Throughout history, women have actively pursued ways to manage their fertility. Even with rudimentary scientific understanding, they cleverly identified and employed diverse techniques to avert unintended pregnancies. Historical documents and texts unveil a captivating range of contraceptive methods, encompassing both plant-based mixtures and physical impediments. A prime illustration of an oral contraceptive is Silphium, a plant originating from the hills surrounding Cyrene, Libya. Pliny’s accounts of its use underscore the inventive approaches to family planning prevalent in ancient civilizations.


From the dawn of civilization, humans have sought to understand fertility and manage birth rates. Ancient methods of contraception combined traditional beliefs, experiential learning, and nascent scientific exploration. Despite limited medical understanding, ancient societies explored diverse techniques to control conception, some foreshadowing modern practices.

For example, the ancient Greeks attempted to regulate fertility through diverse methods. Aristotle, a prominent Greek philosopher, proposed applying Cedar Oil to the womb before intercourse. While his understanding of conception was basic, this suggestion may have had limited, unintended benefits by potentially hindering sperm motility.

Furthermore, “On the Nature of Women,” a text attributed to the Hippocratic corpus, suggested that women ingest a copper salt solution to prevent conception for a year. However, Soranus of Ephesus, a later medical author, cautioned against such practices, pointing out their ineffectiveness and the dangers of copper toxicity.

Egypt

Demonstrating an advanced awareness of their bodies and the resources around them, Egyptian women innovatively employed diverse materials and techniques to manage fertility.

One remarkable method involved creating a vaginal paste from honey, sodium carbonate, and surprisingly, crocodile dung. This mixture served a dual purpose, acting as both a spermicide and a physical barrier to sperm. The acidity of the crocodile dung is thought to have created an unfavorable environment for sperm survival, while the honey thickened the paste, enhancing its barrier effect.

Another method involved the use of acacia gum, mixed with plant fibers and honey, to create pessaries that were inserted into the vagina. Ancient texts described these pessaries to be spermicidal.

In addition to these practical approaches, Ancient Egyptians also employed mystical practices, using spells and amulets in an effort to prevent pregnancy, representing a fusion of empirical knowledge and spiritual beliefs in their approach to birth control.

Contraceptive recipes, recorded on papyrus scrolls dating back to 1850 BC, underscore the historical significance of fertility control in Egyptian culture. These ancient documents provide valuable information about the ingredients, application methods, and the contemporary understanding of reproduction, showcasing the sophistication and resourcefulness of ancient Egyptian medical practices.

While historical records predominantly emphasize female contraceptive methods, men also participated in family planning, although less is known about their specific techniques, perhaps reflecting the societal norms where women typically bore the primary responsibility for childcare.

Rome and Greece

In ancient Greece, the realms of mythology and natural medicine converged in the practice of contraception. The myth of Persephone, daughter of Zeus, and her fateful ingestion of a pomegranate seed in the underworld, resonated beyond its mythical context. As Dr. Riddle pointed out, pomegranate seed was employed as a contraceptive, a claim substantiated by 1930s studies revealing its fertility-reducing properties in laboratory animals.

Conversely, the Romans integrated practicality and romance into their approach to contraception. The poet Catullus, in the first century BC, playfully alluded to the contraceptive properties of silphium when suggesting to Lesbia that their kisses could rival “the grains of sand on Cyrene’s silphium shores” in number. Silphium, a plant deeply embedded in Roman economic and social life, was renowned for its contraceptive efficacy, demonstrating the integration of such methods into daily routines and even romantic pursuits.

A pivotal advancement in contraceptive understanding came with the work of Soranus around 98-138 AD. Dismissing superstitious beliefs and amulets as unreliable, Soranus championed mechanical methods like vaginal plugs and pessaries crafted from wool and coated with oily or gummy substances. While some of the methods Soranus mentioned may have lacked the effectiveness later understood, as noted by historian Himes, Soranus’s rational methodology marked a crucial transition towards evidence-based contraceptive practices.

China and India

Contraceptive practices in China have a long and rich history, with evidence suggesting their existence as far back as 2700 BCE. Early Chinese texts document the utilization of mercury and lead in formulations aimed at preventing pregnancy, despite the associated health risks. However, safer methods also existed, including the ingestion of specific herbs and plant extracts thought to possess contraceptive qualities. Notably, oil-soaked cotton was employed as a barrier method, foreshadowing the modern diaphragm. Furthermore, the Chinese utilized the plant “Queen Anne’s Lace” (Daucus carota), which is still recognized for its spermicidal effects.

In India, the approach to contraception was enshrined in both cultural practices and ancient texts. The Kama Sutra, an ancient Indian text commonly associated with sexuality, offers references to contraceptive methods. It speaks of a paste made from honey, ghee, and the powder of palasha (Butea frondosa) flowers, applied externally to achieve contraceptive effects.

Additionally, Ayurveda, the traditional system of medicine in India, includes numerous references to herbal remedies intended to prevent pregnancy or induce temporary sterility. For example, seeds of the long pepper (Pippali) were consumed with clarified butter as a means of contraception.

In both China and India, families often sought to regulate the number of children due to economic reasons or to comply with social norms. Unlike the taboo surrounding birth control in various cultures across history, in ancient China and India, the use of contraceptives was generally accepted, and knowledge about them was openly discussed within communities.