About Black Cohosh & Menopause

One of the most common complaints among menopausal women is the unexpected surges of body heat, or hot flashes. Women who experience severe hot flashes tend to perspire profusely. In some instances, it is possible to have a feeling of not being able to catch one's breath or to feel a sense of panic.
While there are many pharmaceuticals on the market today to reduce hot flashes, some prefer a more natural route and opt to take black cohosh.

What is Black Cohosh

• Black cohosh is an herbal supplement most notably used for hot flashes brought on by menopausal hormone fluctuations.
  Black cohosh (Actaea racemosa and/or Cimicifuga racemosa) is a perennial plant related to the buttercup family and native to North America.
  A common black cohosh preparation is made from the roots and underground stems. "One commercial standardized black cohosh preparation is Remifemin, which contains black cohosh extract equivalent to 20 mg of root per tablet." This is one of the more studied preparations.

Historical Usage

• Black cohosh was a popular treatment for relief of menstrual cramps and menopause that was used by American Indians and American colonists.
  Indian medicine used black cohosh for malaise, kidney disorder, malaria, rheumatism and sore throat. In 19th century America, "black cohosh was a home remedy used for rheumatism and fever, as a diuretic, and to bring on menstruation."

Clinical Studies

• Early German studies that showed black cohosh improved menopausal symptoms, such as anxiety, hot flashes, night sweats and vaginal dryness.
  And in a clinical study of 120 women, black cohosh was more effective in relieving hot flashes and night sweats than the antidepressant Prozac, according to the University of Maryland Medical Center. As such, experts conclude that black cohosh may be a safe and effective alternative for women who cannot or will not take hormone replacement therapy for menopause."

Considerations

• There has been a substantial number of reports touting the dangers of hormone therapy. The U.S. Food and Drug Administration has said that all products used for postmenopausal women containing estrogen must include a warning label stating that "prolonged use of these hormones could increase the risk of heart attacks, strokes, blood clots, and breast cancer for some women."
  Hot flashes are uncomfortable, and at times, embarrassing. Other menopausal symptoms, although not always as obvious, can be just as annoying and inconveniencing. As an alternative treatment, black cohosh has been a proven relieving agent for some of these complaints. Researching options and candid discussions with the doctor will help make menopause go a little more smoothly.

Warning

• Don't use black cohosh if you are pregnant or nursing; have any type of liver problem; or if you drink alcohol in excess.
  Keep black cohosh away from children and pets.
  Before taking black cohosh, or any other herb or medicine, consult a physician.