Q. You had a question from a reader having trouble with hot flashes. I too was on hormones and finally got off, despite the hot flashes coming back.
Remifemin-brand black cohosh has helped me a lot. I was reluctant to try it, but it worked: my persistent hot flashes dropped by about 75 percent. I had a hysterectomy when I was younger, so I have no hormones at all.

A. Many women who use hormones for hot flashes find that they experience these uncomfortable heat rushes again when they discontinue their HRT. It can be just as disconcerting the second time around.
Research on the efficacy of black cohosh for hot flashes and night sweats has produced mixed results, but the extract combined with St. John’s wort seems to work quite well (Gynecological Endocrinology, online March 2, 2012).
We discuss details on black cohosh, St. John’s wort, Pycnogenol and vitamin E as well as bioidentical hormones and other ways to reduce hot flashes and vaginal dryness in the Guide to Menopause we are sending you.

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  1. joyce.pardon
    Reply

    I found the gynecological endocrinology journal articles interesting. Black Cohosh has worked for my severe hot flashes. I am SO RELIEVED!! Two years of frequently feeling ill immediately before hot flashes many times per day have been quite debilitating. I am 57 yrs old. I did not want to try HRT so the medical professionals offered little sympathy or alternative. Not one to take much of any vitamin or herb for anything, I didn’t really try alternatives seriously. After two years of figuring that there was no alternative to the suffering, I tried Black Cohosh. Like a miracle drug, it immediately helped!
    I have gone off it twice now to test the herb’s effects. results: hot flash symptoms immediately recur without the herb) I am in the process of lowering the dosage to find out the minimal dose for me. I am THRILLED it has worked for me. The pills I bought were 500 mg. which seems unnecessarily higher than the journal articles tested. Will try to add St. john’s wart once I find a minimum dose to see if I can lower the black cohosh dose more. Thanks Joe and Terry.

  2. D Leonard
    Reply

    I tried Remifemin 20 mg for hot flashes and since it was such a low dosage, was very surprised that it caused stomach pain. I’m glad that some have found it successful.

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