Ashwagandha During Pregnancy: Is It Safe?

Posted on February 28, 2024

Ashwagandha pregnancy

Ashwagandha During Pregnancy: Is It Safe?

 

Derived from the roots of the Withania somnifera plant, ashwagandha root is highly regarded in Ayurvedic traditions for its numerous health benefits.

Ashwagandha is a key component of Ayurvedic medicine, valued for its adaptogenic properties that help the body manage stress and maintain vigor. With roots in Indian heritage, it has been used for centuries for its potential to boost vitality and support longevity.

Ashwagandha, often referred to as the “Indian ginseng,” plays a significant role in Rasayana therapy, an ancient Ayurvedic practice focused on rejuvenation and holistic well-being. Rasayana therapy encompasses a comprehensive approach, aiming to revitalize the body, mind, and spirit through personalized dietary plans, herbal formulations, and rejuvenating practices. In Ayurveda, ashwagandha is highly valued for its versatility and is commonly recommended by practitioners to support stress management, promote relaxation, enhance stamina, and support reproductive health.

In traditional Chinese medicine, ginseng, known as “ren shen,” holds a revered status similar to ashwagandha in Ayurvedic medicine. Both herbs are valued for their adaptogenic properties, which help the body adapt to stressors and promote vitality and longevity. These herbs are often incorporated into formulations aimed at supporting overall well-being. The concept of Rasayana, found in both Ayurvedic and traditional Chinese medicine, emphasizes rejuvenation and holistic health, with herbs like ginseng and ashwagandha serving as prime examples of this approach.

While the traditional uses of ashwagandha plants are well-documented, its safety during pregnancy remains a topic of discussion. As modern research sheds light on its pharmacological properties, the traditional applications of ashwagandha are increasingly supported by scientific evidence, revealing its anti-inflammatory, antioxidant, and immune-modulating effects, among others. However, due to its potential impact on hormone levels and pregnancy outcomes, this article critically examines the safety of ashwagandha during pregnancy.

 

Benefits of Ashwagandha

 

Ashwagandha’s adaptogenic properties enable the body to better cope with stressors, promoting resilience and overall well-being by regulating cortisol levels. Its capacity to foster a balanced stress response suggests its potential to enhance vitality and overall well-being.

Moreover, a carefully controlled study has unveiled another layer of benefits as ashwagandha supplementation showcased an increase in stamina among cyclists. This exciting finding highlights the diverse advantages beyond stress management that Ashwagandha offers.

Does Ashwagandha Affect Fertility?

Amidst the buzz surrounding ashwagandha’s potential, emerging studies hint at its positive influence on reproductive health. Particularly noteworthy is its believed support for male fertility by enhancing semen quality and quantity.

While research remains constrained, a recent study suggests promising results, indicating that ashwagandha may indeed improve sperm quality across various parameters, potentially increasing the chances of conception.

Additionally, early findings suggest ashwagandha’s potential to regulate menstrual cycles and promote hormonal balance, offering hope for female fertility enhancement. Recent studies have shed light on its ability to elevate luteinizing hormone (LH) levels in women and testosterone levels in men, both crucial factors in fertility optimization.

Moreover, ashwagandha’s aphrodisiac effects on sexual well-being in adult men, attributed to increased serum testosterone levels, have been supported by separate research.

In a separate study involving participants receiving 300 mg of ashwagandha twice daily, a potential reduction in cortisol levels was observed, indicating a promising impact on stress reduction. Given that elevated cortisol levels can negatively affect various bodily systems, including fertility, ashwagandha’s role in stress management could indirectly benefit fertility.

Therefore, incorporating ashwagandha into pre-pregnancy routines may offer potential benefits in boosting fertility. However, it’s important to note that while ashwagandha’s effects on fertility have garnered attention, there’s limited research on whether ashwagandha is safe during pregnancy. 

Based on these findings, there appears to be no harm in taking ashwagandha before pregnancy to potentially enhance fertility.

 

Specific Benefits for Pregnant Women

 

While pregnancy often presents various physical and emotional challenges, such as stress and fatigue, some individuals may find support in managing these symptoms through the adaptogenic properties of ashwagandha. However, it’s crucial to note that the safety of ashwagandha during pregnancy remains uncertain.

Interestingly, a mouse study found no toxicity effects on the developing fetus at consumption levels of up to 2000 mg/day. Despite this finding, the lack of comprehensive research on ashwagandha’s effects during pregnancy leads to a general consensus advising against its use as an herbal supplement.

Given the scarcity of research on ashwagandha’s influence on birth outcomes, expectant mothers should prioritize evidence-based interventions and consult healthcare providers for personalized guidance. This consultation should take into account the potential effects of Withania somnifera, the scientific name for ashwagandha. Making informed decisions based on reliable information is essential to ensure the well-being of both mother and baby during pregnancy.

 

Potential Side Effects of Ashwagandha

 

Are there any negative side effects to taking ashwagandha? While ashwagandha offers potential benefits, it’s essential to consider possible adverse reactions. Commonly reported side effects may include gastrointestinal upset, nausea, and vomiting. For nausea you might want to explore our previous article can you take dramamine while pregnant?  

Healthcare professionals often advise certain groups, such as individuals with thyroid conditions, autoimmune disorders, hormone-sensitive prostate cancers, and pregnant women, to avoid the herb. They caution that individuals with autoimmune conditions should approach ashwagandha with care due to its immunomodulatory effects, derived from the roots of the Withania somnifera plant, which could potentially impact them.

The limited data regarding the safety of ashwagandha during pregnancy raises significant concerns. Pregnant women are strongly advised to exercise caution and avoid ashwagandha supplementation unless under the guidance of a qualified healthcare professional. These professionals can provide valuable insights into the potential effects of Withania somnifera, the scientific name for ashwagandha, on both maternal and fetal health.

Additionally, it’s essential to recognize that the FDA does not regulate ashwagandha or other dietary supplements the same way as prescription medications. This lack of regulation leads to variations in the quality and consistency of ashwagandha products, emphasizing the importance of seeking guidance from healthcare professionals before use.

 

Particular Concerns for Pregnant Women

 

While ashwagandha has a rich history in Ayurvedic medicine, its safety profile during pregnancy remains uncertain. Despite its traditional use, robust evidence supporting the safety or efficacy of Withania somnifera in this population is lacking, prompting concerns about potential risks to maternal and fetal health.

Throughout pregnancy, the body experiences a natural rise in cortisol levels, as this hormone supports the healthy growth and development of the fetus. While ashwagandha may assist pregnant individuals in stress management, its effects could potentially pose risks to the developing fetus.

Expectant mothers should exercise caution and consult healthcare professionals before incorporating Withania somnifera into their prenatal regimen.

Is Ashwagandha OK While Pregnant?

According to WebMd, there is some evidence that Ashwagandha might increase the risk of miscarriage. While various websites echo this warning, thorough research revealed only one study supporting this claim, highlighting an elevated risk of miscarriage with high doses of Withania somnifera. 

With limited research available, it’s often advisable for pregnant women to abstain from its use, particularly during the first trimester when fetal development is most vulnerable. For example  the National Center for Complementary and Integrative Health, ashwagandha should be avoided during pregnancy and breastfeeding. Seeking guidance from a healthcare provider is crucial to ensure the well-being of both mother and baby, given the implications of Withania somnifera.

Ultimately, the absence of definitive studies emphasizes the significance of personalized decisions tailored to individual needs and comfort levels. Concerns regarding the safety of herbal supplements like ashwagandha during pregnancy frequently arise due to inadequate scientific evidence. Similarly, individuals may have comparable reservations about the components in their skincare products.

As discussed in our previous blog post outlining beauty product ingredients to avoid when pregnant,  research on product safety during pregnancy is often inconclusive, making definitive conclusions challenging. If you have reservations about any beauty products applied to your skin, we strongly advise utilizing our pregnancy-safe ingredient checker, accessible on both IOS and Android platforms. This tool offers assurance by verifying that your chosen topical product is devoid of potentially harmful ingredients, allowing you to make informed decisions about its use during pregnancy.

Can I take ashwagandha green tea in pregnancy?

Ashwagandha green tea, which is brewed by infusing green tea leaves with ashwagandha root or powder, raises similar concerns regarding pregnancy safety. Pregnant individuals should approach herbal supplements and teas with caution, as their effects on pregnancy and fetal development may not be well understood.

Additionally, ACOG advises minimizing your caffeine intake to about 200mg per day which comes down to about four cups of green tea.  It’s important to consult with a healthcare professional before consuming ashwagandha green tea or any herbal products during pregnancy to ensure the safety of both the mother and the baby.

 

Action of Ashwagandha

 

Ashwagandha affects the body in various ways, including influencing neurotransmitters, regulating hormones, and boosting antioxidant defenses. While these effects may have therapeutic potential, it’s essential to thoroughly assess their impact during pregnancy, especially concerning Withania somnifera‘s role.

The complex interactions of ashwagandha’s pharmacological effects raise questions about its safety during pregnancy. While it may theoretically provide benefits like stress reduction and immune support, the lack of conclusive evidence necessitates caution to prevent potential harm to the developing fetus. It’s crucial to understand the effects of Withania somnifera and its components in the context of pregnancy.

Furthermore, it’s essential to consider the dosage and formulation of ashwagandha products, as variations in potency and purity may influence their safety during pregnancy. This difficulty arises from several factors, including variations in product quality, differences in individual responses, and limited scientific consensus on optimal dosing for specific health conditions. Additionally, the potency of ashwagandha supplements can vary widely between brands and batches, making it challenging for healthcare providers to prescribe standardized dosages. 

In conclusion, while this ancient Ayurvedic medicine holds a storied legacy of holistic wellness, ashwagandha’s safety during pregnancy warrants careful consideration. Rooted in ancient wisdom, ashwagandha offers potential benefits such as stress management and immune support, supported by modern research. However, uncertainties linger regarding its effects on pregnancy outcomes, particularly given its influence on hormone levels and stress responses.

As expectant mothers navigate the complexities of pregnancy, it’s crucial to prioritize evidence-based interventions and consult healthcare providers for personalized guidance. While ashwagandha may offer promise in boosting fertility and managing stress, its safety during pregnancy remains uncertain.

Research on Withania somnifera’s pregnancy effects is limited, highlighting the need for caution and informed decision-making. While some studies suggest potential risks, including an elevated risk of miscarriage, comprehensive research is lacking. Thus, pregnant women are advised to abstain from ashwagandha use, especially during the first trimester when fetal development is most vulnerable.

Consulting with healthcare professionals can offer invaluable insights into the implications of ashwagandha on maternal and fetal health. By prioritizing safety and evidence-based practices, expectant mothers can confidently and confidently navigate their pregnancy journey.

Considering both the benefits and risks of natural remedies during pregnancy, such as ashwagandha, highlights the need to comprehend the complexities and potential impacts of herbal supplements. While ashwagandha shows potential for enhancing overall well-being, its safety during pregnancy remains uncertain. By approaching pregnancy with mindfulness and consulting trusted healthcare providers, mothers can prioritize their own and their babies’ health.

 

Sources:

Effects of eight-week supplementation of Ashwagandha on cardiorespiratory endurance in elite Indian cyclists | Journal of Ayuveda and Integrative Medicine

A Prospective, Randomized Double-Blind, Placebo-Controlled Study of Safety and Efficacy of a High-Concentration Full-Spectrum Extract of Ashwagandha Root in Reducing Stress and Anxiety in Adults | Indian Journal of Psychological Medicine

Effects of Withania somnifera on Reproductive System | BioMed Research International

Withania somnifera improves semen quality by regulating reproductive hormone levels and oxidative stress in seminal plasma of infertile males | NCBI

A Prospective, Randomized Double-Blind, Placebo-Controlled Study of Safety and Efficacy of a High-Concentration Full-Spectrum Extract of Ashwagandha Root in Reducing Stress and Anxiety in Adults | Indian Journal of Psychological Medicine

A prospective study of psychosocial stress and fertility in women | Oxford Academic

Prenatal developmental toxicity evaluation of Withania somnifera root extract in Wistar rats | Drug Chem Toxicol

Use of ashwagandha skyrockets in the United States | UCLA Health

Ashwagandha – Uses, Side Effects, and More | WebMD

Critical evaluation of ayurvedic plants for stimulating intrinsic antioxidant response. | Europe PMC

Ashwagandha | National Center for Complementary and Integrative Health

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