Synopsis

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

Black cohosh (Actaea racemosa), a plant native to North America, has a longstanding history of use in traditional Native American and Western herbal medicine, particularly for women’s health issues. Its application for infertility is based primarily on traditional and anecdotal evidence rather than robust clinical research. Historically, black cohosh was used to address gynecological complaints, including menstrual irregularities, menopausal symptoms, and labor induction. Some traditions extended its use to women experiencing fertility problems, under the belief that it could help regulate menstrual cycles and promote reproductive health. However, scientific validation for its effectiveness in treating infertility is minimal. While a few small studies have investigated its effects on ovulation and hormonal balance, these are limited in scale and often focus more on menopausal symptoms or adjunct support during fertility treatments (such as clomiphene citrate cycles), rather than infertility itself. Results are mixed, and there is insufficient high-quality evidence to recommend black cohosh as a treatment for infertility. Most mainstream medical guidelines do not endorse its use for this purpose. Thus, while black cohosh’s use for infertility is rooted in tradition, scientific support is weak and further research is needed before its effectiveness can be established.

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