- 1). Consult with your physician if you are experiencing hot flashes, night sweats, weight gain, sluggish libido or other symptoms of menopause. Your medical provider may or may not recommend you use black cohosh.
- 2). Check with an acupuncturist if you have menopausal symptoms as there are several Chinese herbs that can be used with black cohosh to help relieve the above symptoms of menopause. Some of these herbs include Schisandra, Rehmannia or Gentian.
- 3). If you are experiencing menstrual disorders such as irregular menses, menstrual cramps, or PMS, consult with an integrative physician, acupuncturist or nutritionist for specific guidance. They may or may not recommend use of black cohosh.
- 4). Do not confuse black cohosh with blue cohosh. Both have been used to induce labor in the past but current recommendations is to avoid both as they are harmful to the fetus. The current research has been in studies of less than 6 months, so long-term safety has not been established.
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