Does black cohosh help with anxiety during perimenopause?

Some women find that black cohosh helps manage anxiety during perimenopause, though individual results vary. The connection between black cohosh and anxiety involves how this supplement interacts with the hormonal and neurochemical pathways that become disrupted during perimenopause.

The evidence for using black cohosh specifically for anxiety ranges from anecdotal reports to clinical studies. What matters most is whether it works for your body. Many supplements need 4 to 8 weeks of consistent use before you can fairly evaluate their effect on symptoms like anxiety.

If you want to try black cohosh for anxiety: Start with a lower dose, choose a reputable brand with third-party testing, and track your anxiety severity daily so you have objective data. Continue your other management strategies (sleep, exercise, stress reduction) while testing black cohosh so you can isolate its effect.

Always check with your healthcare provider before starting black cohosh, especially if you take other medications or have existing health conditions.