Black cohosh, scientifically called Actaea racemosa, is a flowering perennial plant with attractive white blooms on its stem, forming a spike-like structure of about 5 feet tall. It is a member of the buttercup family; it grows in the woodlands of the eastern United States and Canada. Its flowers and roots were mostly utilized in traditional Native American medicine.

Black cohosh is an active ingredient in women’s health supplements. It has many benefits today and has been used in cases of hormonal imbalance and infertility. This supplement has proven to be beneficial in relieving menopause symptoms. The root of the plant is utilized for medicinal purposes. There are several chemicals contained in it that might have positive effects on the body. Some of these chemicals play a role in the immune system and might affect the body’s defenses against diseases. Multiple benefits are linked with this plant, and this article will explain the benefits, dosage, and side effects of the black cohosh.

Remedies Menopausal Symptoms

The high content of fumarolic acid in black cohosh shows strong estrogen properties that function as a natural solution for menopausal problems. Several studies have strongly revealed that the supplement can alleviate menopause symptoms. Some of these include hot flashes, headaches, night sweats, and vaginal dryness. Furthermore, the supplements are vital in easing PMS symptoms and inducing labor.

A research of 80 menopausal women who were experiencing hot flashes was conducted. Those supplemented with 20 mg of black cohosh daily for two months reported significantly lesser severe hot flashes than before they started the supplement. Most people have used this plant due to its ability to alleviate menopause symptoms.

Promotes Mental Health

Ayurvedic formulation functions incredibly well in improving mental health and preventing stress. Daily use of this herbal supplement eases anxiety and depression in menopausal women. Also, it reduces mood swings and stress linked with PMS. One study reviewed investigated the use of herbal supplements for depression and anxiety in menopausal women. Researchers stated that the black cohosh supplement did not affect anxiety, but it was associated with appreciable improvements in psychological symptoms.

Enhances Sleep

Black cohosh provides a one-stop remedy in improving sleep and may also reduce symptoms causing sleep disturbances due to hot flashes. Studies show that when black cohosh is consumed before bed-time, it nourishes the brain cells and boosts sleep pattern that helps in getting good sleep. Research shows that the supplement helps reduce symptoms causing sleep disturbances in menopausal women.

One study in 42 subjects indicated that the supplementation seemed to boost sleep duration and quality. Recent research noted that a combination of black cohosh and other compounds such as zinc, ginger, chaste berry, and hyaluronic acid improved hot flashes linked with insomnia and anxiety.

Boosts Fertility

The holistic science of Ayurveda highly values black cohosh as a perfect herb in promoting women’s reproductive well-being. The host of bioactive components in the black cohosh supplement work effectively in controlling hormonal imbalance. Also, it boosts fertility and pregnancy rates in women. Research proves that black cohosh may enhance the effectiveness of the fertility drug Clomid (clomiphene citrate) in infertile people, elevating their chances of becoming pregnant. Another study revealed an improvement in pregnancy rates or ovulation in women with infertility who consumed this supplement along with Clomid.

Promotes Women’s Health

Black cohosh is utilized for multiple purposes related to women’s health. PCOS is a common challenge affecting women’s reproductive age that results in hormonal imbalance, irregular menstrual cycle, and weight gain. This supplement is a potent ayurvedic that assists in maintaining hormonal imbalance, blood flow, and controlling the cycle. Additionally, it helps treat fibroids in the uterus and supplements with black cohosh anchors to lower the size of uterine fibroids. Here are research findings on the usage of black cohosh in women:

  • Fibroids – a 12-week study of 244 postmenopausal women, discovered that supplementing daily with 40 mg of black cohosh may de-escalate the size of uterine fibroids by about 30%.
  • Polycystic ovarian syndrome (PCOS) –supplementing with black cohosh may elevate a woman with PCOS’s chances of getting pregnant on Clomid.
  • Menstrual cycle regulation: Women with or without PCOS undergoing fertility diagnoses like Clomid may enhance regulation of their menstrual cycle.


Black cohosh supplements are available in the form of a capsule, liquid product, or herbal. The allowed dosage of the standard supplement is between 20-120 mg extract or powder form daily. For menopause symptoms, consumption of at least 20 mg daily, which most brands avail, is effective. You are advised to choose supplements that have been third-party tested for quality. Examples of these third-party testing organizations include Consumer lab and United States Pharmacopeia (USP). It is unsafe to take black cohosh for more than 6 months to 1 year, as it has a high potential to damage the liver.

Side Effects

Black cohosh contains some side effects, but they are mild. Some include nausea, infection, stomach upset, skin rashes, spotting, and breast enlargement. It has also been associated with liver problems; hence individuals suffering from liver disease should stop taking this supplement. Always seek advice from a certified Ayurveda practitioner before taking any supplement. Recent research showed that high doses of black cohosh are linked to red blood cell damage leading to anemia. People less than 18 years should not take this supplement. Additionally, anyone with allergic condition to any ingredients is advised to avoid taking black cohosh.


From studies conducted, black cohosh has been found to contain many benefits. Some are reducing weight, enhancing sleep, promoting mental health, and treating cancer, among others. Understanding the dosage recommended is important so that you may enjoy its benefits adequately. Avoid taking excess black cohosh because it might lead to liver damage. However, there are side effects associated with black cohosh. It is important to know them before you start taking them. Taking black cohosh when you have some conditions like the liver problem is dangerous. Know the status of your body and then seek medical counsel on using black cohosh.


We would like to thank the below contributors who have helped us to write this article:


Tatyana Dyachenko

For the past years, Tatyana has worked as a sex blogger and a relationship advisor. She has been featured in magazines such as Cosmopolitan, Teen Vogue. Vice, Tatler, Vanity Fair, and many others. Since 2016, Tatyana has focused on sexology, attended various training courses, participated in international conferences and congresses. “I wish people would address sexual issues in a timely manner! Forget shyness, prejudice and feel free to see a sex doctor for help or advice!” Tanya enjoys pursuing her flare for creativity through modelling, graffiti art, astronomy, and technology.

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