Use of Black Cohosh and Red Clover for the Relief of Menopausal Symptoms

Inclusion Criteria: * Menopausal women with intact uterus * Must be experiencing hot flashes * No menstrual periods for at least 6 months and no longer than 3 years * Non-smoker * Must have intact uterus (no hysterectomy) Exclusion Criteria: * Contraindications for hormone replacement therapy * Diabetes mellitus * Pregnancy or breast-feeding * Obese (BMI \>35 excluded) * History of endometrial hyperplasia/neoplasia/malignancy * History of breast or reproductive cancer * History of severe recurrent depression, or severe psychiatric disturbance * History of stroke/CVA, severe varicose veins, sickle cell anemia, myocardial infarction (heart attack), or arrhythmia (rhythm disturbance of the heart) * History of abnormal vaginal bleeding of unknown cause * Untreated or uncontrolled high blood pressure/hypertension * Use of any medication or supplement containing estrogen, progestin, SERM, St. John's Wort, bisphosphonates, or phytoestrogens * History of hormone-associated migraines * History of deep vein thrombosis (blood clots), thrombophlebitis, or thromboembolic disorders * Participation in a clinical trial within 30 days * Abnormal endometrial biopsy or mammogram * Abnormal transvaginal ultrasound defined as \>7mm thickness * Vegan