Botanical guide · Ingredient reference

Ashwagandha during perimenopause: symptoms and hormones in one trial

A short placebo-controlled study found improved perimenopausal symptom scores and changes in some hormones. It cannot establish equivalence to established menopause treatments.

Read the evidence ↓

Supplement Science Insights Editorial Team

Published September 23, 2026

What was compared

One hundred women with climacteric symptoms were randomized to root extract or placebo for eight weeks; 91 completed the trial. Outcomes included menopause symptom scales, quality of life and hormone measurements. [1]

Symptom and quality-of-life scores favored the extract. Estradiol increased and FSH and LH declined relative to placebo, while testosterone did not significantly differ. [1]

Limits of the result

This was an extract-specific, short study during perimenopause. It did not directly compare the preparation with hormone therapy or establish long-term reproductive, cancer or cardiovascular outcomes. Funding and conflicts were not established from the abstract. [1]

A hypothetical distinction

Imagine two treatments are each studied separately against placebo. Even if both show a signal, those separate studies do not establish that the treatments are equally effective or equally safe.

Evidence summary — Ashwagandha during perimenopause
DetailInterpretation
Eight weeksLimited follow-up
Some hormone measuresChanged
Treatment equivalenceNot tested
Ashwagandha during perimenopause: symptoms and hormones in one trial — original article outline diagram
Original editorial diagram of this article’s sections; no product photograph or clinical finding is depicted.

Sources for this article

  1. Effect of an ashwagandha (Withania Somnifera) root extract on climacteric symptoms in women during perimenopause: A randomized, double-blind, placebo-controlled study - PubMed
    Source consulted: 2026-09-19. This is a reference resource, not a claim that we conducted the studies or tested a product.