black cohosh and rhodiola combination is better than black cohosh alone for menopause

The most effective treatment in the world for menopause is the herb black cohosh. But that doesn’t mean that adding another herb couldn’t make it even better.

 Black cohosh is the most important herb for menopause. It is able to help both physical symptoms like hot flashes and vaginal thinning and drying and psychological symptoms like depression, anxiety, irritability, nervousness and insomnia.  A meta-analysis of placebo-controlled studies published on black cohosh and menopause up to 2013 has confirmed that black cohosh works reliably and safely for menopausal symptoms (Wien Med Wochenschr 2017;167(7-8):147-159).

But could it be even better? Rhodiola rosea is a great herb for relaxing and energizing you mentally and physically. It is a huge help for anxiety, stress, anger, confusion, mood, fatigue and burnout. It may also improve attention and cognition.

These strengths of rhodiola might make black cohosh even better. Researchers gave 220 menopausal women either black cohosh alone, black cohosh plus rhodiola or a placebo in a 12 week double-blind study.

Both the black cohosh and the black cohosh/rhodiola combination were significantly better than the placebo. But the black cohosh combined with the rhodiola was the most effective of all. It dropped scores on the Kupperman Menopausal Index by a significantly superior 71.2%. Black cohosh alone dropped it by 50.5-59.1%. the placebo dropped the score by only 26.3%.

The quality of life improved for women on black cohosh and on the combination, but, again, the combination was significantly better. Women on the combination improved their quality of life scores by 25%. Women on black cohosh improved by 17% while the placebo group improved by only 12.2%. Not surprisingly given rhodiola’s strengths, the improvements in quality of life were mostly because of emotional and psychological improvements.

This study suggests for the first time that adding Rhodiola rosea to black cohosh might make the great menopause herb even greater. Teaming the two herbs up may be the perfect combination for tackling the physical and emotional symptoms of menopause.

Pharmaceuticals 2020 May;13(5):102

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For much more on treating menopause naturally, see our book The Family Naturopathic Encyclopedia.

For comprehensive help with menopause, make an appointment to see Linda Woolven nowLinda’s clinic is now open for virtual appointments.


The Natural Path is intended for educational purposes only and is in no way intended for self-diagnosis or self-treatment. For health problems, consult a qualified health practitioner for a comprehensive program.

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