Your Questions Answered
What is Black Cohosh and what is its relation to menopause?
Black Cohosh is scientifically known as Actaea Recemosa, a North American herb that is a member of the buttercup family. It was originally used in North American Indian medicine for malaise, sore throat, rheumatism, malaria, kidney disorders, and gynecological disorders, as well as reduce hot flashes and other menopausal symptoms. No human studies have adequately evaluated the effect of Black Cohosh on the endometrium (the inside layer of the uterus) or vagina.
Black Cohosh contains biological components similar in structure to the human hormone estrogen. A number of studies have suggested that these plant hormones attach to the estrogen receptors in the body. This activity decreases the amount of luteinizing hormone which is associated with temperature fluctuations. Other studies have not been able to confirm this mechanism of action which leaves scientists questioning why Black Cohosh seems so effective.
Currently, it is sold as a dietary supplement; dietary supplements are regulated as foods and not drugs. Because dietary supplements are not always tested for consistency, the composition may vary.
Short term use of Black Cohosh, specifically for periods no longer than six months, was endorsed by the American College of Obstetrics and Gynecologists (ACOG) in 2001. This limited used is recommended because the herb reduces symptoms of menopause without any danger. ACOG suggests using the Black Cohosh at a dosage of one to two 20 mg pills twice daily. Black Cohosh can cause stomach upset and headaches.
Disclaimer: In accordance with FDA regulations, this information is not to be used for purposes of diagnosis or treatment. This information is not intended to be taken as a replacement for medical advice. It is strongly recommended that you talk to your provider-physician, nurse-midwife, nurse practitioner, or physician assistant – about any herbal therapy you are using or would like to use in order that he or she may best provide care for you. It is important that many prescription medications are not duplicated with herbal treatments.
Harbour Women’s Health has a commitment to providing you the option of combining traditional medicine with alternative approaches, many of which they provide. If you have any questions regarding Herbal Therapy in Women’s Healthcare please free to ask.