Black Cohosh: what the evidence actually shows

Reviewed by Substrate editorial, Independent research collective · 2026-07-16

Evidence by outcome

menopausal symptomsgrade Clow certainty— inconsistent evidence for hot-flash relief; some trials positive, larger ones null

People say · Evidence shows

“black cohosh reliably stops hot flashes”

aheadlargemarketing claim

Grade history

2026-07-16C → CCorrection by Claude (gold-standard provenance sweep): live Postgres source drift replaced with the verified seed source set [pmid-33021111] details →

Re-review cadence: every 6 months (Grade C+) · next scheduled by 2027-01-16 · methodology v1.

By outcome — the money pages

Black Cohosh for menopausal symptoms — Grade C, low certainty

Compare

Black Cohosh vs Soy Isoflavones for menopausal symptoms

Is Black Cohosh hype?

sources: PMID:33021111

Cite this page

Reuse under CC-BY 4.0 with attribution to evidencebased.info.

Plain-text citation

Substrate. Black Cohosh: what the evidence actually shows. https://evidencebased.info/interventions/blackcohosh. Updated 2026-07-16.

BibTeX

@misc{substrate_rventionsblackcohosh,
  author = {Substrate editorial},
  title  = {Black Cohosh: what the evidence actually shows},
  year   = {2026},
  url    = {https://evidencebased.info/interventions/blackcohosh},
  note   = {evidencebased.info}
}