A perimenopausal woman with kidney and spleen deficiency. She has suffered severe cramping and breakthrough bleeding for last 20 years. The cramping lasts about 2 days and requires Vicodin and anti-inflammatory drugs. Birth control pills seem to stop the problem. How long before improvements are expected and how long before problem is cleared?

In general I would use Postpartum up until the period or 1-2 days before cramping starts. Then start Channel Flow, 3 capsules BID, prior to cramping. Use 2-3 capsules as needed during cramping every few hours, 3-6 times per day. If liver qi stagnation stop Postpartum during ovulation and add Woman’s Balance and or use Postpartum and Astra Essence to address kidney issues. Expect some results around 60 days, and 6-12 months before problem is cleared.