The kettle clicks off. You pour the water over a spoonful of dried leaves, and the kitchen fills with the scent of lemon. For a few minutes, there is nothing to do but wait.

Herbs have a way of creating moments like this. Women at every stage of life explore them: as a tea at the end of the day, as an ingredient in the kitchen, or as a supplement they've read about. Passionflower, sage and red clover come up again and again, especially in conversations about perimenopause.

This article looks at eight herbs for women's health: where they come from, how they are used, what research can and can't tell us, and how to choose them with care.

Herbs as part of daily care

Herbs have been part of everyday life in many cultures for centuries, from European kitchen gardens to Eastern medicine. For Séptember's founder, Thao, they are also family history. Her great-grandfather was a well-known practitioner of Eastern medicine, and her family still runs a pharmacy today.

"Wherever I was, there was always a pot of herbal tea waiting to be served," Thao remembers. "It was a gesture of welcome and taking care of each other."

Herbs were on the table too. "Vietnamese cuisine uses so many fresh herbs: mint, cilantro, basil, perilla. They're not a garnish. You eat them with every bite, by the handful, the way it has always been done."

In that tradition, herbs belong to ordinary days. They sit alongside food, rest and attention to the seasons. A cup of herbal tea can also give shape to the evening. Sleep can change at different stages of life, including during the menopause transition [1], and research on sleep habits points to the value of a steady routine and a quieter hour before bed [2]. The same cup, the same chair, the same moment each evening becomes a cue that the day is ending.

Three evening herbs and how to enjoy them

Passionflower, lemon balm and valerian have long histories in European herbal traditions. You'll often find them in evening teas, drops and blends. Each has its own character.

Passionflower (Passiflora incarnata) is a climbing plant native to the Americas, named for its striking flowers. Its leaves, stems and flowers are dried for tea and tinctures. The taste is mild and slightly grassy, which makes it easy to combine with other herbs. A few small studies have explored passionflower in relation to sleep [3].

Lemon balm (Melissa officinalis) belongs to the mint family. Crush a leaf between your fingers and it releases a fresh, lemony scent. It grows easily in a garden or on a windowsill, so you can use fresh leaves as well as dried. Researchers have explored lemon balm in relation to stress, mood and sleep, often combined with other herbs [4].

Valerian (Valeriana officinalis) has been used in European herbal traditions for centuries. Its root has a strong, earthy smell that not everyone enjoys, so it often appears in blends, tinctures or capsules rather than as a tea on its own. Studies on valerian and sleep have produced inconsistent results [5].

Making an infusion. Pour freshly boiled water over one or two teaspoons of dried herb, or follow the amount on the package. Cover the cup and let it steep for five to ten minutes. Covering keeps the aromatic oils in your cup. Give yourself those minutes too. Sit down, feel the warmth of the cup in your hands and let the evening slow down with you.

Passionflower, lemon balm, sage

Five herbs with a story in women's health

Beyond the evening cup, a handful of herbs often come up when women talk about their health, especially around perimenopause. Some have a long culinary history. Others come from traditional medicine systems. Their research stories differ.

Sage (Salvia officinalis) is familiar from the kitchen, with soft grey-green leaves and a warm, slightly bitter taste. It also has a long history in herbal medicine. One study explored a fresh sage preparation in women experiencing hot flashes [6]. The results were encouraging, but the study was small and had no control group, so firm conclusions need stronger research.

Hop (Humulus lupulus) is best known from brewing. Its female flower cones are bitter and aromatic, and they are also used in herbal preparations. Hop contains 8-prenylnaringenin, a compound with oestrogen-like activity that has attracted scientific interest. Clinical research on hop remains limited [7].

Red clover (Trifolium pratense) grows in meadows across Europe, with soft pink flower heads. It contains isoflavones, the same group of phytoestrogens found in soy. It is one of the more extensively studied botanicals for hot flashes and other menopausal symptoms, but the results are mixed [8].

Hop and red clover both contain phytoestrogens: plant compounds that can interact with oestrogen receptors, although they differ from the oestrogen your body makes. Their effects depend on the compound, the dose, the preparation and the person, and long-term safety data are limited [9].

Shatavari (Asparagus racemosus) is a root used in Ayurveda, the traditional medicine system of India, for women's health at different life stages. It's sometimes described as having oestrogen-like effects, but clinical research is limited, and traditional use alone cannot establish its safety or effectiveness [10].

St. John's wort (Hypericum perforatum) has bright yellow flowers that traditionally bloom around midsummer. Certain preparations have been studied for depression, with results varying by preparation and severity of symptoms [11]. It also interacts with many medicines and can make them less effective, including some hormonal contraceptives and blood thinners. Combined with certain antidepressants, it can cause serious side effects [12]. Don't start taking it without checking with your doctor or pharmacist first.

St. John's wort, valerian, red clover

What research says, and how to choose with care

Research on herbs is still young. Studies are often small and short, and they use different preparations, which makes them hard to compare. Reviews so far have not found consistent evidence that herbal products improve sleep [13]. Tradition and early studies are worth knowing about, but they are not proof. That doesn't make the ritual less worthwhile. It means choosing with your eyes open.

Read the label. In the EU, most herbal products are sold as food supplements, which don't go through the pre-market authorisation that medicines require [14]. A good label states the Latin plant name, the plant part used, the amount per daily dose and, where relevant, the type of extract. Independent quality testing offers extra reassurance about quality, although it doesn't show that a product works.

Check before you start. If you take medication, use hormonal contraception or hormone replacement therapy (HRT), are pregnant or breastfeeding, or have a health condition, speak with your doctor or pharmacist first. If you have a hormone-sensitive condition or have had breast, uterine or ovarian cancer, discuss plants with phytoestrogens before using them.

Natural doesn't automatically mean right for you. If something doesn't agree with you, stop and ask for advice.

In short

Herbs for women's health come with long traditions, distinct tastes and a place in kitchens and evening rituals around the world. Passionflower, lemon balm and valerian are familiar in evening teas and blends. Sage, hop, red clover, shatavari and St. John's wort often come up in conversations about women's health, especially around perimenopause. Research on their effects is still limited or mixed, so enjoy herbs for what they are: part of how you care for yourself. Choose products with clear labels, and check with your doctor or pharmacist if you take medication or have a health condition.

FAQ

Are herbal supplements medicines? Usually not. In the EU, most are sold as food supplements, which follow food-safety and labelling rules but don't go through the pre-market authorisation that medicines require [14]. Some herbal products are registered as traditional herbal medicinal products, which follow different rules. The category on the label matters.

Which herb is easiest to start with? Many people start with lemon balm because its taste is mild and familiar. You can grow it yourself and brew the fresh leaves. Passionflower is also mild and combines well in blends.

Can I take herbs alongside HRT or hormonal contraception? It depends on the herb and your medication. Evidence on combining herbal products with hormonal treatments is limited, and some herbs, such as St. John's wort, interact with many medicines [12]. Check with your doctor or pharmacist before adding something new.

Are plants with phytoestrogens safe for everyone? There is no single answer. Safety considerations vary by plant and preparation, and long-term data are limited for many supplements [9]. If you have a hormone-sensitive condition, have had breast, uterine or ovarian cancer, or have been advised to avoid oestrogen-like products, discuss the specific supplement with your healthcare professional before using it.

Do herbs replace medical care? No. Herbs can be part of a daily ritual, but they are not a substitute for medical advice. If changes in sleep, mood or other symptoms affect your daily life, speak with your doctor about the support available to you.

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This article is for informational purposes only and is not medical advice.

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Sources

• [1] Baker FC, de Zambotti M, Colrain IM, Bei B. Sleep problems during the menopausal transition: prevalence, impact, and management challenges. Nature and Science of Sleep. 2018.

• [2] Irish LA, Kline CE, Gunn HE, Buysse DJ, Hall MH. The role of sleep hygiene in promoting public health: a review of empirical evidence. Sleep Medicine Reviews. 2015.

• [3] Ngan A, Conduit R. A double-blind, placebo-controlled investigation of the effects of Passiflora incarnata (passionflower) herbal tea on subjective sleep quality. Phytotherapy Research. 2011.

• [4] Shakeri A, Sahebkar A, Javadi B. Melissa officinalis L.: a review of its traditional uses, phytochemistry and pharmacology. Journal of Ethnopharmacology. 2016.

• [5] Fernández-San-Martín MI, Masa-Font R, Palacios-Soler L, et al. Effectiveness of valerian on insomnia: a meta-analysis of randomized placebo-controlled trials. Sleep Medicine. 2010.

• [6] Bommer S, Klein P, Suter A. First time proof of sage's tolerability and efficacy in menopausal women with hot flushes. Advances in Therapy. 2011.

• [7] Keiler AM, Zierau O, Kretzschmar G. Hop extracts and hop substances in treatment of menopausal complaints. Planta Medica. 2013.

• [8] Ghazanfarpour M, Sadeghi R, Roudsari RL, et al. Red clover for treatment of hot flashes and menopausal symptoms: a systematic review and meta-analysis. Journal of Obstetrics and Gynaecology. 2016.

• [9] Lethaby A, Marjoribanks J, Kronenberg F, et al. Phytoestrogens for menopausal vasomotor symptoms. Cochrane Database of Systematic Reviews. 2013.

• [10] Alok S, Jain SK, Verma A, et al. Plant profile, phytochemistry and pharmacology of Asparagus racemosus (Shatavari): a review. Asian Pacific Journal of Tropical Disease. 2013.

• [11] Linde K, Berner MM, Kriston L. St John's wort for major depression. Cochrane Database of Systematic Reviews. 2008.

• [12] National Center for Complementary and Integrative Health (NCCIH). Herb-drug interactions: what the science says. NCCIH Clinical Digest. 2024.

• [13] Leach MJ, Page AT. Herbal medicine for insomnia: a systematic review and meta-analysis. Sleep Medicine Reviews. 2015.

• [14] European Parliament and Council. Directive 2002/46/EC on the approximation of the laws of the Member States relating to food supplements. Official Journal of the European Communities. 2002.