The evidence on common supplements
Many women try supplements like black cohosh, red clover, evening primrose oil, or phytoestrogens for menopause symptoms. The evidence for most of these is mixed — some women find them helpful, but clinical trials have generally shown modest or inconsistent results.
Black cohosh and phytoestrogens have the most evidence behind them, but the benefits tend to be modest. Evening primrose oil has not been shown to be effective for hot flushes in clinical trials.
What about vitamin D and calcium?
Vitamin D and calcium are important during menopause — not for hot flushes, but for bone health. After menopause, your risk of osteoporosis increases, and adequate vitamin D and calcium intake are essential for maintaining bone strength.
Your GP can check your vitamin D levels with a simple blood test and advise whether supplementation is appropriate for you.
The bottom line
Supplements can play a supporting role, but they're rarely a substitute for evidence-based treatment like MHT when symptoms are significant. The most effective approach is usually a combination of lifestyle measures, targeted treatment, and — where appropriate — hormone therapy.
Always tell your GP about any supplements you're taking, as some can interact with medications or may not be suitable for your individual situation.
Related condition
Menopause & perimenopause →References & sources
- 1.Menopause — Jean Hailes for Women's Health
- 2.Menopause — Better Health Channel
- 3.Hormone replacement therapy — healthdirect
- 4.Post-menopause — healthdirect
- 5.Menopause health info — Australasian Menopause Society
This content is general information and not a substitute for individual medical advice. Please consult a GP for your personal situation.
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