Positive Health Online

Abstract

TESCH has reviewed (183 references) the herbs commonly used by women.

Background

The aim of the review is to study the evidence for herbs commonly used by women.

Methodology

Articles were identified by searching MedLine, the Cochrane Database of Systemic Reviews, and the Combined Health Information Database as well as searching by hand. Preference was given to randomized controlled trials.

Results

Many women use herbal medicines, and many prospective randomized controlled trials are funded. Gingko biloba slows the progression of dementia but increases the risk of bleeding. St John’s Wort is effective in the treatment of mild to moderate depression but has many drug interactions. Ginseng improves wellbeing in perimenopausal women but has side effects and drug interactions. Garlic slightly lowers blood pressure and lipids. Echinacea decreases the duration of colds but does not prevent them. Valerian is beneficial for insomnia; long-term safety data are lacking. Black cohosh may help the symptoms of menopause, and chasteberry may improve premenstrual symptoms.

Conclusion

Some herbs are medically useful, but the American public would benefit from improved regulation. Manufacturers should be able to ensure that herbs contain pure ingredients. Side effects and drug interactions need to be listed. Well-designed studies are being conducted, and the results will be helpful to physicians and patients.

References

Tesch BJ. Herbs commonly used by women: an evidence-based review. Disease-a-month 48 (10): 671-696, Oct 2002.