Many adoptive moms have taken fenugreek without noticing any adverse 
effects, besides increased perspiration that smells like maple.  A few do 
feel that it causes some troublesome GI effects, but that is pretty rare.

Of course, what is usually missing in discussions of herbal (or chemical) 
galactogogues is any mention of the alternatives to taking it, for mothers 
who have milk supply issues, or discussion of whether the herb carries 
sufficient risk to outweigh the benefits of the baby being able to have more 
breast milk.  With the baby I used the most fenugreek with, I felt like I 
was able to provide about 25% more breast milk with it than without it.  
Some moms feel that it doubles their milk supplies.  I know that lots of 
personal experiences are not the same thing as a controlled study on a 
topic, but I think it is the best thing we have, at this point.  I can't 
imagine who would fund a major study on such a thing.

Perhaps the safety concerns are sufficient that it would be better to 
encourage mothers with supply problems to try other means to increase their 
milk supplies, first.  But I, personally, don't think there is enough 
evidence of adverse effects to discourage mothers who are looking at needing 
to give their babies more infant formula if they don't find something to 
help increase their supplies from trying it.

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