Black Cohosh

8 benefits mapped to clinical evidence across supplements.

Main Effects

Symptom relief; hormones unchanged

Hot flashes −85%

Endometrium: no estrogenic change

Strong

2,692

Symptom relief ~-70%

Fewer side effects

No endometrium increase

Moderate

1,361

Endometrium/pregnancy +23%

Progesterone/estradiol up

Moderate

547

Hot flashes down

Mood +10%

Anxiety improved

Moderate

520

Bone markers improved

+? bone turnover

No endometrial gain

Weak

124

Fewer night sweats

+73% hot flush drop

Better sleep efficiency

Weak

Less stress, lower anxiety

Improved symptoms, less bleeding

Weak

FMD +

Endothelial function +

Weak