StackTerminal.Health

BETA

Black Cohosh

Menopause symptom support is mixed; some reviews suggest potential benefit for overall symptoms, but results are inconsistent & product variability is high.

womens-healthmenopausesleepstress-anxiety
Evidence last reviewed: 04 Apr 2026
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Biomarkers studied
Outcomes directly measured across the evidence records below
Cognitive
Anxiety
Evidence
2 records
Menopausal symptom relief
Peri-/postmenopausal womenSystematic review
PUBMEDLow

Review summaries suggest potential benefit for overall menopause symptoms, but uncertainty remains due to heterogeneity & product differences.

Dose: 40 mgDuration: 4–12 weeks (typical study windows)
Menopausal symptoms including hot flashes & somatic symptoms
Peri-/postmenopausal womenMeta-analysis of RCTs
PUBMEDModerate

Updated pairwise meta-analysis of 22 RCTs (n=2,310) found black cohosh extracts significantly improved overall menopausal symptoms (Hedges' g=0.575), hot flashes (g=0.315), & somatic symptoms (g=0.418) vs placebo. Anxiety & depressive symptoms were not significantly improved. Dropout rates were similar to placebo.

Dose: 40 mgDuration: Varies (pooled)
Forms
Capsule
Extract-standardization varies

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