Evidence supporting the use of: Maca
For the health condition: Menopause

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Synopsis

Source of validity: Scientific
Rating (out of 5): 2

Maca (Lepidium meyenii), a root vegetable native to the Andes in Peru, has a longstanding history of traditional use as an adaptogen and for enhancing fertility and energy. In recent years, it has gained popularity as a natural remedy for menopausal symptoms, particularly hot flashes, mood disturbances, and sexual dysfunction. The rationale for maca's use in menopause is based on its purported ability to modulate hormonal balance, although it does not contain phytoestrogens or directly influence estrogen production.

Several small-scale clinical studies and randomized controlled trials have investigated maca's effects on menopausal symptoms. Some studies report modest improvements in psychological symptoms (such as depression and anxiety), sexual function, and the frequency or severity of hot flashes when compared to placebo. For example, a 2006 randomized controlled trial published in Menopause found that maca supplementation over 12 weeks was associated with reduced anxiety, depression, and sexual dysfunction in early postmenopausal women. However, these studies are generally limited by small sample sizes, short durations, and methodological weaknesses.

Systematic reviews and meta-analyses conclude that while there is preliminary evidence suggesting maca may help alleviate some menopausal symptoms, the overall quality of evidence is low, and larger, more rigorous studies are needed. Therefore, while maca is justified for use in menopause by both tradition and emerging scientific studies, the scientific validation is modest and the evidence is not robust.

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