Is St. John's wort safe during perimenopause?

St. John's wort is generally considered safe for most women during perimenopause, though individual factors matter. As with any supplement, the quality of the product, the dosage, and your specific health situation all play a role.

Some women find St. John's wort helpful for managing perimenopause symptoms. However, supplements are not regulated as strictly as medications, so choosing a reputable brand with third-party testing is important.

Before starting St. John's wort, consider: Do you take any prescription medications that could interact? Do you have any liver, kidney, or hormonal conditions that might be affected? Have you discussed supplements with your healthcare provider?

Start with a lower dose and give it at least 4 to 8 weeks before evaluating results. Keep a symptom log so you can objectively assess whether St. John's wort is making a difference for you.