Is ashwagandha safe during pregnancy?

Published: September 21, 2025
Updated: September 21, 2025

When it comes to pregnancy, ashwagandha presents serious risks that shouldn't be taken lightly. While ashwagandha is an adaptogen, it has the potential to enhance uterine activity, which may lead to complications. Pregnant people must avoid all preparation unless their obstetrician says otherwise. The risks far exceed any potential advantages for pregnant people.

Uterine Stimulation

  • Withanolides may trigger uterine contractions
  • Potential risk for premature labor
  • Historical use as an abortifacient in some traditions

Hormonal Interference

  • Possible impact on progesterone levels
  • Interference with natural pregnancy hormones
  • Unpredictable effects on fetal development

Compound Transfer

  • Active withanolides may cross placental barrier
  • Unknown effects on developing systems
  • Lack of safety studies in human pregnancy

Research highlights certain biological mechanisms that warrant caution. Since ashwagandha contains compounds potentially impacting smooth muscle tissue, including the uterus, hormonal modulation properties could be disruptive to delicate balances of pregnancy. Each of these factors carries unpredictable danger for both mother and baby.

Pregnancy Safety Comparison
Herb/Supplement
Ashwagandha
Pregnancy Status
Avoid
Safer AlternativesNone recommended
Herb/Supplement
Ginger
Pregnancy Status
Generally safe
Safer AlternativesNausea relief
Herb/Supplement
Peppermint
Pregnancy Status
Generally safe
Safer AlternativesDigestive support
Herb/Supplement
Red raspberry leaf
Pregnancy Status
Avoid in 1st trimester
Safer AlternativesLate pregnancy tonic
Always consult your OB-GYN before using any herbs during pregnancy

There are no reliable studies, no, I mean trusted studies, confirming the safety of ashwagandha for use by pregnant people. Regulatory agencies such as the FDA assign it a pregnancy category of N (not evaluated). Most studies have involved animals, suggesting that there may be potential risks of developmental harm. This is an obvious case for the precautionary principle.

For stress management in pregnancy, sources such as meditation and prenatal yoga are acceptable options. They offer the relaxation benefits of yoga, and meditation also provides additional benefits. Breathing exercises can provide immediate anxiety relief. You can assume that anything your OB approves is safe during pregnancy compared with some unverified herbal alternatives.

Consultation with healthcare providers remains non-negotiable. Discuss all supplements with your obstetrician before use. Disclose any accidental ashwagandha consumption immediately. Professional guidance ensures the healthiest possible pregnancy journey.

Read the full article: 8 Benefits Ashwagandha Root You Need to Know

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