Pygeum (Pygeum africanum)
An African plum tree bark used in European clinical practice for BPH. Decent evidence for urinary flow improvement, especially combined with saw palmetto and nettle root.
Moderate for BPH symptom improvement (Cochrane review supports). Modest effect alone, more meaningful in combo. Effects: 4–12 weeks.
Pygeum africanum bark extract has been a prescription medication for benign prostatic hyperplasia (BPH) in France since 1969. Its phytosterols and triterpenes reduce prostate inflammation, improve urinary flow, and reduce nocturia. Modest standalone effect; stronger combined with saw palmetto. Sustainability concern — wild pygeum is overharvested; choose ethically sourced products.
- Form
- Pygeum africanum bark extract standardised to 14% triterpenes.
- Dose
- 100–200 mg/day standardised extract.
- Timing
- With food. Often split.
- Schedule
- Daily.
- Side effects
- Generally well-tolerated. Mild GI upset.
- Interactions
- Generally clean.
- Contraindications
- Pregnancy / breastfeeding. Use ethically sourced — sustainability concern.
- Lab markers
- PSA, IPSS score, urinary flow.
- Food sources
- Not in everyday food.
Pairs with
Saw palmetto, nettle root, beta-sitosterol, zinc (prostate stack).
within Herbs & botanicals