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The Apothecary / Reproductive health

Contraception

12 remedies

See a doctor if

No herb is a reliable contraceptive. Some reduce the effect of hormonal contraceptives.

Reference, not prescription. Nothing here is medical advice. Herbs can interact with medicines and be dangerous in pregnancy; tell your doctor or pharmacist about anything you take.

Strong evidence

StrongAn approved medicine, or consistent good-quality trials and reviews.

Moderate evidence

ModerateSeveral trials, mostly positive, or an EMA ‘well-established use’ monograph.

Limited evidence

LimitedSmall or few trials, mixed results, or mainly lab and animal work.
Chinese hibiscus

Chinese hibiscus

Hibiscus rosa-sinensis

Limited

Ayurvedic literature attributes antifertility activity to the plant. Ethanolic root extract at 400 mg/kg completely prevented embryo implantation in rats and had oestrogen-like effects on the uterus; flowers have shown anti-implantation and antispermatogenic activity. Not tested or suitable as a human contraceptive.

Flame of the forest

Flame of the forest

Butea monosperma

Limited

The seed is a folk contraceptive. Butin, a flavonoid from the seed, stopped embryos implanting in 40–90% of pregnant rats, depending on dose, and acted as a weak oestrogen. Animal data only; this is a reason for caution, not a recommendation.

Green cestrum

Green cestrum

Cestrum parqui

Limited

A leaf extract (40–250 µg/ml) immobilised and damaged human sperm in the test tube in a dose- and time-dependent way. This is a single laboratory study; the plant is toxic and has never been tested as a contraceptive in people.

Kamala tree

Kamala tree

Mallotus philippensis

Limited

Kamala is recorded as a traditional oral contraceptive. A seed extract lowered FSH and LH and impaired ovulation and pregnancy in female rats; this is a reason for caution, not a usable method.

Prickly chaff flower

Prickly chaff flower

Achyranthes aspera

Limited

Widely used for fertility control in Ethiopian local medicine. Animal studies reviewed in 2021 report anti-implantation, abortifacient and spermicidal effects. In pregnant rats a leaf extract (1000 mg/kg) reduced implantation, slowed embryo growth and raised fetal deaths. This shows harm to the fetus, not a safe or reliable contraceptive.

Soapnut

Soapnut

Sapindus mukorossi

Limited

Reetha saponins immobilised all human sperm within 20 seconds at 0.05% in vitro and damaged sperm membranes under the electron microscope; combined with neem extract and quinine they were proposed for a vaginal contraceptive. No efficacy trials were found in the sources fetched, and it should not be relied on to prevent pregnancy.

Wild carrot

Wild carrot

Daucus carota

Limited

Romans and Greeks used the seeds for contraception and as an emmenagogue; a Native American recipe for female contraception included them. Several rat studies found seed extracts or the seed oil interfered with early pregnancy (anti-implantation, anti-progestogenic and anti-oestrogenic effects). There are no human studies, effectiveness is unknown, and it is not a reliable contraceptive.

Zoapatle

Zoapatle

Montanoa tomentosa

Limited

Used as a contraceptive and to induce abortion in early pregnancy. In six women in early pregnancy given leaf decoctions (1.0–1.4 g dry leaf/kg/day for 2 days) before a planned abortion, all had cramps and cervical dilatation, and four bled. In rats the extract interfered with embryo implantation.

Traditional use

TraditionalLong recorded use, essentially untested in clinical trials.