Shatavari
Traditional use as a female reproductive tonic and for managing symptoms of menopause and perimenopause.
herbShatavari is an Ayurvedic botanical researched for its potential to alleviate perimenopausal symptoms, support hormonal balance, and maintain bone health in postmenopausal women.
Quick answer
What it is: Shatavari (Asparagus racemosus) is a species of asparagus that has been utilized in Ayurvedic tradition for centuries, primarily focused on female reproductive health.
May support:Perimenopause, Menopause
Evidence Summary
Evidence for Shatavari includes a 2025 randomized controlled trial (RCT) indicating improvements in hormonal balance, menstrual health, and a reduction in vasomotor symptoms among perimenopausal women. Another clinical trial with 60 participants supported its efficacy for perimenopausal symptoms. Further research on 24 postmenopausal women explored its impact on bone and skeletal muscle health, suggesting a broader range of applications for life-stage transitions.
Last reviewed · Jun 2026
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Why It Works
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How to use
Always consult a qualified clinician.Editorial guidance
- Diuretics (may enhance effects)
- Lithium (potential interaction due to diuretic properties)
- Blood sugar lowering medications (potential to lower blood sugar, monitor closely)
- known allergy to asparagus
- estrogen-sensitive conditions (due to potential phytoestrogenic effects, though evidence is limited)
- kidney disease (due to diuretic properties, consult a doctor)
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Suggested dosage
General guidance — discuss specifics with a clinician.
Active medicinal compounds
Traditional use
Safety
Safety warnings
Avoid if
- known allergy to asparagus
- estrogen-sensitive conditions (due to potential phytoestrogenic effects, though evidence is limited)
- kidney disease (due to diuretic properties, consult a doctor)
Medication interactions
- Diuretics (may enhance effects)
- Lithium (potential interaction due to diuretic properties)
- Blood sugar lowering medications (potential to lower blood sugar, monitor closely)
Reported side effects
- allergic reactions (in individuals sensitive to asparagus)
- mild gastrointestinal upset
General guidance — discuss specifics with a clinician.
Evidence ecosystem
Scientific literature, clinical guidance, government sources, ongoing research, traditional use, and lived experience — grouped by source type and quality.
Overall grade
Evidence for Shatavari includes a 2025 randomized controlled trial (RCT) indicating improvements in hormonal balance, menstrual health, and a reduction in vasomotor symptoms among perimenopausal women. Another clinical trial with 60 participants supported its efficacy for perimenopausal symptoms. Further research on 24 postmenopausal women explored its impact on bone and skeletal muscle health, suggesting a broader range of applications for life-stage transitions.
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Meta-Analyses(1)
Pooled analyses across multiple human trials.
Foong SC, Tan ML, Foong WC, Marasco LA, Ho JJ, Ong JH · The Cochrane database of systematic reviews · 2020 · n=20
Many women express concern about their ability to produce enough milk, and insufficient milk is frequently cited as the reason for supplementation and early termination of breastfeeding. When addressing this concern, it is important first to consider the influence of maternal and neonatal health, infant suck, proper latch, and feeding frequency on milk production, and that steps be taken to correct or compensate for any contributing issues. Oral galactagogues are substances that stimulate milk production. They may be pharmacological or non-pharmacological (natural). Natural galactagogues are usually botanical or other food agents. The choice between pharmacological or natural galactagogues is often influenced by familiarity and local customs. Evidence for the possible benefits and harms of galactagogues is important for making an informed decision on their use. To assess the effect of oral galactagogues for increasing milk production in non-hospitalised breastfeeding mother-term infan
Meta-AnalysisPubMedVery High Quality
Randomized Human Trials(1)
Controlled human studies with random assignment.
Yadav P, Yadav S, Vedururu SS, Kumari G · Journal of the American Nutrition Association · 2025
Perimenopausal women often experience dysmenorrhea, menstrual cramps, hormonal imbalances and vasomotor symptoms (VMS), significantly affecting their quality of life. In Ayurveda, Asparagus racemosus (Shatavari) root extract has been used for female reproductive health. This study evaluated the safety and efficacy of CL22205, a standardized A. racemosus root extract, in managing perimenopausal symptoms. This randomized, double-blind, placebo-controlled trial was conducted on 50 perimenopausal women (age: 40-50 years) experiencing mild to moderate climacteric symptoms. Participants received either CL22205 (200 mg/day) or placebo over a period of 120 consecutive days. Primary outcome measure was Menopausal Rating Scale (MRS) scores. Secondary measures assessed Hot Flash Weekly Weighted Score (HFWWS), Menstrual Symptom Questionnaire (MSQ), ovarian follicular number using ultrasonography, serum Follicle-Stimulating Hormone (FSH), Luteinizing Hormone (LH), Anti-Müllerian
Randomized TrialPubMedHigh Quality
Clinical Trial Registries(2)
Registered ongoing or completed trials (ClinicalTrials.gov).
n=60 · NCT07441109 · NOT_YET_RECRUITING · NOT_YET_RECRUITING
This randomized, double-blind, placebo-controlled clinical study evaluates the efficacy and safety of a standardized Shatavari (Asparagus racemosus) root extract in women experiencing perimenopausal symptoms. Participants will receive either Shatavari root extract or a matched placebo for 12 weeks. Efficacy will be assessed using validated menopause-specific symptom, quality-of-life, stress, mood, and sleep questionnaires, along with physiological stress markers. Safety will be evaluated through laboratory assessments and adverse event monitoring.
Clinical TrialClinicalTrials.govModerate Qualityn=24 · NCT05025917 · COMPLETED · COMPLETED
Shatavari is a plant that grows in Nepal, Sri Lanka, India and the Himalayas and its root has long been used in Ayurvedic medicine. Its traditional uses include supporting women's health, particularly during breastfeeding and during the perimenopausal period. Shatavari has been found to contain substances that have similar chemical properties to estrogen. A decrease in the amount of ovarian estrogen production causes the menopause and this reduction in circulating estrogen has widespread effects, including promoting a decrease in bone density. This increases the risk of bone fractures. Having less oestrogen is also thought to contribute to a loss of muscle strength in postmenopausal women. As shatavari may act on the body's tissues in a similar way to estrogen, shatavari supplementation may represent one way of preventing postmenopausal bone and muscle loss. This study will investigate these questions. 24 healthy postmenopausal women aged 60 years or older will be recruited. The participants will be randomly assigned to consume shatavari (1000 mg per day, equivalent to 26,500 mg per day fresh weight shatavari) or placebo (1000 mg per day magnesium stearate) for 6 weeks. Handgrip and knee extensor strength will be measured at baseline and at 6 weeks. Vastus lateralis (VL) muscle biopsy samples will be obtained at baseline and at 6 weeks and analysed for markers of muscle function and protein turnover. Plasma and serum samples will be collected via venepuncture and markers of bone turnover (P1NP, β-CTX) will be measured at baseline and at 6 weeks. Primary human osteoblasts (not obtained from these participants) will be stimulated with pooled sera from the placebo and shatavari supplementation conditions to assess markers of osteoblast (bone-building) activity.
Clinical TrialClinicalTrials.govModerate Quality
Limitations: While recent RCTs provide promising data, many studies feature small sample sizes (e.g., n=24 to n=60). Meta-analyses regarding its use as a galactagogue have noted inconsistencies in evidence quality, and more large-scale, long-term human trials are necessary to confirm its safety and efficacy for bone health and chronic hormonal management.
This page is educational. Statements use phrases like "may support" and "has been studied for"because no remedy here is approved to cure, treat, or reverse any condition. Discussion happens on the ailment pages — community statistics here are derived from those reports. Always consult a qualified clinician.
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