Does Ginseng Tea Affect Birth Control Pills? Citrus Fruits Safe? - Obstetrics and Gynecology

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Will there be any impact?


Hello Doctor, I am currently taking the oral contraceptive pill (Yueh-Chi), but recently my family has been giving me a third of a cup of ginseng tea.
I would like to ask if this will have any effects.
Additionally, I know that I should avoid grapefruit while on the pill, but can I consume other citrus fruits, such as oranges? I've heard conflicting information about this, so I wanted to consult you.
Thank you for your help! 😊

Moon, 20~29 year old female. Ask Date: 2023/12/20

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it generally does not have an impact.
Wishing you good health.

Reply Date: 2023/12/20

More Info


When it comes to the interaction between ginseng tea and birth control pills, the consensus among healthcare professionals is that ginseng, in moderate amounts, is unlikely to significantly affect the efficacy of hormonal contraceptives. Ginseng is a popular herbal supplement known for its potential health benefits, including boosting energy and enhancing immune function. However, it is essential to note that while ginseng is generally considered safe, it can interact with certain medications, particularly those that affect hormone levels.
The primary concern with ginseng is that it may have estrogenic effects, which could theoretically interfere with the hormonal balance maintained by birth control pills. However, the evidence supporting this interaction is limited. Most studies have not shown a significant impact of ginseng on the effectiveness of hormonal contraceptives. Therefore, consuming a small amount of ginseng tea, such as 1/3 cup, is unlikely to pose a risk to the effectiveness of your birth control pills. Nonetheless, it is always advisable to consult with your healthcare provider before introducing any new supplements or herbal teas into your routine, especially if you are on medication.

Regarding citrus fruits, particularly grapefruit, there is a well-documented interaction between grapefruit juice and certain medications, including some birth control pills. Grapefruit can inhibit the cytochrome P450 3A4 enzyme in the liver, which is responsible for metabolizing many drugs. This inhibition can lead to increased levels of the medication in the bloodstream, potentially enhancing side effects or altering the drug's effectiveness. However, this interaction is primarily associated with grapefruit and not with other citrus fruits like oranges or tangerines.

For most other citrus fruits, including oranges, there is no strong evidence to suggest that they significantly affect the metabolism of birth control pills. Therefore, consuming oranges or other non-grapefruit citrus fruits should be safe while taking hormonal contraceptives. It is essential to maintain a balanced diet, and including a variety of fruits can contribute to overall health without compromising the effectiveness of your birth control method.

In summary, drinking ginseng tea in moderation is unlikely to affect the efficacy of your birth control pills, but it is always best to check with your healthcare provider. As for citrus fruits, you can safely consume them, but it is advisable to avoid grapefruit to prevent any potential interactions. Always prioritize open communication with your healthcare provider regarding any concerns about medications and dietary choices to ensure your health and well-being.

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