Remifemin is a standardized extract of the root and rhizome of the black cohosh plant. It is used exclusively for the treatment of symptoms brought on by perimenopause and menopause. These symptoms include hot flashes, night sweats, irritability, mood swings and intermittent insomnia. Remifemin has been the subject of clinical trials for more than 40 years, although larger studies are needed to conclusively determine its efficacy. As with any dietary supplements, you should consult with your doctor before taking Remifemin.
Menopause
Defined by Mayo Clinic as the permanent end of fertility and menstruation 12 months after your last menses, menopause can trigger a range of physical, mental and emotional symptoms. Although not a disease, menopause may cause an uncomfortable disruption in your life and the symptoms may be serious. Many of the symptoms are just as severe during perimenopause, or the period of hormonal decline preceding menopause.
Hormonal Relationships
Declining hormone production by the ovaries produces the symptoms of menopause. While the level of estrogen begins a general decline, post-ovulatory surges in progesterone are even more dramatically reduced. This process begins in your late 30s and becomes more pronounced over the next decade of your life. As progesterone is used to prepare the body for pregnancy, this hormonal deficit plays a significant role in the reduction of overall fertility. Fluctuations in these hormones also generally produce menstrual irregularity.
Remifemin
Remifemin contains a concentrated extract of many of the ingredients present in black cohosh. These ingredients include glycosides, isoferulic acids and phytoestrogens. None of these components are believed to be individually responsible for Remifemin's purported effects. Isoferulic acids may reduce inflammation, while phytoestrogens may reduce the frequency or severity of hot flashes, according to the University of Maryland Medical Center.
Side Effects and Contraindications
While there have been no reports of any interaction with conventional drugs during the 40 years of its use, Remifemin may cause side effects in a small percentage of users. These effects include diarrhea, abdominal pain, headaches, dizziness, joint pain, dyspepsia, tremors, visual dimness, decelerated heart rate, vomiting and weight gain. No research has been done on the effects of Remifemin in patients suffering from hormone-related conditions such as endometriosis or fibroids, nor in patients with cancer of the ovaries, breast or uterus. If you suffer from any of these conditions, avoid taking Remifemin.


