Do Herbal Remedies Interact with Birth Control Pills? - Obstetrics and Gynecology

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Birth control pills and traditional Chinese medicine?


I have been taking birth control pills for almost a year, specifically YAZ.
Recently, I have noticed a decrease in my hair volume, and my mother plans to take me to see a traditional Chinese medicine practitioner for treatment.
I would like to know if herbal medicine can interact with birth control pills, and if there are any methods to minimize potential interactions.

Yun, 20~29 year old female. Ask Date: 2017/05/24

Dr. Huang Jianzhong reply Obstetrics and Gynecology


I have been taking birth control pills for almost a year, specifically the "Yaz" pill.
Recently, I have noticed a decrease in my hair volume, and my mom plans to take me to see a traditional Chinese medicine practitioner to try some herbal remedies.
I would like to know if there are any interactions between Chinese herbal medicine and birth control pills, or if there are any methods to minimize potential interactions.
Answer: Taking the two medications at different times may help reduce interactions.

Reply Date: 2017/05/24

More Info


When considering the interaction between herbal remedies and birth control pills, it is essential to approach the topic with caution and a thorough understanding of both the medications involved and the potential effects of herbal supplements. Birth control pills, particularly hormonal contraceptives, work by altering the hormonal balance in the body to prevent ovulation, thicken cervical mucus, and thin the uterine lining. Any substance that affects this hormonal balance could potentially interfere with the effectiveness of the birth control method.

One of the most well-known herbal remedies that can interact with birth control pills is St. John's Wort (Hypericum perforatum). This herb is often used for its antidepressant properties, but it can induce liver enzymes that metabolize hormonal contraceptives, leading to reduced effectiveness of the birth control pill. This means that if you are taking St. John's Wort while on birth control pills, there is a risk of unintended pregnancy due to decreased contraceptive efficacy.

Other herbal remedies may also pose risks, although the evidence is less clear-cut. For example, herbs like garlic, ginseng, and certain teas may have mild effects on liver enzymes, but their impact on birth control pills is not as well documented. It is crucial to consult with a healthcare provider before starting any herbal remedy, especially if you are currently taking hormonal contraceptives.

In your case, since you are considering seeing a traditional Chinese medicine (TCM) practitioner for hair loss, it is vital to discuss your current use of birth control pills with them. Some TCM herbs may not have been studied extensively for their interactions with hormonal contraceptives, so it is essential to ensure that the practitioner is aware of your medication regimen. They may be able to recommend herbal remedies that are less likely to interfere with your birth control.

To minimize the risk of interaction, here are some steps you can take:
1. Consult Your Healthcare Provider: Before starting any new herbal remedy, discuss it with your doctor or a qualified healthcare provider. They can provide personalized advice based on your health history and current medications.

2. Research the Herbs: If you have specific herbs in mind, research their effects and potential interactions with hormonal contraceptives. Reliable sources include peer-reviewed studies and reputable medical websites.

3. Monitor for Side Effects: If you do decide to take herbal remedies, pay attention to any changes in your body or menstrual cycle. If you notice any irregularities, consult your healthcare provider immediately.

4. Consider Alternative Treatments: If you are concerned about potential interactions, ask your healthcare provider about alternative treatments for hair loss that do not involve herbal remedies.

5. Regular Check-ups: Maintain regular check-ups with your healthcare provider to monitor your overall health and the effectiveness of your birth control method.

In summary, while some herbal remedies can interact with birth control pills, the extent of these interactions can vary widely depending on the specific herb and individual health factors. Always prioritize open communication with your healthcare providers and make informed decisions regarding your health and wellness.

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