Are complementary, herbal, alternative and other therapies effective for vasomotor symptoms and are they safer than MHT?

There are a wide range of agents in this group including Black Cohosh, Phytoestrogens (including Red clover), Wild Yam Cream, Evening Primrose Oil, Flaxseed, Ginseng, Maca, Pine Bark (Pycnogenol), Pollen extract, Siberian Rhubarb, Vitamin E, Omega-3, Magnesium and Homeopathy.

Treatment with most of these agents has not been tested in high-quality clinical trials. In most cases, there is no clear evidence that vasomotor symptoms are improved. There is also uncertainty surrounding safety and dosing.