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Rooted

Women’s Health

Perimenopause symptoms

4 plants

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Black cohosh: mixed vasomotor trials, rare DILI, not estrogen but still a liver conversation. Sage for sweating is traditional/small. Chaste tree if cycles are still PMS-like. Do not sell 'bioidentical wild yam cream' as progesterone — it isn't.

Primary plants

  1. Black cohosh (Actaea racemosa)
    1
    Black cohoshHuman data

    Actaea racemosa

    Mixed human vasomotor data. Rare hepatotoxicity is the practice point.

    Typical. Root extract (e.g. 40–80 mg/day isopropanolic) — product-specific.

    Safety. Stop for jaundice. Not a proven breast-cancer-safe 'estrogen alternative' in the way brochures claim. Limit course, check LFTs if symptoms.

  2. Sage (Salvia officinalis)
    2
    SageStrong traditional

    Salvia officinalis

    Traditional antisudorific; some small night-sweat data.

    Typical. Leaf tea. Essential oil internally is a different, thujone-containing object.

    Safety. Pregnancy avoid medicinal. Thujone in oil.

Supportive plants2
  • Chaste tree (Vitex agnus-castus)
    Chaste treeHuman data
    Vitex agnus-castus

    If luteal PMS-type symptoms persist in late reproductive years.

    Typical. 20–40 mg/day.

    Safety. Hormone-sensitive cancer.

  • St John's wort (Hypericum perforatum)
    St John's wortHuman data
    Hypericum perforatum

    Mood + some vasomotor combo-product data. Interactions.

    Typical. Standardized extract.

    Safety. CYP3A4 including HT/OCP.

Clinical notes

  • Wild yam cream does not convert to progesterone on the skin.

When this is not enough

  • Postmenopausal bleeding, night sweats with weight loss (think other), depression with SI

Rooted is a private clinical reference for licensed practitioners. It is educational, not a treatment protocol, and not a substitute for the chart, the exam, or pharmacy review. Plant medicines interact with drugs and can harm liver, kidney, heart, pregnancy, and children.

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