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Ginseng (Panax)

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Specifically for Menopause

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Why it works for Menopause:

Possible estrogen-like activity (but weak/inconsistent in humans). Several lab studies suggest certain ginsenosides (e.g., Rb1, Rh1) can activate estrogen receptors or otherwise show hormone-like effects, which is one proposed mechanism for easing vasomotor and other menopausal symptoms. These are mostly in vitro/animal data, not definitive human mechanisms. Oxford Academic

Antioxidant/anti-inflammatory and neuromodulatory effects. Trials in postmenopausal women show changes in oxidative-stress markers (e.g., ↑superoxide dismutase, ↓malondialdehyde), and reviews discuss effects on neurotransmission that could influence mood and sleep. These pathways might indirectly help symptom burden. KGC UAE

Important context: Major menopause societies emphasize that herbal/supplement evidence for easing hot flashes and night sweats is inconsistent; supplements (including ginseng) are not recommended for vasomotor symptoms in their evidence-based guidelines. Use ginseng, if at all, as an adjunct—not a substitute—for proven therapies. UW Departments

How to use for Menopause:

Forms used in studies

  • Korean red ginseng (KRG) root powder/extract totaling 3 g/day (≈60 mg ginsenosides) for 12 weeks. Europe PMC
  • Ginseng capsules 250 mg, twice daily after meals (500 mg/day) for 8 weeks in a 2025 triple-blind RCT (depressed, postmenopausal cohort). BioMed Central

Practical instructions

  • Start low (e.g., 250–500 mg/day of a standardized extract) for 3–7 days, then advance toward a studied regimen only if well-tolerated. Take with food to reduce GI upset. (Based on dosing used in trials cited above.)
  • Trial period: reassess at 8–12 weeks; discontinue if no meaningful benefit or if adverse effects occur. Europe PMC
  • Quality matters: choose products certified by USP, NSF, or equivalent, because supplement quality varies and may affect safety/efficacy. The U.S. NIH explains why third-party testing is important. NCCIH
  • Do not combine with other phytoestrogens (e.g., high-dose soy/isoflavones) or “energy” stimulants without clinician advice, to minimize interaction/side-effect risk. (General safety practice aligned with NCCIH cautions on herb–drug interactions.) NCCIH

Scientific Evidence for Menopause:

Systematic reviews

  • Medicine (Open) 2016 SR of RCTs: Found improvements in overall menopausal symptoms and quality of life in some trials, but heterogeneity and small sample sizes limit confidence; evidence quality is low-to-moderate. (Open-access PDF.) PMC
  • 2022 SR (J Ginseng Res): Across randomized trials, ginseng reduced hot flashes and global symptom scores, but did not change hormone biomarkers, sexual function, or endometrial thickness; authors call for larger, higher-quality trials. ResearchGate

Randomized controlled trials commonly cited

  • Menopause (2012): Postmenopausal women (n=72) received KRG 3 g/day (≈60 mg ginsenosides) for 12 weekssignificant reductions in Kupperman Index and Menopause Rating Scale vs placebo; no rise in estradiol. Europe PMC
  • J Ethnopharmacol (2014): Postmenopausal women (n=82) taking KRG 3 g/day for 12 weeks showed improved antioxidant markers; estradiol and endometrial thickness unchanged. Symptom findings are supportive but secondary. ScienceDirect
  • Triple-blind RCT (BMC J Pharm Health Care Sci, 2025): Postmenopausal women with major depression (n=66) taking ginseng 250 mg BID for 8 weeks had lower menopause symptom scores and improved sexual function vs placebo; single-center with specific population—needs replication. BioMed Central

Guideline perspective

  • The Menopause Society (NAMS) 2023 Position Statement: For hot flashes/night sweats, herbal supplements (including ginseng) are not recommended because benefits are small/inconsistent compared with established nonhormone options (e.g., SSRIs/SNRIs, gabapentin, fezolinetant). UW Departments
Specific Warnings for Menopause:

Interactions with medicines. Asian ginseng may interact with warfarin/antiplatelets, some calcium-channel blockers, statins, antidepressants, and diabetes medications; data are mixed for warfarin but caution is advised. Always review your med list with a clinician/pharmacist before starting. NCCIH

Surgery: Professional groups advise stopping ginseng 1–2 weeks before elective surgery due to potential effects on bleeding and blood sugar. ScienceDirect

Bleeding/platelets: Case reports and reviews suggest platelet inhibition; use caution with NSAIDs/anticoagulants and if you have bleeding disorders. e-safe-anaesthesia.org

Blood sugar & blood pressure: Ginseng can lower blood glucose and may affect blood pressure; monitor closely if you have diabetes or hypertension. NCCIH

Pregnancy & breastfeeding: Avoid—safety is uncertain and some constituents have shown potential developmental toxicity in animals. NCCIH

Autoimmune disease: NCCIH notes ginseng may worsen autoimmune disorders; avoid unless cleared by your specialist. NCCIH

Estrogen-sensitive conditions (e.g., certain breast cancers): Because of possible estrogen-like activity, many clinicians advise caution or avoidance in estrogen-dependent cancers unless your oncology team approves. (Mechanistic/lab evidence; human data are limited.) Oxford Academic

Common side effects: Insomnia (most common), nervousness, GI upset; rarer events include rash, liver injury, severe allergy. Take earlier in the day if sleep is affected and stop for significant adverse effects. NCCIH

General Information (All Ailments)

Note: You are viewing ailment-specific information above. This section shows the general remedy information for all conditions.

What It Is

Ginseng refers to the roots of plants belonging to the genus Panax, most notably Panax ginseng (Asian or Korean ginseng) and Panax quinquefolius (American ginseng). The term “Panax” is derived from the Greek word meaning “all-healing,” reflecting its long history as a revered medicinal herb in traditional Chinese medicine. Ginseng is characterized by its fleshy roots, which are harvested and dried to make powders, extracts, teas, or capsules. The key active components responsible for its biological activity are ginsenosides (also called panaxosides), which are unique triterpene saponins found in the plant.

How It Works

Ginseng’s effects on the body are largely attributed to its adaptogenic properties — meaning it helps the body adapt to stress, balance physiological functions, and enhance resilience. The mechanisms by which it works include:

  • Regulation of the Hypothalamic-Pituitary-Adrenal (HPA) Axis: Ginseng modulates the body’s stress response by influencing the release of cortisol and other hormones, helping to reduce fatigue and improve mental alertness.
  • Neuroprotective and Cognitive Effects: Ginsenosides have been shown to improve neurotransmission, increase acetylcholine levels, and enhance synaptic plasticity, potentially improving memory, attention, and mood.
  • Antioxidant and Anti-inflammatory Activity: Ginseng’s bioactive compounds neutralize free radicals and reduce inflammatory cytokines, protecting tissues and supporting immune health.
  • Energy Metabolism Support: It enhances mitochondrial function and oxygen utilization, leading to improved physical endurance and reduced fatigue.
  • Immune System Modulation: Ginseng strengthens immune defense by increasing the production and activity of certain immune cells, such as natural killer cells and macrophages.

Why It’s Important

Ginseng is significant in health and wellness because of its broad range of potential benefits that support both physical and mental well-being. Its importance can be summarized in several key aspects:

  • Cognitive Health: It is used to enhance concentration, memory, and overall mental performance, especially during periods of fatigue or stress.
  • Stress and Fatigue Reduction: As an adaptogen, it helps the body maintain homeostasis under stressful conditions, supporting vitality and endurance.
  • Immune Support: Regular use is believed to boost immune function and may reduce the severity or duration of colds and infections.
  • Metabolic and Cardiovascular Benefits: Some studies suggest that ginseng helps regulate blood sugar, improve lipid profiles, and support healthy blood circulation.
  • Sexual Health: Traditionally, ginseng has been used to improve libido and sexual performance, possibly through improved blood flow and hormonal balance.

Considerations

While ginseng is generally safe for most people when taken in appropriate doses, certain considerations are important:

  • Potential Side Effects: Overuse can lead to symptoms such as insomnia, nervousness, headaches, or gastrointestinal upset. Rarely, it may cause allergic reactions.
  • Interactions with Medications: Ginseng may interact with blood-thinning drugs (like warfarin), diabetes medications, antidepressants, and stimulants, altering their effects.
  • Hormonal Effects: Because of its mild estrogenic activity, it should be used cautiously in individuals with hormone-sensitive conditions such as breast or uterine cancer.
  • Pregnancy and Lactation: There is limited research on safety during pregnancy or breastfeeding, so it is generally recommended to avoid it during these times.
  • Quality and Purity: The potency and effects of ginseng products vary widely depending on species, preparation, and standardization. Using certified, high-quality extracts with quantified ginsenoside content ensures efficacy and safety.
  • Duration of Use: Many herbalists recommend using ginseng cyclically (e.g., several weeks on, followed by a break) to prevent overstimulation and maintain effectiveness.

Helps with these conditions

Ginseng (Panax) is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.

Menopause 0% effective
Erectile Dysfunction 0% effective
Type 2 Diabetes 0% effective
Hair Loss 0% effective
Brain Fog 0% effective
Low Testosterone 0% effective
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Conditions
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Total Votes
59
Studies
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Avg. Effectiveness

Detailed Information by Condition

Menopause

0% effective

Possible estrogen-like activity (but weak/inconsistent in humans). Several lab studies suggest certain ginsenosides (e.g., Rb1, Rh1) can activate estr...

0 votes Updated 1 month ago 6 studies cited

Boosts nitric-oxide (NO) signalling in penile tissue. Ginsenosides (notably Rg1/Rg3) can increase endothelial NO synthase activity and cGMP signalling...

0 votes Updated 1 month ago 6 studies cited

Type 2 Diabetes

0% effective

Active compounds & pathways. Ginseng’s ginsenosides appear to (a) improve insulin sensitivity, (b) promote glucose uptake via GLUT4, and (c) activ...

0 votes Updated 1 month ago 5 studies cited

Hair Loss

0% effective

Mechanisms supported mostly by lab and animal work (and a few small human studies):Wnt/β-catenin hair-cycle activation: Several ginsenosides (e.g., Rg...

0 votes Updated 1 month ago 5 studies cited

Brain Fog

0% effective

Acute pro-cognitive effects: Standardized Panax extracts can produce small, short-term improvements in attention and working memory in healthy adults,...

0 votes Updated 1 month ago 4 studies cited

Low Testosterone

0% effective

Improves erectile physiology (not the same as raising T): Ginsenosides (esp. Rg1/Rg3/Re) increase nitric-oxide (NO) signalling in penile tissue, relax...

0 votes Updated 1 month ago 3 studies cited

Panax ginseng contains active compounds called ginsenosides and other constituents that act as adaptogens (supporting stress resilience) and have anti...

0 votes Updated 2 months ago 6 studies cited

COPD

0% effective

Anti-inflammatory & antioxidant actions. Ginsenosides (e.g., Rg1, Rg3, Rb1, compound K) suppress pro-inflammatory cytokines (TNF-α, IL-1β, IL-6),...

0 votes Updated 1 month ago 3 studies cited

Low Sperm Count

0% effective

Low sperm count is often linked to oxidative stress and impaired testicular/epididymal function. Ginseng’s main actives—ginsenosides—appear to:Reduce...

0 votes Updated 1 month ago 4 studies cited

Anti-inflammatory & neuroprotective actions (preclinical): Ginsenosides (e.g., Rb1, Rd, Re) reduce inflammatory signaling, protect the blood–brain...

0 votes Updated 1 month ago 3 studies cited

Narcolepsy

0% effective

There is biological plausibility and some small clinical evidence that Panax (Asian/Korean) ginseng can improve wakefulness, reduce fatigue, and help...

0 votes Updated 2 months ago 5 studies cited

Physiology that maps to Raynaud’s: Raynaud’s attacks are driven by cold- or stress-triggered vasospasm and endothelial dysfunction. Ginseng’s major ac...

0 votes Updated 1 month ago 4 studies cited

There is some clinical and preclinical evidence that Panax ginseng (Korean/Asian ginseng) and related Panax species (including American ginseng, Panax...

0 votes Updated 2 months ago 5 studies cited

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