Manage Your Menopause with Botanical Herbs

Tori Hudson, ND • May 1, 2018

Discussing menopause treatment options can be confusing and challenging. Sifting through the maze of research on hormone therapy often leaves women with more questions than answers. As a result, botanical therapies for menopausal symptoms are taking an increasingly important role. Many women are determined to utilize therapies that are herbal or nutritional. There are a few key herbs to know about when looking for alternatives for relief from menopausal symptoms.

Black cohosh (Actaea racemosa) is used for a variety of women’s health conditions and has emerged as the most studied with the best results of the herbal alternatives to hormone replacement therapy for menopause symptoms. Despite some recent news reports about safety issues with black cohosh, the body of scientific knowledge finds this herb safe.

Over 125 studies have been published on black cohosh and perimenopause/menopause symptoms. While not all studies show effectiveness, the preponderance of the data demonstrates an ability to result in the disappearance or improvement of symptoms including hot flashes, night sweats, headaches, insomnia and mood swings. Other studies reported improvements in fatigue, irritability, hot flashes and vaginal dryness.

Research has led to changes in our understanding of the constituents and mechanism of black cohosh. The most striking new findings is that black cohosh does not contain phytoestrogens, nor does this herb affect any hormonal parameters. The safety profile of black cohosh is extremely encouraging with rare, mild side effects. Gastrointestinal upsets and rashes are the most common adverse effects reported. A review of the scientific literature does not present a compelling case for concern regarding liver function and the use of this herb.

Maca (Lepidium peruvianum) has become an important contender for perimenopause and menopause symptoms. Studies have shown benefit for hot flashes, night sweats and libido. Studies have also shown improvement in libido in women who took a selective serotonin reuptake inhibitor (SSRI) for depression or anxiety that caused a lowering of their libido. As an adaptogen, maca can also help with stress and fatigue that is due to adrenal dysregulation.

Siberian rhubarb (Rheum rhaponticum) is one that not a lot of folks have heard of. The studies have shown benefit for mild to moderate hot flashes and night sweats. Red clover isoflavones (Trifolium pratense) also show promise. In three positive studies, users had approximately 50% reduction in hot flushes, although 4 studies show no benefit.

Other Symptoms and Remedies
Other significant menopause symptoms include insomnia, mood changes, anxiety and cognitive changes. Valerian is one of the most well-known herbal therapies for insomnia, and several clinical trials have documented the efficacy of valerian on sleep. St. John’s Wort for depression can be very helpful in perimenopausal and menopausal women, and kava has been found to be an excellent herbal choice for perimenopausal women who have hot flashes, anxiety, lower thresholds for stress than prior to menopause, and escalating problems with sleep disruption.

Herbal Blends
One herbal combination, “Women’s Phase II,” has been investigated in a clinical trial. The product is made by Vitanica and sold at Marlene’s! It contains dong quai, motherwort, licorice root, burdock root, and wild yam root. One hundred percent of the women taking Women’s Phase II had a reduction in their symptom severity—71% of women taking the herbal formula reported a reduction in the total number of symptoms. This combination was most effective in treating hot flashes, mood changes, and insomnia.

Women in the perimenopause transitional years who are beginning to experience various symptoms, as well as menopausal women, are in a good position to try botanical therapies. Choices about nutritional supplements and herbal therapies versus conventional hormones should be made on an individual basis. A health care practitioner who is educated about all the options can assess more complicated individual needs regarding symptom management and individual risks for osteoporosis, heart disease, Alzheimer’s and breast cancer, to determine which therapy or combination of therapies is appropriate.

Tori Hudson, ND, is the author of Women’s Encyclopedia of Natural Medicine and the Director of Education, Research and Product Development for Vitanica. For more information, visit DrToriHudson.com.

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