The evidence for black cohosh includes a systematic review and a meta-analysis of randomized controlled trials, indicating moderate support for symptom relief in menopausal women. However, variability in product quality and individual responses presents gaps in the overall effectiveness.
Menopausal symptom reliefPeri-/postmenopausal women · Systematic reviewLow
Review summaries suggest potential benefit for overall menopause symptoms, but uncertainty remains due to heterogeneity & product differences.
Menopausal symptoms including hot flashes & somatic symptomsPeri-/postmenopausal women · Meta-analysis of RCTsModerate
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.
Your personalized stack
Built from your selected goals, constraints, diet, & the supplement evidence library. You can edit doses & timing.
Forms & usage▾
Take 20-40 mg of standardized extract daily, preferably with food.