Does black cohosh help with perimenopause symptoms?

Some women report that black cohosh helps with certain perimenopause symptoms, though research results vary. The effectiveness of black cohosh during perimenopause depends on which symptoms you are trying to address and your individual body chemistry.

The evidence for black cohosh in perimenopause ranges from preliminary to well-established, depending on the specific symptom. What works well for one woman may have minimal effect for another, which is why personal tracking is so valuable.

If you want to try black cohosh, approach it systematically: note your baseline symptoms before starting, use a consistent dose from a reputable brand, and track your symptoms daily for at least 6 to 8 weeks. This gives you real data to evaluate whether black cohosh is working for you.

Always discuss supplements with your healthcare provider, especially if you take prescription medications or have underlying health conditions.