • Look at your to-do list and reschedule or cross off non-essential tasks. 

  • Reduce screen time by using phones, computers, tablets, and laptops less. It can be difficult, especially if you work online, but screens and technology are stressors! In his wonderful book ‘Digital Minimalism: Choosing a Focused Life in a Noisy World’ Cal Newport says: “Simply put, humans are not wired to be constantly wired,” and he's absolutely right!

  • Consider stress-reducing lifestyle changes, such as scheduling regular relaxation periods. Treat yourself to a full-body massage, acupuncture, or reflexology sessions. Go on, you deserve it!

  • Spend time in nature, even for only half an hour a day. This is an incredibly effective way to reduce stress.

  • Go dancing! It doesn’t matter if you have two left feet; get up and dance! Dancing is a fantastic way to relieve stress.

  • Keep your pelvis warm, and aim for eight hours of sleep each night.


Nutrition for the Second Part of Your Cycle

A piece of fertility advice from Chinese medicine perspective is to eat spices.

The second part of the cycle is when you would benefit from slightly higher blood sugar levels. To be clear, I do not recommend that you start bingeing on sweets and chocolate! Instead, I want you to adopt a diet that will increase your carbohydrate consumption healthily.


Here are some food recommendations:


  • Root vegetables: Carrots, parsnips, turnips, celeriac, all kinds of potatoes, yams,

    sweet potatoes, beetroots

  • One-pot wonders and casseroles: Including the above veggies plus beans, pulses, pumpkins, squashes, rice, millet, and grains

  • Fruits: Any kind you like

  • Brassicas: Cauliflower, broccoli, cabbage

  • Onions and leeks

  • Seeds: Pumpkin, sesame, flax

  • Fats: Extra virgin olive oil, coconut oil, organic goose fat

  • Teas: Fennel, mint, raspberry leaf, rose flower, verbena

  • Herbs: Safflower (brew a tablespoon in one glass of boiling water once a day), Dong Quai


This is also an excellent time to increase the spices in your food. In the yin and yang theory, it is recommended by TCM for fertility advice to eat spicy food. In fact, the spicier the food, the higher the Yang. With that in mind, here are some great spices to add to your daily diet:


  • Turmeric

  • Garlic

  • Ginger

  • Black, white, and cayenne pepper

  • Nutmeg

  • Cinnamon

  • Clove

  • Allspice

  • Chilli (small doses)


Just remember to cook your meals from scratch and avoid processed foods as much as possible. I’ve published recipes tailored to different parts of the cycle, so check out my recipes for the follicular phase, fertile window, and luteal phase to support your fertility journey.


Final Encouragement to Managing Menstrual Irregularities


In summary, what should you focus on during the second part of your cycle to manage menstrual irregularities? Here are the key points:


  • Prevent any stagnation

  • Keep yourself warm, especially your pelvis

  • Stay active and keep moving

  • Increase relaxation

  • Minimise stress

  • Lighten your to-do list

  • Actively manage and reduce stress

  • Aim for eight hours of sleep each night


One method to managing irregular menstrual cycles is to have regular massages.

Follow this advice and see the magic happen. Watch how your PMS signs and symptoms consistently decrease from one month to the next. Experience fewer food cravings. I promise you, it works.


When I first came across this information, I implemented it straight away. In a short time, my cycle improved, and I started to feel much happier. There's nothing quite like having balanced hormones! 


If you’ve found this useful, please do me a favour and share it with any girl who could benefit from knowing it. Let’s support each other on our fertility journeys and find joy in the balance we create.


Thanks for being here,

Irena x 


Related articles:


Read these articles for additional guidance on optimising your menstrual health and fertility when trying for a baby:



bottom of page