Evidence supporting the use of: Black cohosh
For the body system: Female Reproductive System

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Synopsis

Source of validity: Scientific
Rating (out of 5): 3

Black cohosh (Actaea racemosa), a perennial plant native to North America, has a long history of traditional use by Native Americans and later by European settlers for various women’s health concerns, particularly symptoms associated with menopause. In recent decades, it has been widely studied for its effects on hot flashes, night sweats, mood disturbances, and other menopausal symptoms. Clinical trials and systematic reviews have produced mixed results: some studies report modest benefits in reducing the frequency and severity of hot flashes and improving mood, while others show little difference from placebo. The active compounds in black cohosh are not fully understood, but it is not considered a phytoestrogen and appears to act through serotonergic pathways rather than direct estrogenic activity.

Major health organizations, such as the North American Menopause Society, recognize black cohosh as a potential short-term option for some women experiencing menopausal symptoms, though they also emphasize the need for further high-quality research. Safety data suggest that black cohosh is generally well-tolerated for short-term use (up to 6 months), but rare cases of liver toxicity have been reported.

In summary, while black cohosh is primarily validated by tradition, there is moderate scientific evidence (rating: 3) supporting its use for menopausal symptoms, specifically hot flashes. It is not established as effective for broader reproductive system support or other gynecological conditions.

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