Does black cohosh really work for hot flushes?
Black cohosh may reduce hot flushes for some women, but evidence is mixed, and it is not as effective as hormone therapy.
Detailed Medical Explanation
Black cohosh is a popular herbal remedy used to relieve menopausal symptoms, including hot flushes. Some clinical trials suggest a mild benefit, but large systematic reviews and meta-analyses show inconsistent results. Black cohosh is not regulated as a medicine in the UK, and its safety for long-term use is uncertain. For more information, see the NHS menopause treatment guidance.
Clinical Context
Women interested in black cohosh should consult a healthcare professional to discuss benefits, risks, and possible liver toxicity. It should not be used as a substitute for evidence-based medical therapy in women with severe symptoms.
Evidence-Based Approaches
NICE and NHS do not recommend black cohosh as a first-line treatment for hot flushes due to mixed evidence and safety concerns. Read the latest position at NICE menopause guidance.