Awaiting clinical review. This entry is sourced but has not yet been signed off by a pharmacist or clinician.
Fennel
Fennel seed has the best modern evidence for period pain and infant colic, where small trials mostly favour it, but the studies are small, vary a lot and carry a risk of bias, so it rates as limited rather than proven. For bloating and wind the case rests on traditional use, backed by one small trial. The main caution is estragole, a compound in fennel: the EU regulator advises against fennel tea in children under 4 and in pregnancy and breastfeeding.

At a glance
Last reviewed 29 September 2026What it's used for
Evidence is rated per use. The same ingredient can be strong for one thing and traditional for another.
| Use | Evidence | What the research shows |
|---|---|---|
| Period pain (primary dysmenorrhoea) | Limited | A 2020 meta-analysis of 12 trials found fennel similar to conventional painkillers (SMD 0.07, 95% CI −0.08 to 0.21, n = 502) and better than placebo (SMD −3.27, 95% CI −5.28 to −1.26), but with I² of 98% and signs of publication bias from many small favourable studies. A 2021 meta-analysis found a smaller placebo effect (SMD −0.63, 95% CI −0.83 to −0.44, seven articles) and again no clear difference from mefenamic acid. Both agree on the direction; they disagree on the size, and the trials are small. The EU regulator recognises fennel fruit tea for minor menstrual spasm on traditional use alone.1,2,7 |
| Infant colic | Limited | A placebo-controlled trial in 125 infants found colic resolved in 65% given fennel seed oil emulsion versus 23.7% given placebo. A review pooling three trials of fennel-containing preparations found crying was 72 minutes a day shorter (95% CI −126 to −18). The Cochrane review, which covered one fennel, chamomile and lemon balm combination trial (93 infants), rated the evidence very low quality and could not recommend any dietary intervention. The EU regulator does not recommend fennel tea under 4 years of age because of a lack of adequate data.3,4,5,7 |
| Bloating and wind | Traditional | The EU regulator recognises fennel fruit tea for mild spasmodic gut complaints including bloating and flatulence, based on long-standing use only. The one trial we found, in women after caesarean section, showed fennel capsules reduced flatulence about as much as dimethicone, but it had no placebo group and was in a very specific setting. We found no placebo-controlled trial of fennel alone for everyday bloating.6,7 |
How much
Ranges below are what studies used and what supplements commonly contain. They are not a recommendation for you. Start at the low end.
How people take it
Safety
Who should avoid
- Children under 4 — EU regulator does not recommend fennel tea, too little data
- Pregnancy and breastfeeding — EU regulator advises against; estragole limits apply
- Allergy to celery, aniseed, caraway, coriander or dill — cross-reactivity
- Allergy to mugwort pollen — cross-reacts with fennel
- Heavy, prolonged or worsening period pain — needs assessment, not a herb
Known interactions
Questions people ask
Does fennel tea help with period pain?
Two meta-analyses found fennel reduced period pain and worked about as well as painkillers such as mefenamic acid. The trials were small and varied widely in size of effect, and there were signs of publication bias, so treat it as promising rather than proven.
Is fennel safe for babies with colic?
The evidence is not strong enough to be sure. Small trials of fennel oil emulsion and a fennel herbal mixture reported less crying with no side effects, but the Cochrane review rated the evidence very low quality. The EU regulator does not recommend fennel tea under 4 years because of estragole and a lack of data, so speak to a health visitor or GP before giving a baby anything.
What is estragole and why does it matter?
Estragole is a natural compound in fennel fruit that causes liver tumours in mice at high doses. The EU regulator sets an intake limit of 1.0 µg per kg of body weight for children under 12 and 0.05 mg a day in pregnancy and breastfeeding, and says exposure should be kept as low as practicable for everyone.
Does fennel help with bloating and wind?
It is a traditional remedy recognised by the EU regulator for mild spasmodic gut complaints, but we found no placebo-controlled trial of fennel alone for everyday bloating. One small trial after caesarean section found it worked about as well as dimethicone.
Sources
- Systematic review Lee HW, Ang L, Lee MS, Alimoradi Z, Kim E. Fennel for Reducing Pain in Primary Dysmenorrhea: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Nutrients. 2020.
- Systematic review Shahrahmani H, Ghazanfarpour M, Shahrahmani N, et al. Effect of fennel on primary dysmenorrhea: a systematic review and meta-analysis. J Complement Integr Med. 2021.
- Randomised trial Alexandrovich I, Rakovitskaya O, Kolmo E, Sidorova T, Shushunov S. The effect of fennel (Foeniculum Vulgare) seed oil emulsion in infantile colic: a randomized, placebo-controlled study. Altern Ther Health Med. 2003.
- Systematic review Harb T, Matsuyama M, David M, Hill RJ. Infant Colic-What works: A Systematic Review of Interventions for Breast-fed Infants. J Pediatr Gastroenterol Nutr. 2016.
- Cochrane review Gordon M, Biagioli E, Sorrenti M, et al. Dietary modifications for infantile colic. Cochrane Database Syst Rev. 2018.
- Randomised trial Jourshari MS, Rezasoltani P, Nazari M, et al. A comparative study of fennel and dimethicone capsule effects on flatulence rate after cesarean section: A double-blind randomized controlled trial. J Educ Health Promot. 2024.
- Regulator monograph European Medicines Agency HMPC. European Union herbal monograph on Foeniculum vulgare Miller subsp. vulgare var. vulgare, fructus (EMA/HMPC/372841/2016), Final – Revision 1. 2024.
- Regulator monograph European Medicines Agency HMPC. European Union herbal monograph on Foeniculum vulgare Miller subsp. vulgare var. dulce (Mill.) Batt. & Trab., fructus (EMEA/HMPC/372839/2016), Final – Revision 1. 2024.
Last reviewed 29 September 2026 · Next review March 2027 · How we rate evidence