Vitex's active compounds (diterpenes like rotundifuran and clerodadienol) bind dopamine D2 receptors in the anterior pituitary. This suppresses prolactin secretion — and elevated prolactin is associated with PMS symptoms (breast tenderness, mood changes, and luteal phase defects). By lowering prolactin, vitex: (1) normalizes the progesterone:estrogen ratio during the luteal phase; (2) restores GnRH pulsatility; (3) improves FSH/LH balance. The effect is specifically dopaminergic — not estrogenic or progestogenic — which distinguishes it mechanistically from other "female" herbs.
Independently graded against 173,636 indexed supplements with 177 published clinical interactions, sourced from PubMed, FDA CAERS, openFDA, and NIH DSLD | Last updated:
Not medical advice. Based on published clinical research and systematic reviews.