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Women’s Health

Endometriosis (adjunct)

Progressive dysmenorrhea, dyspareunia, and infertility are endometriosis until you think about it — not 'bad cramps.' Ginger 750–2000 mg in the first days of bleed has primary-dysmenorrhea RCTs; people borrow that for endometriosis pain. It does not replace a GnRH analogue or a laparoscopy when those are the plan. Chaste tree is a PMS/luteal plant, not an implant drug. Dong quai is a bleeding conversation.

Primary plants

  1. Ginger (Zingiber officinale)
    1
    GingerHuman data

    Zingiber officinale

    Best plant RCT file for menstrual cramp pain. Borrowed here as an adjunct on bleed days — not disease-modifying.

    Typical. Dried powder 750–2000 mg/day divided at onset (trial range for primary dysmenorrhea).

    Safety. Extract bleeding. Not dinner ginger.

Supportive plants3
  • Turmeric (Curcuma longa)
    TurmericHuman data
    Curcuma longa

    Inflammatory-pain adjunct some people use. DILI/bleeding. Not a laparoscopic finding.

    Typical. If used, pharmacy should see the extract. Culinary is food.

    Safety. DILI. Bleed. Piperine.

  • Chaste tree (Vitex agnus-castus)
    Chaste treeHuman data
    Vitex agnus-castus

    PMS/luteal file. Not an endometriosis implant therapy.

    Typical. Fruit extract 20–40 mg/day over months if the leftover is PMS-type — not acute surgical pain.

    Safety. Hormone-sensitive cancer, pregnancy, DA antagonists.

  • Dong quai (Angelica sinensis)
    Dong quaiStrong traditional
    Angelica sinensis

    Traditional 'blood-moving' gynecologic plant. Bleeding. Phototoxicity. A poor default next to heavy menses.

    Typical. Usually skip in endometriosis with menorrhagia.

    Safety. Bleed, photosensitivity, pregnancy no.

Clinical notes

  • Cyclical pneumothorax, bowel obstruction at menses, or infertility is specialty care, not chasteberry.

When this is not enough

  • Acute abdomen, suspected ectopic, hemodynamic instability from bleeding, new adnexal mass

Rooted is a private clinical reference for licensed practitioners. It is educational, not a treatment protocol, and not a substitute for the chart, the exam, or pharmacy review. Plant medicines interact with drugs and can harm liver, kidney, heart, pregnancy, and children.

All women’s health diagnoses