Does black cohosh help with vaginal atrophy?
Black cohosh is often used for hot flushes and other menopausal symptoms, but research does not support its effectiveness for treating vaginal atrophy. Always consult your doctor before starting any herbal remedy.
Detailed Medical Explanation
Black cohosh is a herbal supplement believed to have oestrogen-like effects, but studies show it is no more effective than placebo for vaginal atrophy. It may interact with other medications or cause side effects such as stomach upset or liver problems. Medical therapies, such as vaginal oestrogen, remain the gold standard. NHS: Herbal Menopause Remedies.
Clinical Context
We see many women trying black cohosh for menopause symptoms, but it does not address the tissue changes of atrophy.
Evidence-Based Approaches
UK and international menopause guidelines do not recommend black cohosh for vaginal atrophy. RCOG: Herbal Menopause Remedies.