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Lots of women try herbs like black cohosh for menopausal symptoms like hot flushes — but does it work?

Liz Seegert
Menopause Matters
Published in
5 min readOct 1, 2023

by Sasha Taylor. Research fellow, Chronic Disease & Ageing, Monash University and Susan Davis Chair of Women’s Health, Monash University

woman holding pill bottle in one hand and two capsules of medicine in the other
image via The Conversaton.com

Menopause is the stage of life where the ovaries stop releasing eggs and menstrual periods cease. Most Australian women go through menopause between 45 and 55 years of age, with the average age being 51 years, although some women may be younger.

Hot flushes and night sweats are typical symptoms of menopause, with vaginal dryness, muscle and joint pains, mood changes and sleep disturbance also commonly reported. Up to 75% of women experience menopausal symptoms, with nearly 30% severely affected.

These symptoms can negatively impact day-to-day life and wellbeing. The main therapies available include menopausal hormone therapy (MHT) and non-hormonal prescription therapy. Some women will elect to try complementary and alternative medicines, such as herbal medicines and nutritional supplements. Black cohosh is one of them.

What causes hot flushes

The cause of hormonal hot flushes (also called hot flashes) still isn’t completely understood, but the decline in oestrogen at menopause appears to play a role in a process that…

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Menopause Matters
Menopause Matters

Published in Menopause Matters

Science-based information and plain talk to help women take charge of their bodies, dispel myths, make more informed decisions and embrace this phase of life. Ideas, resources and personal stories to help you stay informed.

Liz Seegert
Liz Seegert

Written by Liz Seegert

Independent health journalist, writing about aging, boomers, policy, women's health, wellness.

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