What do yout think of black cohosh as an estrogen hormone replacement to treat vaginal atrophy?
• A: Black cohosh is better for treating hot flashes than vaginal atrophy. In studies conducted for up to six months, black cohosh did not have a significant effect on the vaginal tissue. If you have hot flashes and insomnia then this may work for those issues, but not so much on the vaginal atrophy. You could try the over-the-counter products, like Replens or Lubrin, that are vaginal moisturizers. They will work for up to three days with one application.
