The Hidden Risks: 20-plus Foods and Supplements That Threaten Birth Control Safety
Certain foods, herbs, and supplements can potentially make your birth control less effective. We take birth control to prevent pregnancy, so if something compromises the efficacy, we should be well aware and act appropriately. Unfortunately, many of our medical professionals do not provide this education. Here is a detailed list of these items.
The Food List

There are foods that can interact negatively with birth control.
Grapefruit

Grapefruit and grapefruit juice can increase the levels of estrogen in your body by inhibiting the enzyme CYP3A4, which is involved in the metabolism of some hormonal contraceptives.
Licorice, Yam, Soy, and Dairy Products

These foods contain compounds that might affect hormone levels, although their impact on birth control effectiveness is likely minimal unless consumed in very large quantities.
Vitamins, Herbs, Drugs & Supplements

There are several herbs, vitamins and supplements to be aware of. We want our birth control to be as effective as possible.
St. John’s Wort

This herb is known to accelerate the metabolism of hormones in birth control due to its induction of the liver enzyme CYP3A4, potentially making the contraceptive less effective.
Saw Palmetto

Often used for prostate health and hair growth, this herb may affect hormone levels.
Garlic Pills

Some people take these for cardiovascular health, but they might interfere with hormonal birth control.
Flaxseed

Used for digestive health, it may also impact hormone levels, whether it is in its whole or ground state.
Alfalfa

Known to potentially increase liver enzyme activity, which could lead to faster breakdown of contraceptive hormones.
Queen Anne’s Lace (Wild Carrot Seed)

Used historically as a natural contraceptive, it is taken after unprotected sex to prevent implantation.
Smartweed

Contains elements like rutin and gallic acid, which are believed to prevent pregnancy by hindering implantation.
Vitamin C

High doses of Vitamin C can increase estrogen levels, potentially affecting the effectiveness of birth control.
Activated Charcoal

Known for its strong absorptive properties, activated charcoal can absorb medications like birth control pills if taken concurrently, reducing their effectiveness.
Detox Teas

These often act as laxatives, which can prevent oral contraceptives from being fully absorbed if they cause diarrhea. By the way, the term “detox tea” is very much a marketing term and their effectiveness is not evidence based, anyway.
Melatonin

Used for sleep regulation, there is some concern that it might interfere with hormonal birth control, although conclusive evidence is lacking.
Additional Considerations

There are a few drugs that can negatively affect birth control that deserve a special mention.
Antibiotics like Rifampin

Known to decrease the effectiveness of birth control by increasing the metabolism of hormones.
Antifungal medications

Some, like Griseofulvin, can interact with birth control pills.
Anticonvulsants and Anti-HIV Drugs

These can also reduce the effectiveness of hormonal contraceptives.
The Takeaway

It’s important to consult with a healthcare provider before starting any new food supplement, herb, or medication if you are using hormonal birth control. They can provide guidance on potential interactions and suggest alternative contraceptive methods if necessary.
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