Are castor oil packs safe and beneficial for use in fertility, endometriosis (Endometriosis), and Polycystic Ovary Syndrome (PCOS), including during In Vitro Fertilization (IVF)?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: June 25, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Guidelines

Castor oil packs are generally considered safe for fertility support, endometriosis, and PCOS, but should be avoided during active IVF treatment cycles, pregnancy, and menstruation. These packs may help reduce inflammation and improve circulation to reproductive organs when applied to the lower abdomen for 30-60 minutes, 3-4 times weekly. To use a castor oil pack, soak a clean cotton cloth in high-quality, cold-pressed castor oil, place it on the abdomen, cover with plastic wrap, and apply a heating pad on low setting. While some women report benefits such as reduced pelvic pain and improved cycle regularity, scientific evidence supporting these claims is limited 1. Castor oil packs should complement, not replace, medical treatment. Those with specific health conditions, allergies to castor oil, or who are actively trying to conceive through IVF should consult their healthcare provider before use. The potential benefits are thought to come from castor oil's ricinoleic acid, which may help reduce inflammation and improve lymphatic circulation in the pelvic region, potentially supporting reproductive health.

Some key points to consider:

  • The use of castor oil packs is not a replacement for medical treatment, especially for conditions like endometriosis and PCOS, which require comprehensive management strategies 1.
  • Women with PCOS may benefit from treatments that improve ovulation, such as clomiphene citrate, as recommended by the ACOG 1.
  • Endometriosis can cause infertility, and imaging techniques like transvaginal ultrasound can be useful in diagnosing polycystic ovarian morphology (PCOM) and characterizing some features of endometriosis 1.
  • The safety and efficacy of castor oil packs during IVF treatment cycles are not well established, and their use should be avoided during this time to minimize potential risks 1.

It is essential to consult with a healthcare provider before using castor oil packs, especially for women with specific health conditions or those undergoing fertility treatments. By prioritizing evidence-based medical treatment and using castor oil packs as a complementary therapy, women can make informed decisions about their reproductive health. Overall, while castor oil packs may have potential benefits for fertility support, endometriosis, and PCOS, their use should be approached with caution and under the guidance of a healthcare provider.

From the Research

Castor Oil Packs in Fertility, Endometriosis, and PCOS

  • Castor oil packs have been mentioned as a potential treatment for various health issues, including fertility, endometriosis, and Polycystic Ovary Syndrome (PCOS) 2.
  • However, there is limited research on the specific use of castor oil packs for these conditions.

Safety and Benefits of Castor Oil Packs

  • A study on the toxicity of castor oil found no significant adverse effects in rats and mice, including no changes in reproductive endpoints such as sperm count and motility 2.
  • Castor oil is generally considered safe, but its effectiveness for fertility, endometriosis, and PCOS is not well-established.

Endometriosis and Fertility Preservation

  • Endometriosis is a chronic inflammatory condition that can affect fertility, and surgical management may be necessary to improve IVF outcomes 3.
  • Fertility preservation techniques, such as embryo, oocyte, and ovarian tissue cryopreservation, may be beneficial for patients with endometriosis 4.

PCOS and Fertility Treatment

  • In-vitro maturation (IVM) of immature oocytes is a potential treatment option for infertile women with PCOS, as it can reduce the risk of ovarian hyperstimulation syndrome (OHSS) 5.
  • IVM treatment has been shown to have clinical pregnancy and implantation rates of approximately 30-35% and 10-15%, respectively, in infertile women with PCOS.

Risks and Considerations

  • There is evidence that endometriosis and IVF may be associated with an increased risk of gynaecological malignancies, including ovarian and breast cancer 6.
  • However, more studies are needed to establish the risk factors and long-term effects of these treatments.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.