Evidence supporting the use of: European peony
For the health condition: Menopause

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Synopsis

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

European peony (Paeonia officinalis) has a long history of use in traditional European herbal medicine, including for women’s health issues such as menstrual irregularities and menopausal symptoms. The roots and, less commonly, the seeds and flowers, have been used in folk remedies aimed at easing hot flashes, irritability, and sleep disturbances associated with menopause. The rationale was based on the plant’s reputed ability to “balance” the female reproductive system, possibly due to its mild antispasmodic and sedative effects. However, most of the traditional use documentation is anecdotal or based on historical herbals rather than systematic studies.

From a scientific standpoint, there is limited evidence supporting the use of European peony for menopause. Most clinical studies investigating peony for women’s health have focused on Paeonia lactiflora (Chinese peony), often in combination with other herbs such as licorice, rather than Paeonia officinalis. Some animal and in vitro studies suggest peony species may influence hormone regulation and inflammation, but these findings have not been robustly translated into clinical practice for menopause, especially for European peony. As such, while the traditional use is well documented, high-quality scientific validation is lacking, and the efficacy of European peony for menopause remains unproven by modern standards.

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