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Pygeum is a tree that grows in Central and Southern Africa. The bark has been used to improve urine flow. Pygeum can be taken as a pill or powder.


50 to 100 milligrams 2 times daily

What Research Shows

May Be Effective

  • Benign Prostatic Hyperplasia (Prostate Enlargement) —may ease urinary symptoms 1,2,3

Editorial process and description of evidence categories can be found at EBSCO NAT Editorial Process.

Safety Notes

It is likely safe to take pygeum in small doses for a short time. Not enough studies have been done to say whether it is safe to use for a long period. It is also not known whether it is safe to take by women who are pregnant or breastfeeding.


Talk to your doctor about any supplements or therapy you would like to use. Some can interfere with treatment or make conditions worse.



1. Ishani A, MacDonald R, et al. Pygeum africanum for the treatment for patients with benign prostatic hyperplasia: a systematic review and quantitative meta-analysis. Am J Med. 2000;109(8):654-664.

2. Wilt TJ, Ishani A, et al. Phytotherapy for benign prostatic hyperplasia. Public Health Nutr. 2000;3(4A):459-472.

3. Wilt T, Ishani A, et al. Pygeum africanum for benign prostatic hyperplasia. Cochrane Database Syst Rev. 2002;(1):CD001044.

Last reviewed July 2019 by EBSCO NAT Review Board Eric Hurwitz, DC