Black cohosh and St. John's wort (GYNO-Plus®) for climacteric symptoms

Da Jung Chung, Hye Yeon Kim, Ki Hyun Park, Kyung Ah Jeong, Sung Ki Lee, Yu Il Lee, Sung Eun Hur, Min Sun Cho, Byung Seok Lee, Sang Wook Bai, Cheong Mee Kim, Si Hyun Cho, Ju Youn Hwang, Joo Hyun Park

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37 Scopus citations


Purpose: This study was conducted to investigate the efficacy of black cohosh (Cimicifuga racemosa) and St. John's wort (Hypericum perforatum) in women with climacteric symptoms, and to assess their effects on vaginal atrophy, hormone levels, and lipid profiles. Materials and Methods: In this double-blind randomized, placebo-controlled, multicenter study, 89 peri- or postmenopausal women experiencing climacteric symptoms were treated with St. John's wort and black cohosh extract (Gynoplus®), Jin-Yang Pharm., Seoul, Korea) or a matched placebo for 12 weeks. Climacteric complaints were evaluated by the Kupperman Index (KI) initially and at 4 and 12 weeks following treatment. Vaginal maturation indices, serum estradiol, FSH, LH, total cholesterol, HDL-cholesterol, LDL-cholesterol, and triglyceride levels were measured before and after treatment. From the initial 89 participants, 77 completed the trial (42 in the Gynoplus group, 35 in the placebo group). Results: Baseline characteristics were not significantly different between the two groups. Mean KI scores and hot flushes after 4 and 12 weeks were significantly lower in the Gynoplus group. Differences in superficial cell proportion were not statistically significant. HDL levels decreased in the control group from 60.20 ± 16.37 to 56.63 ± 12.67, and increased in the Gynoplus group from 58.32 ± 11.64 to 59.74 ± 10.54; this was statistically significant (p = 0.04). Conclusion: Black cohosh and St. John's wort combination was found to be effective in alleviating climacteric symptoms and might provide benefits to lipid metabolism.

Original languageEnglish
Pages (from-to)289-294
Number of pages6
JournalYonsei Medical Journal
Issue number2
StatePublished - Apr 2007


  • Black cohosh
  • Climacteric symptoms
  • St. John's wort


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