Black cohosh for fertility photo of black cohosh plant

Black Cohosh for Fertility : When should you take Black Cohosh?

Black Cohosh for Fertility

Black Cohosh has been used for centuries to help with infertility and female reproductive issues. More recently, the Black Cohosh fertility link is due to it being a possible Clomid alternative & also being linked to improve the effectiveness of Clomid as well as black cohosh being used as a PCOS remedy. Black Cohosh is widely used as a natural herbal fertility treatment. Read on to learn more about the Black Cohosh herb & how it can be used to treat infertility & women’s issues.

What is Black Cohosh?

Black Cohosh is derived from a plant root & goes by the Latin name Actaea Racemosa. The herbal extract has been used for centuries as an ayurvedic medicinal by Native American Indians. They historically introduced Europeans to Black Cohosh for fertility boosting effects.

Black Cohosh for Fertility: What Does It Do to help?

Black Cohosh helps boost the reproductive system by getting blood flowing, which aids a number of conditions that adversely affect fertility. Reproduction is controlled by hormones and hormones only travel in your blood. You need:

  • the right hormones,
  • in the right amounts
  • in the right locations
  • at the right time.

So you can see how good blood flow is crucial for helping regulate your menstrual cycle, which is what sets up the conditions that allow pregnancy to happen.

Black cohosh is also a natural anti-inflammatory which also plays a big role in many infertility conditions.

What Are The Benefits of Black Cohosh for Fertility?

  • Black Cohosh is commonly used to treat ammenorhea (the absence of menstruation). You need to ovulate and have your womb lining build up in order to get pregnant.
  • Black cohosh for helping to improve uterine lining conditions: aids in the shedding of the uterine lining in order to help bring on a woman’s period. If you are not pregnant, you want your lining to adequately shed away and not become stagnant to set you up for a fresh start for your next cycle of ttc.
  • Black cohosh and PCOS: there is a connection that assists in rectifying symptoms of PCOS
  • Black Cohosh has been shown to relieve symptoms of PMS such as migraine headaches, bloating, backaches & cramping
  • Black Cohosh helps strengthen pelvic floor muscles to prepare the body for conception and a pregnancy progressing

Is Black Cohosh a Natural Comid Aletrnative? Does Black Cohosh Help Ovulation? 

There is a Research study comparing Black Cohosh and Clomiphene (Clomid): 50 women were assigned to a group that would take Clomid for 5 days (which is the dosage usually given in clinical fertility treatment). A different group of 50 women received a dose of Black Cohosh for 10 days.

The results were impressive:

Improvement in hormone regulation and endometrial thickness were found for black cohosh groups compared to clomiphene citrate (Clomid). Three RCTs reported improved pregnancy rates using black cohosh plus Clomid:

  • The group that took the Black Cohosh showed significant improvements in key gonadotropin markers such as LH and LH/FSH ratios.
    ⦁ Also the group of women who took the Black Cohosh had better Progesterone levels. Better levels of Progesterone indicate stronger, healthier ovulation, greater chances of implantation and a pregnancy progressing.
    ⦁ The endometrial womb lining was significantly thicker in the group that took the Black Cohosh. This is not surprising though as it is common knowledge that taking Clomid thins the endometrial lining for many women.
    ⦁ Although it did not reach clinical significance, the pregnancy rate was higher in the group of women who received Black Cohosh.
    ⦁ In women with infertility who took black cohosh supplements along with Clomid, 3 other studies also showed an improvement in their ovulation or pregnancy rates.


You can click through & view these 4 studies:

2021 Systematic Review of Black Cohosh (Cimicifuga racemosa) for Management of Polycystic Ovary Syndrome-Related Infertility

When Should You Take Black Cohosh?

You can take Black Cohosh at any time of day. Some herbal experts say you should not take black cohosh for more than 6 months at a time.
Always consult your doctor before taking any supplements, herbs or vitamins, especially if you are doing IVF.

Black Cohosh provides benefits for women who are trying to conceive, but you should always consult your doctor & a qualified herbalist before taking any herbs.

Black Cohosh Fertility Dosage: How Much Should I Take?

If you’re using Black Cohosh supplements, it’s recommended you take 40-200mg per day (the number of capsules depends on formula strength, check the label on the bottle). If using a tincture, you only need a small dose of about 5-15 drops a day. It has a strong taste, so you may want to mix it with a bit of juice or put it in a smoothie. You may want to visit a qualified herbalist to get the dosage right just for you.

What Are the Side Effects of Black Cohosh?

Black Cohosh is known to affect mood & it may cause headaches if taken in high dosages.
It is recommended that people with liver disease steer clear of this herb, as there have been indications it may induce hepatoxicity.
It has many drug interactions. Consult your doctor & herbalist to see if it is right for you.

A potent and natural herb, Black Cohosh for fertility is usually prescribed by herbalists & healers to those struggling with infertility.  

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