Natural Relief: Black Cohosh and Menopausal Symptoms
Source: Climacteric J (2021)
Lifestyle Medicine Update (August 31, 2023)
Introduction:
The journey through menopause can be a challenging one, with its share of troublesome symptoms, including the infamous hot flashes. Surprisingly, up to 80% of women grappling with these symptoms during the early menopausal years turn to natural supplements for relief. Among these choices, Black cohosh stands as a popular herbal remedy, harnessing its power from a compound known as triterpene glycosides. This herbal ally has a rich history, dating back to Native American use in the seventeenth century, and continues to be prescribed by medical professionals worldwide to combat menopausal discomfort. But what makes Black cohosh an effective weapon against these symptoms, and what does the research say?
The Roots of Black Cohosh
The herb Black cohosh, scientifically known as Cimifuga racemose, owes its medicinal properties to its roots and rhizomes (underground stems). Studies have shed light on the ideal standardization needed for this herbal remedy to be effective: it should contain 2.5% triterpene glycosides. Native Americans recognized its potential long before the scientific community, passing down its use through generations. Today, it’s available over-the-counter in the US and Canada, in 40 mg or 80 mg capsules, with recommended dosages varying depending on symptom severity.
Endorsement by the European Medicines Agency
In 2011 and later in 2018, the European Medicines Agency officially endorsed Black cohosh, citing a positive benefit-risk ratio for its use in managing menopausal symptoms. This herbal remedy has demonstrated its effectiveness, with side effects typically rare and mild, including gastrointestinal upset, skin rashes, and headaches.
A Closer Look at the Research
A comprehensive review published in the journal Climacteric in 2021 gathered evidence from 35 clinical studies and one meta-analysis, involving a whopping 43,759 women. Out of this, 13,096 women were treated with a standardized grade of Black cohosh. The results were compelling: women using Black cohosh experienced a significantly superior reduction in the severity and frequency of various menopausal symptoms compared to those on a placebo, including psychological symptoms. Furthermore, women using Black cohosh exhibited equivalent symptomatic relief to those on low-dose estrogen replacement therapy but with fewer side effects. In fact, the study revealed that Black cohosh was better tolerated than estrogen therapy.
Embracing a Natural Solution
The conclusive findings have led researchers to recommend Black cohosh, in conjunction with St. John’s wort, as an evidence-based treatment for managing menopausal symptoms. Many women have found relief through a combination supplement featuring Black cohosh, Soy Isoflavones, and Gamma-oryzanol, with approximately 80% reporting symptom control. This three-in-one approach extends its support from hot flashes and night sweats to improved psychological well-being and overall quality of life.
Conclusion: A Natural Beacon of Hope
Black cohosh has transcended centuries and continents to emerge as a beacon of hope for women navigating the rough seas of menopausal symptoms. Supported by a substantial body of evidence, it offers a natural and well-tolerated path towards comfort and quality of life during the menopausal journey.
References:
- Castelo-Branco C et al. “Review & meta-analysis: isopropanolic black cohosh extract iCR for menopausal symptoms – an update on the evidence.” Climacteric, 2021.
- National Institutes of Health (office of dietary supplements): “Black Cohosh.”
- Mehrpooya M et al. “A comparative study on the effect of ‘black cohosh’ and ‘evening primrose oil’ on menopausal hot flashes.” J Educ Health Promot, 2018.
Dr. Meschino
Dr. James Meschino
ABOUT THE AUTHOR
Dr. James Meschino, DC, MS, ROHP, is an educator, author, and researcher having lectured to thousands of healthcare professionals across North America. He holds a Master’s Degree in Science with specialties in human nutrition and biology and is recognized as an expert in the field of nutrition, anti-aging, fitness, and wellness as well as the author of numerous books.