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The key to getting pregnant, besides general health and well being, is ovulation and regular menstrual cycles. Vitex or chaste berry has an excellent track record in relieving complaints in women, caused by hormonal imbalances, known as Premenstrual Syndrome. It may also be helpful for women with PCOS (Polycystic Ovary Syndrome) who do not have a normal menstrual cycle. These women thus don't ovulate or menstruate and cannot get pregnant. The condition when a woman does not have any menstruation at all is known as amenorrhea.

A large percentage of these menstrual problems are related to insufficient progesterone during the luteal phase of the menstrual cycle, which is called a luteal phase defect or corpus luteum insufficiency. A corpus luteum insufficiency is defined as an abnormally low progesterone level 3 weeks after the onset of menstruation. Insufficient levels of progesterone may result in the formation of ovarian cysts. In addition, some women suffering fro PCOS have too much prolactin, which can inhibit fertility. Vitex may help with both of these problems.