Does black cohosh help with mood swings during perimenopause?

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

The evidence for using black cohosh specifically for mood swings 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 mood swings.

If you want to try black cohosh for mood swings: Start with a lower dose, choose a reputable brand with third-party testing, and track your mood swings 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.