Research: TESCH,

Listed in Issue 92

Abstract

TESCH, Division of General Internal Medicine, Medical College of Wisconsin, Milwaukee 53236, USA, has reviewed (184 references) the herbs commonly used by women.

Background

The objective of the paper was to review the herbs used by women.

Methodology

Articles were located by searching Medline, the Cochrane Database of Systemic Reviews, and the Combined Health Information Database, and by hand searching the reference lists of recent systematic reviews. Databases were searched using the latin and common names for each herb. Preference was given to randomized controlled trials.

Results

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

Conclusion

Some herbs are medically useful, but the public would benefit from more regulation.

References

Tesch BJ. Herbs commonly used by women: an evidence-based review. American Journal of Obstetrics and Gynecology 188 (5 Suppl): S44-S55, May 2003.

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