Evidence supporting the use of: Cohosh
For the health condition: Amenorrhea

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Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Cohosh (commonly referring to either Black Cohosh, Actaea racemosa, or Blue Cohosh, Caulophyllum thalictroides) has a history of traditional use in herbal medicine, particularly among Native American and early European-American herbalists, for supporting women's reproductive health, including the management of amenorrhea (absence of menstruation). Traditional practitioners have used cohosh preparations to stimulate menstrual flow and regulate menstrual cycles, likely due to observed effects on the uterus and menstrual bleeding.

However, the scientific evidence supporting the efficacy of either Black or Blue Cohosh for treating amenorrhea is limited and of poor quality. Most modern clinical studies on Black Cohosh have focused on menopausal symptoms, especially hot flashes, with inconsistent results, and very few have specifically addressed amenorrhea. Blue Cohosh, while historically used as an emmenagogue (to promote menstrual flow), lacks robust clinical trials to support its effectiveness or safety for this indication. Some in vitro studies suggest that certain cohosh constituents may have estrogenic or uterotonic effects, but these findings have not translated into high-quality human evidence.

In summary, the use of cohosh for amenorrhea is primarily rooted in traditional medicine, with minimal scientific validation. Caution is advised, especially with Blue Cohosh, as it has been associated with potential toxicity. Professional medical guidance should be sought before use.

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Products containing Cohosh

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