Evidence supporting the use of: Cohosh
For the health condition: PMS (general)
Synopsis
Source of validity: Traditional
Rating (out of 5): 2
Cohosh, particularly Black Cohosh (Actaea racemosa, formerly Cimicifuga racemosa), has a long history of traditional use for women’s health concerns, including symptoms associated with PMS (premenstrual syndrome) and menopause. Native American and early European herbal medicine used Black Cohosh for a variety of gynecological issues, such as menstrual irregularities and symptoms like cramping, irritability, and mood swings. The rationale for its use was based on observed effects and empirical tradition rather than scientific understanding of its mechanisms.
Modern scientific evaluation of Black Cohosh has primarily focused on menopausal symptoms (such as hot flashes), rather than PMS specifically. Most clinical studies have not directly investigated its efficacy for PMS, and available evidence for this use is limited and of low quality. Some small trials and case reports suggest potential benefits on mood and physical symptoms, but these results are inconsistent and not robust enough for strong recommendations. Proposed mechanisms include mild estrogenic or serotonergic effects, but these remain speculative. No substantial scientific consensus supports its routine use for PMS.
In summary, while Cohosh is traditionally used for PMS and related symptoms, scientific validation is limited. Its use for PMS remains primarily supported by tradition with modest or anecdotal clinical backing.
Other ingredients used for PMS (general)
27-deoxyacteinAerva lanata
Agnuside
Agrimonia pilosa
Alchemilla
Ashoka
ashwagandha
banana
bee pollen
beet
black cohosh
borage
borage oil
bupleurum falcatum
calcium
Calendula
chamomile
chaste tree
chocolate
Clary sage
Cnidium
cohosh
Cyathula
DIM (diindolylmethane)
dong quai
dong quai root
eicosapentaenoic acid
EPA (eicosapentaenoic acid)
equol (proprietary)
estrogen
evening primrose oil
evening primrose oil
Evodia
fennel
flaxseed
gamma linolenic acid (GLA)
green tea
Gugglesterone
inositol
jujube
kudzu
Labisia pumila
Lady's Mantle
licorice root
lignans
liquid liver fractions
lotus
maca
macaenes
magnesium
Miroestrol
Montanoa tomentosa
Motherwort
peach
Phthalides
Phytoestrogens
Pimpinella
pollen
Pulsatilla
Pycnogenol
quail egg
relora® (proprietary)
royal jelly
Rubiaceae
Rubus
sage
Soy
soybean
Sweet Bay
Sweet Orange alcohol
Szechuan lovage
Valerian root
Vervain
vitamin B6
vitamin C
vitamin D
Vitex Agnus-Castus
Watermelon
Wild yam
Zinc
Other health conditions supported by cohosh
Afterbirth PainAmenorrhea
Breasts (swelling and tenderness)
Dysmenorrhea
Endometriosis
Estrogen (low)
Fibroids (uterine)
Hot Flashes
Menopause
Menstrual Irregularity
Menstruation (scant)
PMS (general)
PMS Type A
PMS Type D
PMS Type H
PMS Type P
PMS Type S
Pregnancy (herbs and supplements for)
Vaginal Dryness
Vaginitis
