Evidence supporting the use of: Black cohosh
For the body system: Ovaries

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Synopsis

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

Black cohosh (Actaea racemosa) has a long history of traditional use, particularly among Native American populations and later in Western herbal medicine, for various women’s health concerns. Historically, black cohosh was used to support menstrual health, alleviate menstrual cramps, and assist with symptoms related to menopause such as hot flashes, mood disturbances, and sleep problems. Its traditional use is primarily linked to the reproductive system, including the ovaries, through its purported estrogen-like effects, although the exact mechanisms remain unclear.

Scientific studies have investigated black cohosh mainly for its effects on menopausal symptoms rather than direct support of ovarian function. Clinical trials and systematic reviews have produced mixed results, with some showing modest benefits for menopausal hot flashes and others finding little to no effect. There is very limited evidence to suggest that black cohosh directly supports ovarian health or function, and it is not considered an ovary-specific herb in scientific literature. Most reputable sources attribute its effects to possible modulation of neurotransmitters rather than direct hormonal or ovarian action.

In summary, black cohosh is used to support the ovaries primarily by tradition rather than solid scientific validation. The overall scientific evidence for its effectiveness in supporting the ovaries specifically is weak, and its main use remains in managing menopausal symptoms rather than direct ovarian support.

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