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What Does Black Cohosh Do For Menopause

A Closer Look At Menopause

Black Cohosh For Hormones

The average age of menopause is 51. Menopause is caused by changes in the way ovaries respond to hormonal signals from the pituitary gland. During this time, levels of estrogen and progesterone begin to decline. These hormones regulate menstrual cycles and have wide-ranging effects on mood, skin health, and bone density.

Perimenopause, the menopausal transition phase, signals the period when your body is close to menopause. This phase usually begins about two to four years before a womans last menstrual period. You officially reach menopause a year after your last period, a result of completely depleted ovarian oocytes and generally reduced function of the ovaries. Postmenopause usually follows menopause and lasts the rest of a womans lifetime.

Can Black Cohosh Help With Other Menopause Symptoms

There is inconclusive evidence to show whether or not black cohosh is effective at treating other symptoms of menopause, such as vaginal atrophy or bone health. One review reported no beneficial associations between black cohosh and relief of other menopausal symptoms.16

Given all the evidence, clinicians are very unlikely to recommend the use of black cohosh for the treatment of menopausal symptoms. There are other treatments available for hot flushes, which include simple lifestyle changes, or medications.

Simple measures you can take to reduce hot flushes include wearing light clothing, avoiding certain triggers such as spicy food or alcohol, taking a cool shower or having a cold drink, and acupuncture.

HRT is also very effective for relieving hot flushes. However, HRT is not suitable for all women, and you will need to discuss with your doctor to determine whether it is right for you.

Given that the evidence regarding the effect of black cohosh on hot flushes is inconclusive, it is best to discuss the use of black cohosh with your doctor before trying it as other, more effective, methods may be available.

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Under The Microscope: Black Cohosh

Also known by its Latin name Actaea racemosa, and various other titles including black bugbane, black snakeroot and fairy candle, black cohosh is a native plant of the eastern territory of North America. It has been used for centuries by the wise shamans of Native America to remedy ailments and give strength to their people. Read on to learn how black cohosh can help combat your symptoms of menopause, including vaginal dryness.

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How To Take Black Cohosh For Menopause

It depends on the form a woman takes black cohosh in. Typically, it is sold in tablets. 20-40 mg is the initial or recommended dosage which should be taken twice a day. It is forbidden to take more of that, especially, for boosting the therapeutic effect. The dosages of up to 900mg have been linked to overdose.

Take black cohosh as directed. Wash it down with a sufficient amount of water. Ideally, you should make a habit of taking the tablets of black cohosh every day at the same time.

It is unknown how black cohosh works if taking it for long-term, however, it is not recommended to take it more than one year.

How long does it take for black cohosh to work? Some menopausal women claim to experience the first relief during the first weeks of use. Keep in mind, it may vary. If you do not experience any effect, speak to the doctor about adjusting the dosage or choosing analog for your menopause symptoms. If you experience the worsening of your health condition, stop the intake, and address this concern with the doctor.

Theres No Proof Black Cohosh Works

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Theres really no good evidence that black cohosh makes any difference to menopausal symptoms, says Carpenter, who was the lead author of a major menopause report published in Menopause, the journal of the North American Menopause Society in 2015. Theres plenty of anecdotal evidencewomen who say it helped them, Carpenter says, but overall, studies show that its no better than a placebo.In particular, Carpenter cites a 2012 Cochrane review that analyzed 16 randomized controlled trials of 2,027 perimenopausal and postmenopausal womenwomen who were either approaching menopause or who had already gone through it. After evaluating the studies, including their design, length, frequency of side effects, and other important factors, the reviewers concluded that when it comes to reducing the frequency of hot flashes, black cohosh worked no better than a placebo.Indeed, that placebo effect could explain why many women say black cohosh relieves their symptoms. We know that in studies women who are given placebos consistently experience a 30 percent reduction in hot flashes, Carpenter says. Women report fewer hot flashes during the day while taking a placebo, and they tell us theyre waking up fewer times in a sweat during the night, she says.

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Is It Safe To Take Black Cohosh

Do not take black cohosh if you: Have a hormone-sensitive condition, such as breast cancer, prostate cancer, endometriosis, or uterine fibroids. Have a history of blood clots, stroke, seizures, or liver disease. Take medications for high blood pressure.

Who should not take black cohosh?

Do not take black cohosh if you: Have a hormone-sensitive condition, such as breast cancer, prostate cancer, endometriosis, or uterine fibroids. Have a history of blood clots, stroke, seizures, or liver disease. Take medications for high blood pressure.

Does black cohosh increase estrogen? Black cohosh root also seems to have some effects similar to the female hormone, estrogen. In some parts of the body, black cohosh might increase the effects of estrogen. In other parts of the body, black cohosh might decrease the effects of estrogen.

What does black cohosh do to the female body?

Today, black cohosh is most commonly used for menopausal symptoms, including hot flashes and night sweats , vaginal dryness, heart palpitations, tinnitus, vertigo, sleep disturbances, nervousness, and irritability .

Does Black Cohosh For Menopause Really Work

Are you having trouble sleeping these days? Maybe every now and then feeling the effects of hot flashes while you are just sitting there doing nothing. Have you have heard about Black cohosh and wonder Does Black Cohosh Really Work For Menopause?

Perhaps your clothes dont seem to fit as they used to or youre not thinking as clearly as you quite use to be.

Hi there! My name is Robyn and today I want to share with you how I had those very same symptoms and how I controlled them using this strange but extremely effective natural supplement that I found.

Im going to tell you exactly how I did it and what I used to control my hot flashes and menopause moods.

I first started noticing small little changes when I was in my early 40s. Think it was around 44 when I went the full term of not having any periods.

That was the first telltale sign as I was getting headaches more often than normal. It was summertime and I just put it down to not drinking enough water through the day.

Then came the mood swings. My hubby got the brunt of these. God bless his little soul.

Has this ever happen to you? Some days I was such an emotional wreck. I can remember coming home from work early as they sent me home.

Crying all the way home about what I had no idea. As soon as I got home I went straight to the fridge, grabbed out my fav Ben & Jerry strawberry banana frozen yogurt and sat on the floor in the corner and ate it all.

We talked about HRT and the effects and benefits it will have for me.

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What To Look For

Look for supplements that contain black cohosh root, the medicinal part of the plant.

The Food and Drug Administration does not regulate supplements. As a result, the quality and amount of active ingredients in the product can vary from brand to brand.

Look for products certified by an independent third-party tester such as Consumer Labs, U.S. Pharmacopeia, or NSF International.

Does Estroven Cause Weight Loss

Black Cohosh: Best Proven Supplement for Menopause, PMS and Other Female Problems

Clinically proven soy isoflavones, plus black cohosh helps reduce hot flashes and night sweats. Proprietary Synetrim CQ ingredient balances serotonin to help safely manage weight. Estroven Herbal Weight Blend of naturally-sourced ingredients support healthy weight management and contribute to a healthy lifestyle.

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Chaste Tree Berries Vitex Agnus

Family: Lamiaceae

This herb is widely used in womens health, particularly for premenstrual syndrome , and most studies support its efficacy, particularly with specific extracts. However, it is not usually considered useful for the management of menopausal symptoms. It may be useful for the relief of PMS symptoms in perimenopausal women with erratic cycles. It should be prescribed only by a health practitioner trained in herbal medicine.

What Causes The Menopause

The menopause is caused by a change in the balance of the body’s sex hormones, which occurs as you get older.

It happens when your ovaries stop producing as much of the hormone oestrogen and no longer release an egg each month.

Premature or early menopause can occur at any age, and in many cases there’s no clear cause.

Sometimes it’s caused by a treatment such as surgery to remove the ovaries , some breast cancer treatments, chemotherapy or radiotherapy, or it can be brought on by an underlying condition, such as Down’s syndrome or Addison’s disease.

Page last reviewed: 29 August 2018 Next review due: 29 August 2021

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How Black Cohosh Works

Black cohosh has been used for centuries to treat a range of medical conditions. Many users want to know, what does black cohosh do in the body? Unfortunately, this question has yet to be answered by scientists. However, the properties of black cohosh have been researched and these are described in more detail below.

Treatments For Vaginal Dryness

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The most effective treatment for vaginal dryness caused by decrease estrogen levels during menopause is estrogen therapy. Estrogen can increase the vaginaâs natural moisture and strengthen vaginal walls to prevent vaginal atrophy. However, estrogen therapy does not work for all women, and it can have some serious side effects.

Lubricants and moisturizers can help women with vaginal dryness, along with talking to a therapist to work out any relationship issues. Herbal remedies for vaginal dryness usually do not work better than the placebo effect, and more research needs to be done to figure out how well these herbs work. However, if black cohosh is working for you, then you should feel free to continue taking it under your physicianâs supervision. For more information on natural cures for vaginal dryness, click on the links below.

  • National Institutes of Health. . Vaginal dryness alternative treatments. Retrieved September 30, 2015, from
  • Office of Dietary Supplements. . Black Cohosh. Retrieved September 30, 2015, from
  • University of Maryland Medical Center. . Black Cohosh. Retrieved September 30, 2015, from

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What Is Black Cohosh Used For

Most often, it is used to control the menopause symptoms. These include:

  • Problem in sleeping
  • Heart palpitations

Apart from this, it is also used by women to regulate periods, induce labor and ease PMS symptoms. This has been proven true for most women whereas, a lot of experts still consider the evidences as unclear.

May Prevent Weight Gain During Menopause

Due to hormonal fluctuations during menopause, most women experience weight gain. By alleviating the symptoms of menopause, black cohosh may also reduce weight gain.

One study shows that rats treated with black cohosh extract for a period of 6 weeks gained a lesser amount of abdominal weight than untreated rats.4 Some sources state that black cohosh may also reduce your risk of diseases caused by weight gain such as heart diseases, cardiac arrests and strokes, breast cancer, high cholesterol, diabetes, and high blood pressure.

However, some experts feel that using black cohosh to prevent weight gain during menopause may backfire, since weight gain may sometimes manifest as a side effect.5

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How To Take Black Cohosh

The standard black cohosh dosage is 40 mg to 128 mg of extract daily for up to 12 months. The most common preparations are tinctures and capsules, but motivated individuals can make their own, Dr. Lin says. To brew it at home:

  • Simmer 1 cup of water with ½ to 1 teaspoon of dried black cohosh root.
  • Keep on stove top for 10-15 minutes.
  • Strain and drink up to 3 cups per day.

To ensure that youre buying a safe, quality product, Dr. Lin recommends purchasing only organic black cohosh from reputable companies that have been independently verified by a third party such as ConsumerLab, U.S. Pharmacopeia or NSF International.

Horny Goat Weed Epimedium Grandiflorum

Treatment of Menopause Symptoms with Black Cohosh

Family: Berberidaceae

Horny goat weed has been used in traditional Chinese medicine for more than 2000 years to enhance libido in men and women, as well as for symptoms of menopause and PMS. It is a popular herb, available over the counter, for both men and women seeking to improve libido and sexual function. However, there are no clinical trials using horny goat weed for menopausal symptom relief, or for sexual function.

Precaution: A single case of mania and increased heart rate has been reported in the scientific literature, associated with taking horny goat weed.

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Pros And Cons Of Black Cohosh

Research shows that black cohosh does appear to have positive impacts on specific menopausal symptoms, but they are very modest and depend on the individual.

A 2010 review of nine studies found that black cohosh was able to provide a 26% reduction in hot flash symptoms and night sweats among menopausal women in seven of the studies. Yet, a 2012 review of sixteen studies found there was insufficient evidence to support the use of black cohosh for menopausal symptoms. A 2013 review found that black cohosh use resulted in a mild, but overall improvement in menopausal women when compared to a placebo. You can see from this sampling of research that the evidence is very mixed on whether black cohosh helps relieve menopause symptoms.

Its important to note that most of the research on black cohosh in menopause has been done with Remifemin, a specific brand of commercially sold black cohosh. In other words, the effectiveness of other black cohosh products in menopausal symptoms is largely unknown. In fact, other research indicates that many black cohosh products are about as effective as a placebo at reducing menopausal symptoms, making it impossible to know which one may or may not help you.

Some of the potential health consequences of using black cohosh include:

– Increased bleeding

– Fatigue

– Mild vision impairments

Black Cohosh Interesting Facts

The spread of black cohosh across Europe took place after Native American Indians introduced the herb to European colonists. It became a common treatment for womens health issues in Europe in the mid-20th century. Traditional Chinese medicine also shows record of the use of black cohosh to serve as an anti-inflammatory and painkiller.

One of its nicknames, Bugbane, was coined because of its use as an insect repellent, though its no longer used for that purpose. Another, snakeroot, was derived from the habit of frontiersmen using it to treat rattlesnake bites. Its efficacy against snake bites has never been tested by modern researchers, but its an interesting theory.

Be careful not to confuse black cohosh with its sister plants, blue cohosh and white cohosh. These plants are similar in structure, but dont have the same effects and may be dangerous to ingest.

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St Johns Wort Hypericum Perforatum

Family: Clusiaceae

St Johns wort traditionally has been used for menopausal symptoms of anxiety, irritability, insomnia and depression. It can be useful for hot flushes. It does not possess hormonal actions and its antidepressant action is believed to be due to a combination of active constituents in the herb. St Johns wort has been studied extensively for its effectiveness in mild to moderate anxiety and depression. It may be that St Johns wort is as effective as selective serotonin reuptake inhibitors for the treatment of depression, and it may have fewer side effects.

A recent review suggests St Johns wort, alone or combined with other herbs, may be significantly better than placebo in the treatment of menopausal symptoms. it is particularly effective when combined with black cohosh to decrease hot flushes and improve mood.

Precautions: St Johns wort influences your liver enzymes that can reduce or increase the effectiveness of certain medications. It is one of the few herbs that has been studied for interactions with medications. If you are on the following medications, you should be very cautious about using St Johns wort, and consult your own doctor:

  • anticoagulants such as warfarin, heparin, aspirin, apixaban and rivaroxaban
  • digoxin
  • antidepressant drugs, especially SSRIs or serotonin and noradrenaline reuptake inhibitors
  • cyclosporin

Black Cohosh For Menopausal Symptoms

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Menopause is the period of time in a woman’s life when menstruation ceases. These changes in menstruation are often accompanied by troublesome symptoms, including hot flushes, vaginal dryness and night sweats. Interventions that decrease the severity and frequency of these menopausal symptoms are likely to improve a person’s well-being and quality of life. The herb black cohosh was traditionally used by Native Americans to treat menstrual irregularity, with many experimental studies indicating a possible use for black cohosh in menopause. This review set out to evaluate the effectiveness of black cohosh for controlling the symptoms of menopause. The review of 16 studies found insufficient evidence to support the use of black cohosh for menopausal symptoms. Given the uncertain quality of most studies included in the review, further research investigating the effectiveness of black cohosh for menopausal symptoms is warranted. Such trials need to give greater consideration to the use of other important outcomes , stringent study design and the quality reporting of study methods.

To evaluate the clinical effectiveness and safety of black cohosh for treating menopausal symptoms in perimenopausal and postmenopausal women.

All randomised controlled trials comparing orally administered monopreparations of black cohosh to placebo or active medication in perimenopausal and postmenopausal women.

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