Ob-Gyn questions? Ask a gynecologist online.
Hello I'm Dr Manos M.D., board certified ObGyn. Your main question is about taking black cohosh for control of perimenopausal symptoms. The herb has been used for at least 200 years with endorsement by people that had used it. Would it work for you such as for the night sweats you experience? That's your choice as there is little information as to what's really in the herb. Distributors of the herb certainly do not study the ingredients as drug companies have to do. An herb is natural and not obviously a problem. The choice about your mirena IUD is another choice for you. It does provide contraception but more important it can control irregular bleeding during the perimenopausal years. If you choose continuing the mirena then you'll be fully informed by your physician. There are pros and cons about your sense of well being and more in favor of five more years of mirena and what herbs can do for you. I hope I've been helpful.