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Vitex agnus-castus

Vitex (Chaste Tree Berry)

Research reviewed: Up until 03/2026

Vitex (Chaste Tree Berry) (Vitex agnus-castus) is a dietary supplement with 7 published peer-reviewed studies involving 1,240 participants, researched for PMS & PMDD, Menstrual Cycle Regulation, Prolactin Modulation and 1 more areas.

7
Studies
1,240
Participants
1992–2019
Research Span

Evidence at a Glance

Strength is scored by study design, sample size, study type, and outcomes

Overall: Very Strong Evidence

PMS & PMDD

Strong
3 studies 3 of 3 positive 170 participants

Menstrual Cycle Regulation

Moderate
2 studies 0 of 2 positive 52 participants

Prolactin Modulation

Moderate
1 study 0 of 1 positive 0 participants

Fertility

Moderate
1 study 1 of 1 positive 96 participants

Research Visualised

Visual breakdown of the clinical data.

Study Quality Breakdown

What types of studies were conducted

3/7
Randomised
2/7
Double-Blind
2/7
Placebo-Controlled

Participants Per Study

Larger samples = more reliable results

Study 1 (2019)
0
Study 2 (2017)
0
Study 3 (2012)
170
Study 1 (2013)
0
Study 2 (1993)
52
Study 1 (2018)
0
Study 1 (1992)
96

Research Timeline

When the studies were published

1
1992
1
1993
1
2012
1
2013
1
2017
1
2018
1
2019

All Studies

Detailed breakdown of each trial. Click to expand.

PMS & PMDD

1

To evaluate the efficacy of properly characterised Vitex agnus-castus preparations in premenstrual syndrome.

2019 ? participants 3–6 menstrual cycles Various standardised preparations
Human Study Positive

Study Type

Systematic review and meta-analysis

Purpose

To evaluate the efficacy of properly characterised Vitex agnus-castus preparations in premenstrual syndrome.

Dose

Various standardised preparations

Participants

Meta-analysis of RCTs

Duration

3–6 menstrual cycles

Results

Vitex agnus-castus preparations significantly reduced PMS symptoms compared to placebo. The evidence supports their clinical use for PMS when properly characterised preparations are used.

How They Measured It

PMS symptom scores across included RCTs

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2

To evaluate evidence for Vitex agnus-castus in PMS and PMDD from randomised controlled trials.

2017 ? participants 3 menstrual cycles Various VAC preparations 3.2–40 mg extract/day
Human Study Positive

Study Type

Systematic review

Purpose

To evaluate evidence for Vitex agnus-castus in PMS and PMDD from randomised controlled trials.

Dose

Various VAC preparations 3.2–40 mg extract/day

Participants

Systematic review of RCTs

Duration

3 menstrual cycles

Results

RCTs using Vitex agnus-castus for PMS/PMDD treatment suggested that VAC extract is a safe and efficacious alternative treatment option. Most trials showed statistically significant improvements in PMS/PMDD symptoms.

How They Measured It

PMS/PMDD symptom scores (VAS, CGI, DRSP) across RCTs

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3

To evaluate the efficacy of Vitex agnus-castus (Ze 440) in women with PMS.

2012 170 participants 3 menstrual cycles 20 mg VAC extract (Ze 440) once daily
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled

Purpose

To evaluate the efficacy of Vitex agnus-castus (Ze 440) in women with PMS.

Dose

20 mg VAC extract (Ze 440) once daily

Participants

170 women with moderate-to-severe PMS

Duration

3 menstrual cycles

Results

VAC extract significantly reduced DRSP total scores compared to placebo. Symptoms including irritability, mood swings, headache, breast fullness, and bloating were all significantly improved. Treatment was well tolerated.

How They Measured It

DRSP (Daily Record of Severity of Problems), CGI

Read full study

Menstrual Cycle Regulation

1

To systematically review clinical trials of Vitex agnus-castus for female reproductive disorders.

2013 ? participants Various (3–6 months) Various preparations
Human Study Mixed

Study Type

Systematic review

Purpose

To systematically review clinical trials of Vitex agnus-castus for female reproductive disorders.

Dose

Various preparations

Participants

Systematic review of clinical trials

Duration

Various (3–6 months)

Results

Clinical evidence supports Vitex agnus-castus for irregular menstrual cycles, mastalgia, and luteal phase defects. Evidence base is promising but more rigorous large-scale trials are required.

How They Measured It

Menstrual cycle parameters, hormonal outcomes across included RCTs

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2

To assess the effects of Vitex agnus-castus on luteal phase length and progesterone levels in women with luteal phase defects.

1993 52 participants 3 menstrual cycles 3.5 mg VAC extract twice daily
Human Study RCT Positive

Study Type

Randomised, controlled

Purpose

To assess the effects of Vitex agnus-castus on luteal phase length and progesterone levels in women with luteal phase defects.

Dose

3.5 mg VAC extract twice daily

Participants

52 women with luteal phase defect

Duration

3 menstrual cycles

Results

Vitex significantly lengthened the luteal phase and increased midluteal progesterone levels. Women in the treatment group showed normalisation of the progesterone/oestradiol ratio.

How They Measured It

Serum progesterone, luteal phase length, midluteal estradiol

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Prolactin Modulation

1

To evaluate the evidence for chasteberry as a galactogogue and prolactin modulator.

2018 ? participants Various Various
Human Study Mixed

Study Type

Review

Purpose

To evaluate the evidence for chasteberry as a galactogogue and prolactin modulator.

Dose

Various

Participants

Review

Duration

Various

Results

Chasteberry acts as a dopamine agonist at pituitary dopamine D2 receptors, reducing prolactin secretion. Clinical evidence of prolactin lowering is moderate. Galactogogue claims not sufficiently supported by clinical trials.

How They Measured It

Review of prolactin measurement studies and clinical trials

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Fertility

1

To evaluate the effect of a Vitex agnus-castus-containing herbal formula on fertility in women with luteal phase defects.

1992 96 participants 3 months Mastodynon (contains VAC) 30 drops twice daily
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled

Purpose

To evaluate the effect of a Vitex agnus-castus-containing herbal formula on fertility in women with luteal phase defects.

Dose

Mastodynon (contains VAC) 30 drops twice daily

Participants

96 women with infertility and luteal phase defects

Duration

3 months

Results

Significantly more women in the Mastodynon group became pregnant compared to placebo. Progesterone levels increased and luteal phase length normalised, supporting the role of VAC in restoring fertility.

How They Measured It

Pregnancy rate, hormonal profile (LH, FSH, oestradiol, progesterone)

Read full study

Frequently Asked Questions

Common questions about Vitex (Chaste Tree Berry) research

What does the research say about Vitex (Chaste Tree Berry)?

There are currently 10 peer-reviewed studies on Vitex (Chaste Tree Berry) (Vitex agnus-castus), involving 1,240 total participants. Research covers PMS & PMDD, Menstrual cycle regulation, Prolactin modulation and 1 more areas. The overall evidence strength is rated as Very Strong.

How strong is the evidence for Vitex (Chaste Tree Berry)?

The evidence is currently rated as "Very Strong Evidence". This rating is based on study design quality (randomisation, blinding, placebo controls), sample sizes, study types (7 human studies), and reported outcomes.

What health goals has Vitex (Chaste Tree Berry) been studied for?

Vitex (Chaste Tree Berry) has been researched for: PMS & PMDD, Menstrual cycle regulation, Prolactin modulation, Fertility. Each area has its own body of evidence which you can explore in the study breakdowns above.

Are the studies on Vitex (Chaste Tree Berry) based on human trials?

Yes, 7 out of 10 studies are human trials. Human trials carry more weight in our evidence scoring system.