We are independent & ad-supported. We may earn a commission for purchases made through our links.

Advertiser Disclosure

Our website is an independent, advertising-supported platform. We provide our content free of charge to our readers, and to keep it that way, we rely on revenue generated through advertisements and affiliate partnerships. This means that when you click on certain links on our site and make a purchase, we may earn a commission. Learn more.

How We Make Money

We sustain our operations through affiliate commissions and advertising. If you click on an affiliate link and make a purchase, we may receive a commission from the merchant at no additional cost to you. We also display advertisements on our website, which help generate revenue to support our work and keep our content free for readers. Our editorial team operates independently from our advertising and affiliate partnerships to ensure that our content remains unbiased and focused on providing you with the best information and recommendations based on thorough research and honest evaluations. To remain transparent, we’ve provided a list of our current affiliate partners here.

How Effective is Black Cohosh for Menopause?

By Erin J. Hill
Updated May 17, 2024
Our promise to you
WiseGeek is dedicated to creating trustworthy, high-quality content that always prioritizes transparency, integrity, and inclusivity above all else. Our ensure that our content creation and review process includes rigorous fact-checking, evidence-based, and continual updates to ensure accuracy and reliability.

Our Promise to you

Founded in 2002, our company has been a trusted resource for readers seeking informative and engaging content. Our dedication to quality remains unwavering—and will never change. We follow a strict editorial policy, ensuring that our content is authored by highly qualified professionals and edited by subject matter experts. This guarantees that everything we publish is objective, accurate, and trustworthy.

Over the years, we've refined our approach to cover a wide range of topics, providing readers with reliable and practical advice to enhance their knowledge and skills. That's why millions of readers turn to us each year. Join us in celebrating the joy of learning, guided by standards you can trust.

Editorial Standards

At WiseGeek, we are committed to creating content that you can trust. Our editorial process is designed to ensure that every piece of content we publish is accurate, reliable, and informative.

Our team of experienced writers and editors follows a strict set of guidelines to ensure the highest quality content. We conduct thorough research, fact-check all information, and rely on credible sources to back up our claims. Our content is reviewed by subject matter experts to ensure accuracy and clarity.

We believe in transparency and maintain editorial independence from our advertisers. Our team does not receive direct compensation from advertisers, allowing us to create unbiased content that prioritizes your interests.

Most of the medical community considers the use of black cohosh for menopause to be controversial because studies done to determine its effectiveness at reducing troubling menopausal symptoms have been inconclusive. Studies have determined the ways in which the herb works are not as researchers first believed. They have shown, however, that many women seem to benefit when it is combined with other treatment methods. As with any medication or supplement, the effectiveness of using black cohosh for menopause treatment will vary widely based on the individual.

Despite what the scientific community once believed, black cohosh does not become or adhere to estrogen in the human body. Instead, it contains enzymes which may mimic estrogen and provide overall support for a woman’s endocrine system. The use of black cohosh for menopause is usually most effective when combined with a healthy eating plan tailored to the patient, along with dietary supplementation and an exercise program.

There have been some studies on the effectiveness of black cohosh for menopause which have shown that it was not any more effective at treating menopausal symptoms than a placebo. Many argue, however, that these studies were flawed and do not include benefits received with black cohosh combined with other treatments. Many also did studies with the false assumption that cohosh replaces the body’s estrogen, when in fact it is really mostly effective at helping existing hormones do their jobs better.

Even with the negative studies, most doctors agree that there are generally no risks in using black cohosh for menopausal support, and for many women it is far safer than more conventional methods of treatment. For instance, synthetic estrogen is often given to premenopausal women as a hormone replacement, but this can lead to serious conditions like breast cancer in women who are susceptible to the disease. Synthetic hormones may also put a woman at higher risk for heart attack or stroke.

Black cohosh may also be used for hormonal support during a woman’s menstrual cycle, even if she is not approaching menopause. It should not be used in pregnant women, because it may lead to premature labor. Patients should always discuss their use of black cohosh for menopause support and in the treatment of any other conditions with a physician, as well as any other medications or supplements being taken. Although generally considered safe, black cohosh may react with certain other treatments.

WiseGeek is dedicated to providing accurate and trustworthy information. We carefully select reputable sources and employ a rigorous fact-checking process to maintain the highest standards. To learn more about our commitment to accuracy, read our editorial process.

Discussion Comments

WiseGeek, in your inbox

Our latest articles, guides, and more, delivered daily.

WiseGeek, in your inbox

Our latest articles, guides, and more, delivered daily.