Here’s the scoop on Hormone Free Black Cohosh for hot flashes and night sweats
The studies done on Hormone Free Black Cohosh for the hot flashes and night sweats of menopause have not shown consistent results. In a few, it is better than placebo, and in others, it’s no better than placebo. However, one thing I explain to my patients, is that with ANY menopause treatment, the placebo response can range from 30-50%, so if if works for you, then it works.
Part of the problem when looking at Black Cohosh, is that there are so many different formulations and it’s available in different strengths. It also seems that some women do very well with it, while others are left scratching their heads wondering what the big deal is.
Why some women respond and others don’t
I’ve spoken to many researchers in the area of hot flashes and night sweats and many of us believe that women may have certain receptors that uptake black cohosh differently than other women and thus see relief when using it.
Since Black cohosh is hormone free and generally considered a “relatively safe herb”, though it’s not recommended for women on statins or any medication that has potential liver toxicity. For a complete list, I use the WebMD list.
Black Cohosh is a hormone free choice for hot flashes and night sweats. It won’t help vaginal dryness or protect our bones from loss of mineralization. The things I tell my patients to watch out for are stomach cramps and diarrhea.I tried Remifemin, a pharmaceutical grade Black Cohosh and found that it reduced my night sweats and hot flashes by about 25-30%. This helped me for about 4 months, then for some reason, it stopped working. I’ve also heard this from other patients, who find that it relieves their symptoms for a while, but few of my patients stay on it for more than 6-12 months. I’ve found that they either decide to use something else or put up with their symptoms.
For more tips, please check out my new book, The Hot Guide to a Cool Sexy Menopause. It’s available on Amazon, Barnes and Noble, for E-readers, wherever books are sold and through Basic Health Publishing.