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Black Cohosh Benefits: A Natural Solution for Women’s Health

by | Aug 18, 2023 | Herb Spotlight, Women's Health | 2 comments

Are you struggling with menopausal symptoms such as hot flashes and night sweats? Or perhaps you’re dealing with painful menstrual cramps and premenstrual syndrome (PMS)? If so, you’re not alone. Many women experience these symptoms, and finding relief can be challenging, but there may be a natural solution worth considering: Black Cohosh!

Black Cohosh has been used for centuries as a natural remedy for a wide range of symptoms related to women’s health. In this blog post, we will be discussing the evidence-based Black Cohosh benefits for women’s health, as well as its potential risks and side effects. We will also provide information on how to use Black Cohosh effectively.

If you’re feeling overwhelmed and searching for relief, know that there are natural and powerful options available to you. Keep reading to learn more about Black Cohosh benefits and how they may be able to help you manage your symptoms and improve your overall well-being.

What is Black Cohosh?

Black Cohosh, also known as Actaea racemosa or Cimicifuga racemosa, is a perennial herb from the Ranunculaceae (buttercup) family that is native to North America. It is commonly found in wooded areas in the eastern parts of the United States and Canada.

Black Cohosh Benefits for Women

The plant has a long history of use by indigenous people in North America for a variety of medicinal purposes. Historically, the root was used to treat a wide range of conditions, including menstrual cramps, hot flashes, and other symptoms associated with menopause, as well as rheumatism, sore throat, and other common ailments.

The plant’s popularity as a medicinal herb continued to grow throughout the 19th century and today the most common form of Black Cohosh is in tincture form, which is considered the most effective way to use the herb. 

The roots and rhizomes of Black Cohosh contain compounds called triterpene glycosides, which are thought to be responsible for the majority of its medicinal properties. 

Before we get into the powerful Black Cohosh benefits for women, here are some interesting facts about Black Cohosh:

  • It is also sometimes referred to as “black snakeroot” or “bugbane.”
  • It has been found that the combination with other herbs, especially red clover, enhances its effects.
  • Studies have shown that Black Cohosh may have a positive effect on bone density, which may be helpful in preventing osteoporosis in postmenopausal women.
  • Some studies have suggested that Black Cohosh may have anti-cancer properties, although more research is needed in this area.
  • Black Cohosh can be used to relieve symptoms of rheumatoid arthritis and other chronic inflammatory conditions.
  • Black Cohosh can be used to relieve the anxiety, depression and other emotional symptoms associated with the reduction in estrogen that occurs with menopause.
  • Black Cohosh is sometimes used as a substitute for estrogen replacement therapy in women who cannot or choose not to use hormone therapy.

Black Cohosh Benefit #1 – Menopausal Symptoms

Black Cohosh is commonly used to relieve a wide range of symptoms associated with menopause, including:

Hot flashes

Hot flashes are characterized by a feeling of intense heat that can cause sweating, rapid heartbeat, and a flushed face. They are one of the most common symptoms of menopause and can be very disruptive to daily life. Several studies have found a Black Cohosh benefit to be reducing the frequency and severity of hot flashes in postmenopausal women.

Black Cohosh Benefits for Women - Hot Flashes

One study, published in the Journal of Women’s Health, found that Black Cohosh was effective in reducing the frequency and severity of hot flashes in postmenopausal women. This study involved 100 women who were experiencing at least seven hot flashes per day. The women were divided into two groups: one group received a daily dose of Black Cohosh, while the other group received a placebo.

After 12 weeks, the women who received Black Cohosh reported a significant reduction in the frequency and severity of hot flashes, compared to the women who received the placebo.

*Note that the results were statistically significant but took as long as 12 weeks before the improvements were noticeable. Taking Black Cohosh for at least 12 weeks is recommended before determining that it was not effective for your needs. 

Night sweats

Night sweats, also known as sleep hyperhidrosis, are episodes of excessive sweating that occur during the night. They are often associated with hot flashes and can cause disruptions in sleep and overall quality of life. Some studies found that a Black Cohosh benefit is alleviating the symptoms of night sweats.

A study published in the Journal of Clinical Endocrinology involved women who were experiencing at least two night sweats per day. The women who received Black Cohosh reported a significant reduction in the frequency and severity of night sweats, compared to the women who received the placebo. 

Similarly, a study published in the Journal of Women’s Health involving women who were experiencing at least 7 night sweats per week saw a significant reduction in the frequency and severity of night sweats while taking Black Cohosh.

Mood swings

Mood swings are a common symptom of menopause that can cause a wide range of emotional symptoms, including irritability, anxiety, and depression. These symptoms are often caused by the hormonal changes that occur during menopause, which can affect the levels of estrogen, progesterone and other hormones in the body.

Black Cohosh Benefits for Women - Mood Swings

It is believed that a Black Cohosh benefit may be helping to reduce mood swings by regulating hormones, particularly estrogen. It has been established that Black Cohosh has estrogen-like effects, known as a ‘phyto-estrogen’ effect, which allows it to balance the hormone levels and thereby alleviate the mood swings associated with menopause. These symptoms may also improve due to the inflammation-reducing and immune-regulating effects of the herb.  

Vaginal dryness

Vaginal dryness is a common symptom of menopause that can cause discomfort and pain during intercourse. It occurs when the body’s levels of estrogen decrease, which can cause the vaginal walls to thin and lose elasticity, thereby leading to dryness, itching, and pain.

As mentioned above, Black Cohosh has positive phyto-estrogen effects, allowing it to help increase levels of the hormone, which in turn alleviates the vaginal dryness and pain with intercourse. 

Black Cohosh Benefit #2 – Menstrual Cramps

Menstrual cramps are a common symptom of menstruation that can cause pain and discomfort in the lower abdomen and back. They are caused by the contraction of the uterus during menstruation, which can lead to the restriction of blood flow and the release of prostaglandins, which are hormone-like substances that signal to induce the inflammatory process and initiate pain.

The medical term for menstrual cramps is ‘dysmenorrhea’. 

Black Cohosh Benefits for Women - Menstrual Cramps

According to the American College of Obstetricians and Gynecologists, up to 90% of women experience menstrual cramps at some point in their lives. The severity of menstrual cramps can vary greatly from woman to woman, with some experiencing mild discomfort and others experiencing severe pain that can interfere with daily activities.

Menstrual cramps can also cause other symptoms such as headaches, nausea, and fatigue. By relieving menstrual cramps, women can experience a significant improvement in their overall well-being and quality of life.

Taking Black Cohosh in tincture form has proven to be effective in reducing menstrual cramps. In fact, a study published in the Journal of Alternative and Complementary Medicine, found that Black Cohosh was more effective than ibuprofen in reducing menstrual cramps.

A study published in the Journal of Obstetrics and Gynecology found that Black Cohosh was just as effective as mefenamic acid (a prescription drug) in reducing menstrual cramps!

Black Cohosh Benefit #3 – Premenstrual syndrome (PMS)

Premenstrual syndrome (PMS) is a group of physical and emotional symptoms that occur in the days leading up to menstruation. Symptoms can vary from woman to woman and can include cramps, bloating, breast tenderness, headaches, fatigue, irritability, and mood swings.

Popular herbalist, Susun S. Weed, author of the book “Healing Wise“, recommends using Black Cohosh to alleviate PMS symptoms. In her book, she states that Black Cohosh has a long history of use for menstrual cramps, headaches, and other PMS symptoms. 

Black Cohosh Benefit #4 – Hormone Regulation

In women, hormones such as estrogen and progesterone play a vital role in regulating the menstrual cycle and ovulation, as well as in pregnancy, childbirth, and menopause. Imbalances in these hormones can lead to a range of health issues, including irregular menstrual cycles, infertility, and problematic menopausal symptoms.

Hormone regulation is where Black Cohosh shines.

Hormone imbalances can also contribute to the development of certain cancers such as breast, endometrial and ovarian cancer. In addition, imbalances in hormones such as thyroid hormone, cortisol and insulin can lead to weight gain, fatigue, and mood changes.

Black Cohosh Benefits for Women - Hormone Balance

Maintaining a balance of hormones is essential for overall health and well-being. Hormone therapy and supplements such as Black Cohosh, can be used to help regulate hormones and alleviate symptoms caused by hormonal imbalances.

A study published in the Journal of Women’s Health found that taking Black Cohosh resulted in significant improvements in hormone levels and menopausal symptoms, compared to the placebo group.

Black Cohosh Benefit #5 – Polycystic Ovary Syndrome (PCOS)

Polycystic ovary syndrome (PCOS) is a condition that affects the ovaries and the hormones, characterized by the presence of multiple small cysts in the ovaries, which can lead to irregular menstrual cycles, anovulation (lack of ovulation), and higher levels of androgens (male hormones) which can lead to symptoms such as acne, excessive hair growth, and weight gain.

A study published in the Journal of Alternative and Complementary Medicine found that a Black Cohosh benefit may be in regulating hormones in women with polycystic ovary syndrome. The study involved 60 women with PCOS who were randomly assigned to receive either Black Cohosh or a placebo for 12 weeks.

The results showed that the group that received Black Cohosh had significant improvements in estrogen levels, compared to the placebo group.

It is recommended that any woman considering using Black Cohosh in the treatment of PCOS should first consult with their family physician. 

Black Cohosh Benefit #6 – Infertility

Infertility is a common issue that affects many people worldwide. It is defined as the inability to conceive a child after a year of regular, unprotected sex or the inability to carry a pregnancy to term. Understandably, infertility can have a significant impact on a person’s mental and emotional well-being, and can also place significant strain on relationships and family life.

There are many different causes of infertility, including hormonal imbalances, age-related factors, lifestyle factors, and underlying health conditions. In some cases, the cause of infertility may be unknown.

Black Cohosh Benefits for Women - Fertility

A small study found that when used in combination with clomiphene citrate, Black Cohosh extract has been shown to have even greater potential benefits for infertility. Clomiphene citrate is a commonly used fertility drug that works by increasing the production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which can help to stimulate ovulation. However, some women may not respond well to clomiphene citrate alone, and may require additional support to improve their chances of conception.

In this study, infertile women who took 120mg of Black cohosh extract plus 150 mg of clomiphene citrate experienced significantly higher pregnancy rates compared to those who took clomiphene citrate alone. The study suggests that the combination of these two treatments may help to improve ovulation and increase the chances of conception.

120mg is equivalent to only ½ teaspoon of Black Cohosh tincture!

It is important to note that while these findings are promising, more research is needed to fully understand the potential benefits of black cohosh extract for infertility, and the available evidence is limited. 

Safety Considerations

When considering the multitude of Black Cohosh benefits for women’s health issues, it is important to be mindful of several safety considerations.

First, it is important to consult with a healthcare professional before starting any new supplement regimen, including Black Cohosh. This is especially important if you have a pre-existing medical condition or are taking any medications, as black cohosh may interact with certain medications and health conditions.

Additionally, it is important to purchase Black Cohosh tincture from a reputable source and one that is regulated by Health Canada or the FDA, such as our Black Cohosh tincture. Our Black Cohosh has received licensing and clearance from Health Canada for its safety and efficacy. 

When using Black Cohosh tincture, it is also important to be mindful of the recommended dosage and to follow the instructions on the label. Taking too much Black Cohosh can cause side effects, such as headaches, nausea, and stomach upset, and long-term use of high doses can be potentially harmful.

The maximum dosage recommended for Black Cohosh is ½ tsp 3x/day.

Finally, it is important to be aware that Black Cohosh may not be safe for everyone, especially for women who are pregnant or breastfeeding.

Concluding Thoughts on Black Cohosh Benefits 

Black Cohosh has been used for centuries to support women’s health, including the regulation of hormones, fertility, PMS, menstrual cramps, menopausal symptoms, and PCOS. Research has shown that black cohosh may have beneficial effects on these issues and could be a helpful addition to a woman’s overall wellness regimen.

However, it is important to remember that Black Cohosh is not a cure-all solution and should not be used as a substitute for medical advice and treatment. Additionally, as with any supplement, it is very important to be mindful of safety considerations, including consulting with a healthcare professional, purchasing from a reputable source, following the recommended dosage, and being aware of potential side effects.

Despite these precautions, I would encourage women who are struggling with these health issues to give Black Cohosh a try. While it may not be the right solution for everyone, it has shown promising results for many women and could potentially help to improve overall health and wellbeing.


  1. Stacey

    My brother recommended I might like this web site. He was totally right, This post actually made my day. You cannot imagine how much time I had spent for this information. Thanks!

  2. Aubrey

    I have spent over three hours on the internet today researching Black Cohosh and your article was the most intriguing! Thanks for all the detailed information. I definitely feel more confident in trying out this remedy.


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