As most women with polycystic ovary syndrome (PCOS), now polyendocrine metabolic ovarian syndrome (PMOS) know, finding symptom relief is no easy feat. It can feel like you get entirely different advice depending on where you look. And then you throw in “treatments” like birth control pills and prescription GLP-1s, and things get even more confusing. This is exactly why herbs for PMOS have been getting a lot of attention lately.
I’m Tallene, a Registered Dietitian specializing in PMOS who has the condition myself. I’m a big believer that you can take back control of your body with natural methods, simple routines, a little patience, and a lot of dedication. And, most importantly, the right research! That’s why below, I’m zooming in on one natural remedy: herbs.
Below, I’ll talk about the best herbs for PCOS (PMOS), show you what the research says about their benefits, and walk you through how you can actually find symptom relief (not just mask symptoms). Let’s dive in!
Are Herbs Safe to Take with PCOS (PMOS)?
Herbs can be a helpful addition to your PMOS routine, but “natural” doesn’t automatically mean safe for everyone. Herbal supplements aren’t regulated and approved the same way prescription medications are, and the amount and quality of active ingredients can vary between herbs.
Another important note: some herbs can interact with medications. This is especially important if you take hormonal birth control, fertility medications, thyroid medication, diabetes medication, or blood pressure medication. Some herbs can affect sex hormones, blood sugar, blood pressure, or the way your body simply processes certain medications.
And if you’re pregnant, breastfeeding, trying to conceive, or going through fertility treatment, talk with your doctor before adding an herb or herbal supplement other your routine. Many herbs haven’t been studied enough during pregnancy, and some may affect hormones or interact with fertility medications.
The bottom like? Herbs can support your routine, but they shouldn’t replace medical care. Bring your supplement list to your doctor so you can figure out what makes sense alongside your current medications and PMOS management plan.
23 Best Herbs for PCOS

Fertility Herbs for PCOS
Trouble conceiving and irregular periods are two common concerns for women with PMOS. Because ovulation and fertility are closely connected to your hormones and metabolic health, you may see several herbs marked specifically for reproductive support.
While some having promising early research behind them, none of these herbs should be considered a standalone fertility treatment. You can learn about more ways to support fertility with PMOS from your specific healthcare provider.
That said, here are some worth considering to your general PMOS fertility plan:
Cinnamon
While cinnamon is best known as a spice, researchers have also looked at its effects on metabolic and reproductive health.
One small randomized trial found that cinnamon supplements was associated with more regular menstrual cycles in women with PMOS. Other research has investigated cinnamon for its potential effects on blood sugar levels and insulin resistance, although evidence is still developing.
Chaste Tree Berry
Chaste tree berry, also called vitex or chasteberry, is commonly marketed for menstrual and reproductive health. Some research has explored vitex-containing supplements for menstrual regulation and fertility, but evidence specifically supporting vitex as a treatment for PMOS is limited.
If you take hormonal birth control, fertility medication, or another medication that affects your hormones, talk with your doctor before incorporating chaste tree berry into your routine.
Maca
Maca is another herb you’ll often see in supplements marketed for hormone and reproductive support. One study specifically looked at a supplement containing both maca and vitex and reported improvements in menstrual cycle measures.
However, because the herbs were used together, we can’t assume maca alone produced those results. More research is needed before we can make any reliable claims about mace’s benefits for reproductive health.
Tribulus Terrestris
Tribulus terrestris is an herb traditionally used for reproductive and sexual health, and it’s also been studied as part of herbal treatment protocols for PMOS.
In one randomized controlled trial, women with PMOS who received lifestyle intervention plus a combination of herbal medicines (including tribulus terrestris) experienced improvements in menstrual regularity and several other outcomes compared to lifestyle intervention alone.
The important detail is that tribulus wasn’t tested by itself. The treatment contained multiple herbs, so the study can’t tell us whether tribulus terrestris was responsible for these improvements alone. Ultimately, we need better research on the herb alone before calling it a proven PMOS fertility supplement.
Adaptogen Herbs for PCOS
Adaptogens are plants and plant compounds commonly used to help the body respond to stress. Stress management matters with PMOS, but that doesn’t mean an adaptogen can single-handedly balance cortisol or fix a hormonal imbalance.
Think of these herbs as potential tools that may help reduce stress rather than replacements for sleep, nutrition, movement, therapy, or medical treatment.
Holy Basil
Holy basil, also know as tulsi, has been studied for its potential metabolic and stress-related effects. Research has explored whether it may influence glucose metabolism and reduce inflammation, but much of the evidence isn’t specific to women with PMOS.
Holy basil definitely has properties worth studying, we just don’t have strong enough evidence yet that it directly treats PMOS or its symptoms.
Ginseng
Ginseng has also been studied for its effects on glucose metabolism and improving insulin sensitivity. Since insulin resistance is common with PMOS, that potential benefit is worth some attention!
Just like with other herbs, research specifically connecting ginseng to PMOS remains limited. Ginseng can also interact with medications, including some medications used to manage blood pressure. Always talk with your doctor before adding a concentrated supplement.
Ashwagandha
Ashwagandha is one of the better-known adaptogens and has been studied for stress and sleep. Some research suggests certain ashwagandha preparations may help reduce stress, although evidence of its other benefits is still limited.
There are also some important safety considerations. Ashwagandha isn’t recommended for people with thyroid disorders and may interact with thyroid hormone medications, diabetes medications, and blood pressure medications.
Anti-Androgen Herbs for PCOS
Higher androgen levels are one of the hormonal features associated with PMOS. Elevated androgens can contribute to common symptoms like acne, unwanted facial or body hair, scalp hair thinning, and irregular cycles.
Some herbs have been researched for their potential effects on androgens, but the evidence varies from herb to herb:
Black Cohosh
Black cohosh is most commonly studied for menopausal symptoms, although researchers have also investigated its effects on hormonal pathways. Earlier research has studied black cohosh for its potential anti-androgen effects, but there isn’t enough evidence to claim it as a PMOS treatment.
There are also safety considerations worth knowing. Rare cases of liver injury have been reported in people using products labeled as black cohosh, although it isn’t clear whether the herb itself was responsible. If you have liver problems, talk with your doctor before taking it.
Green Tea
Green tea contains compounds that have been researched for their antioxidant and metabolic effects. Early research has also explored whether green tea may influence androgen activity and insulin sensitivity.
That doesn’t mean drinking green tea will lower your androgens enough to treat PMOS, but unsweetened green tea can fit comfortably into a PMOS management plan for the potential benefits!
Chinese Peony
Chinese peony contains paeoniflorin, a compound that’s been studied for several biological effects, including potential influences on hormone pathways. Some laboratory and herbal-medicine research has even explored Chinese peony alongside licorice for androgen-related concerns.
However, evidence in women with PMOS is still limited, so we can’t say Chinese peony reliably lowers testosterone or improves symptoms on its own.

Herbs for PCOS Acne
Higher androgens can stimulate oil production and contribute to hormonal acne, which is why addressing the bigger hormonal and metabolic picture matters.
Fortunately, there are several ways to support hormonal acne with PMOS, and some herbs have been studied for properties that could potentially help.
Spearmint
Spearmint is one of there interesting herbs studied for androgen-related symptoms. In a small randomized controlled trial, drinking spearmint tea was associated with changes in androgen levels in women with hirsutism.
Naturally, its potential anti-androgen effects make it a popular option in the PMOS management community.
Licorice
Licorice contains several compounds that have been studied for anti-inflammatory and antimicrobial properties, which can explain why you’ll sometimes see it in products marketed for acne.
While it can play a meaningful role in PMOS management, licorice deserves some caution: consuming large amounts or using it regularly can increase blood pressure or cause other potentially serious effects. If you have high blood pressure to take blood pressure medication, talk with your doctor before using a licorice supplement.
Stinging Nettle Leaf
Stinging nettle has been studied for anti-inflammatory and antimicrobial properties, but evidence that it specifically treats PMOS-related acne is limited.
More specifically, stinging nettle leaf can help contract tissue to soak up excess secretions that cause acne according to various studies. Rather than treating it as a standalone acne cure, think of it as another herb researchers are still investigating for its potential skin and inflammatory effects.
Herbs for PCOS Hair Loss
Hair thinning can be one of the most frustrating PMOS symptoms, especially when it affects how you feel about yourself. Androgens can contribute to androgenetic hair loss, but nutrient deficiencies, thyroid conditions, stress, and other factors can also play a role.
That’s why it’s worth figuring out what’s actually causing your hair loss before reaching for a supplement. You can learn more about ways to address PMOS hair loss here, but I’ll discuss more about specific herbs below:
Rosemary
Rosemary oil has some promising research behind it for androgenetic alopecia. One randomized trial found that rosemary oil produced improvements in hair count over six months comparable o 2% minoxidil in people with androgenetic alopecia.
Rosemary may be worth discussing as a topical option, but we can’t yet assume it will reverse PMOS-related hair loss.
Horsetail
Horsetail is rich in silica and is commonly marketed in hair, skin, and nail supplements. However, evidence supporting horsetail specifically for PMOS-related hair loss is limited.
That means I wouldn’t rely on it to stop hair loss in it’s tracks, but it can be a meaningful addition to a PMOS management routine when hair loss is a primary concern.
Red Clover
Red clover contains isoflavones, which are phytoestrogens, plant compounds with structural similarities to estrogen. You’ll sometimes see red clover extracts in hair-growth products, but research supporting red clover to PMOS-related hair loss is limited.
Because it contains phytoestrogens and may have hormone-related effects, talk with your doctor before taking concentrated red clover supplements.
Herbs for PCOS Hirsutism
Hirsutism refers to the excess coarse hair growth in areas where women typically grow less hair. With PMOS, higher androgen levels can contribute to growth on areas like the face, chin, chest, or abdomen.
A few plant-based ingredients have been studied for potential anti-androgen effects, but researches still limited. Here’s what matters:
Lavender
One small study looked at the topical use of lavender and tea tree oils in women with hirsutism and found a reduction in hair diameter. This is because lavender is anti-androgenic and can potentially stimulate the production of estrogen.
That said, it doesn’t establish lavender as an official treatment for the underlying hormonal cause of PMOS hirsutism. Essential oils can also irritate the skin, so always dilute them appropriately if you’re using a topical oil.
Tea Tree Oil
Tea tree oil was combined with lavender in the same study I mentioned above! So while it may be a helpful addition to a PMOS management plan for hirsutism, we can’t say for certain that tea tree oil alone produces meaningful results.
Like lavender, if you’re using a tea tree essential oil, make sure to always dilute it before touching it to your skin.
Saw Palmetto
Saw palmetto is commonly marketed for its potential anti-androgen activity, why is why it sometimes comes up in conversations about unwanted hair growth and androgen-related hair loss.
However, clinical evidence supporting saw palmetto specifically for women with PMOS is limited. More importantly, saw palmetto may be unsafe during pregnancy or breastfeeding, which is why it’s important talk to your doctor before incorporating it into your routine.

Herbs for PCOS Weight Loss
Losing weight with PCOS can feel impossible. Whether it’s insulin resistance, hormonal imbalances, or other PMOS comorbidities, losing weight with PMOS can feel anything but easy.
Ultimately, no herb can replace the nutrition, movement, sleep, stress management, and medical support that make up a sustainable PMOS routine. However, researchers investigated a few herbs for their potential metabolic effects:
Fenugreek
Fenugreek has been studied for its effects on glucose metabolism and insulin resistance. Since supporting healthy blood sugar levels and insulin sensitivity can be important for women with insulin-resistant PMOS, researchers have also explored its potential role in metabolic health.
That doesn’t make fenugreek a weight loss supplement, but it can be part of a PMOS weight management routine.
Cardamom
Cardamom is another spice that researchers have studied for possible metabolic and anti-inflammatory effects. Some studies have integrated cardamom supplementation for measures such as cholesterol and inflammation, but that doesn’t mean it specifically prevents belly fat or causes weight loss alone.
Instead, it’s better viewed as a flavorful addition to your diet than a shortcut for changing body composition.
Herbs for PCOS Weight Gain
Not everyone with PMOS is trying to lose weight! If you’re struggling to gain weight or maintain a weight that feels appropriate for your body, you’re just as deserving of support.
Blessed Thistle
Blessed thistle has traditionally been used for digestive concerns and is sometimes marketed for appetite or breast milk production. However, strong clinical evidence supporting it as a safe and effective way to gain weight is still limited.
If increasing your weight is the goal, you’ll get much more predictable support from working with a dietitian or doctor on your overall calorie and nutrient intake than relying on an herbal supplement.
Dandelion Root
Dandelion is traditionally used for several digestive purposes, but claims that dandelion root “detoxifies” your liver or balances hormones go beyond what current evidence supports.
Your liver already handles detoxification for your body. If you’re struggling with appetite or unexplained weight changes, focus on identifying the underlying reason with your healthcare team rather than trying to detox your way to hormonal balance.
Which herbs have worked for your PCOS (PMOS)?
Maybe spearmint tea has become part of your afternoon ritual, or you’ve experimented with cinnamon, adaptogens, or another herb on the list. share your experience in the comments! I’d love to hear what you’ve tried, what you noticed, and what you decided was ultimately worth keeping your routine.
And, don’t think you need to go at it alone, join The Cysterhood to find a community of women just like you overcoming their PMOS. You can also take my free “What’s Your PMOS Type?” quiz to learn more about the root drivers of your symptoms.
You’ve got this,
Tallene, RD
Medical disclaimer: This article is for educational purposes only and is not medical advice. It is not intended to diagnose, treat, cure, or prevent any condition. Always consult your physician or qualified healthcare provider about your symptoms, medications, and any changes to your care.
Supplement disclaimer: These statements have not been evaluated by the Food and Drug Administration. Ovafit products are not intended to diagnose, treat, cure, or prevent any disease.






























