From the Research
Fenugreek may help increase milk production in some breastfeeding mothers, and the recommended daily dosage is 5,220-5,490mg per day, taken as 2-3 capsules (580-610mg each) three times daily. The evidence for the effectiveness of fenugreek as a galactagogue is mixed, but a recent study published in 2020 1 found that natural galactagogues, including fenugreek, may benefit infant weight and milk volume in mothers with healthy, term infants. Another study published in 2018 2 found that fenugreek significantly increased the amount of breast milk produced compared to placebo. However, the quality of the evidence is generally low to very low due to high risk of biases, substantial clinical and statistical heterogeneity, and imprecision of measurements.
When considering the use of fenugreek as a galactagogue, it is essential to weigh the potential benefits and harms. A Delphi study published in 2018 3 found that healthcare providers and breastfeeding women agreed on the need to discuss potential harms and benefits of using fenugreek during clinical consultations. The potential benefits of fenugreek include increased milk production, while the potential harms include digestive upset, maple syrup smell in urine, and potential lowering of blood sugar.
Some key points to consider when using fenugreek as a galactagogue include:
- Results, if any, are usually noticed within 24-72 hours
- Fenugreek works by stimulating sweat production, and a maple syrup odor in sweat or urine indicates sufficient dosage
- Side effects can include digestive upset, maple syrup smell in urine, and potential lowering of blood sugar
- Fenugreek should be avoided by those with diabetes, thyroid disorders, or peanut allergies (as fenugreek is in the same plant family)
- While trying fenugreek, continue frequent nursing or pumping, stay hydrated, and ensure proper nutrition
- If milk supply doesn't improve within a week, consult a lactation consultant as other factors may be affecting milk production
It is also important to note that the evidence for the effectiveness of fenugreek as a galactagogue is not as strong as that for other galactagogues, such as domperidone 1. However, fenugreek may still be a useful option for some breastfeeding mothers, particularly those who are looking for a natural alternative to pharmaceutical galactagogues.