Ashwagandha for Women’s Health:
7 Takeaways

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by Steven Harkins, Director of Education | August 22, 2024

A root herb native to India, Ashwagandha has grown in popularity due to its various health benefits. In ancient Indian medicine, this plant is known as a “Rasayana”, meaning rejuvenator. The two most sought-after benefits of ashwagandha are stress support and hormonal balance. Recent research indicates additional benefits; especially for women. There are 7 reasons why you may desire to add ashwagandha to your daily supplement routine:

1)  Graceful Aging & Cognitive Performance:

Stress, both emotional and physiological, affects aging dramatically. The body's stress hormone, cortisol, contributes to muscle loss, wrinkles, and cognitive impairment. Research has found that ashwagandha improves stress resistance, possibly decreasing cortisol production. One study of 64 individuals observed a reduction in stress and a significant decrease in cortisol levels in individuals taking ashwagandha compared with placebo.

2) Thyroid Health:

Millions of people struggle with their Thyroid function. According to womenshealth.gov, Women are approximately 5-8 times more likely than men to have thyroid dysfunctions. One in eight women will develop thyroid problems during her lifetime. Of those, underactive or sluggish Thyroid function is most commonly reported. This is especially true in the United States.

In a 2017 pilot study published in the Journal of Alternative and Complementary Medicine, ashwagandha's benefits for helping patients with subclinical hypothyroidism were evaluated. The 50 participants were diagnosed with thyroid disorder but didn’t display obvious symptoms of thyroid deficiency.

During an eight-week period, the treatment group received 600 milligrams of ashwagandha root extract daily, and the control group received starch as the placebo. Researchers found that the extract improved serum thyroid stimulating hormone (TSH) and thyroxine (T4) levels significantly compared to placebo.

It was concluded that the herb may be beneficial for normalizing thyroid levels in patients with hypothyroidism. These health benefits of ashwagandha for the thyroid also account for the herb’s benefits for weight loss support, since weight fluctuations are common in those with Thyroid complaints.

3) Menopausal Support:

Ashwagandha acts on the endocrine system by encouraging hormone balance. A study involving 51 menopausal women supplementing with ashwagandha noted a significant reduction in symptoms such as hot flashes, anxiety, and mood.

4). Promotes Restful Sleep:

Insomnia makes it hard to fall asleep or stay asleep. Women are much more likely to live with this sleep disorder than men. About 1 in 4 women have it, compared to 1 in 5 men. Studies show that in general, women tend to take longer to fall asleep, sleep for shorter periods, and feel more tired once they're up than men.

Since it helps support brain health and calm the nerves, ashwagandha has been studied for its effects on sleep as well. A 2021 systematic review looked at several randomized controlled trials conducted on adults that examined the effects of an extract of this herb vs. a placebo on sleep.

It was determined that the herb “exhibited a small but significant effect on overall sleep,” and the effects were more prominent on those with diagnosed insomnia. It was also found to improve mental alertness when participants woke up, as well as have positive effects on anxiety levels.

5). Natural Remedy for Anxiety:

One of the most well-known ashwagandha benefits is its ability to work as a natural remedy for anxiety. In a 2009 study published in PLOS One, ashwagandha proved to be comparable to common pharmaceutical drugs lorazepam and imipramine but without adverse effects.

In the 12-week, controlled study, 75 participants with anxiety were divided into two groups, one that received naturopathic care and another that received standardized psychotherapy intervention. The naturopathic care group received dietary counseling, deep breathing relaxation techniques, a standard multivitamin, and 300 milligrams of ashwagandha twice daily.

The psychotherapy intervention group received psychotherapy, deep breathing relaxation techniques, and placebo pills twice daily.

When anxiety levels were measured after the 12-week period, the group that received ashwagandha had anxiety scores that decreased by 55 percent, and the psychotherapy group’s scores decreased by 30.5 percent.

Significant differences between the two groups were also found in mental health, concentration, social functioning, vitality, fatigue, and overall quality of life, with the ashwagandha group displaying greater clinical benefits.

6). Sexual Function and Fertility:

In Ayurvedic medicine, ashwagandha has been used as a natural aphrodisiac that can help improve sexual dysfunction. A pilot study published in BioMed Research International set out to determine the efficacy and safety of 300 milligrams of ashwagandha root extract supplementation twice daily for eight weeks for improving sexual function in 50 healthy women. Researchers found that the treatment group displayed significantly higher improvements, compared to placebo, in sexual function scores, specifically in areas of arousal, lubrication and orgasm.

Hormone imbalances threaten female reproductive health and make it difficult for a woman to conceive. Research clearly shows that ashwagandha supports thyroid function, an organ responsible for regulating hormones. By alleviating stress, ashwagandha may also encourage a situation that is optimal for fertility. More research is needed to clarify whether or not ashwagandha is effective for helping infertile females struggling to conceive.

7). Adrenal Fatigue:

If your adrenals are overtaxed due to an overabundance of emotional, physical, or mental stress, this can lead to adrenal fatigue. We know it as “burn-out.”

When your adrenals become exhausted, this can also disrupt other hormones in your body, including progesterone, which can cause infertility and lower levels of DHEA, a hormone tied to longevity and maintaining a strong body.

Research shows that ashwagandha may be useful in supporting adrenal function and helping overcome adrenal fatigue. The adrenals are endocrine glands, responsible for releasing hormones, specifically cortisol and adrenaline, in response to stress. Ashwagandha has a balancing effect on these glands. Keep in mind the studies show clearly that 6-12 weeks of use is suggested to experience these benefits fully.

How to Determine a High-Quality Ashwagandha Product:

  1. Certified Organic
  2. Water extracted
  3. Contains at least 300mg per serving
  4. Lab tested for heavy metals and pathogens
  5. Company has a Certificate of analysis and can confirm country of origin

North American Herb & Spice has a reputable Ashwagandha product that meets this criteria.

Citations:

Graceful Aging: Chandrasekhar K, Kapoor J, Anishetty S. A prospective, randomized double-blind, placebo-controlled study of safety and efficacy of a high-concentration full-spectrum extract of ashwagandha root in reducing stress and anxiety in adults. Indian J Psychol Med. 2012 Jul;34(3):255-62. doi: 10.4103/0253-7176.106022. PMID: 23439798; PMCID: PMC3573577.

Thyroid Health: Sharma AK, Basu I, Singh S. Efficacy and Safety of Ashwagandha Root Extract in Subclinical Hypothyroid Patients: A Double-Blind, Randomized Placebo-Controlled Trial. J Altern Complement Med. 2018 Mar;24(3):243-248. doi: 10.1089/acm.2017.0183. Epub 2017 Aug 22. PMID: 28829155.

Menopausal Support: Modi MB, Donga SB, Dei L. Clinical evaluation of Ashokarishta, Ashwagandha Churna and Praval Pishti in the management of menopausal syndrome. Ayu. 2012 Oct;33(4):511-6. doi: 10.4103/0974-8520.110529. PMID: 23723668; PMCID: PMC3665193.

Restful Sleep: Cheah KL, Norhayati MN, Husniati Yaacob L, Abdul Rahman R. Effect of Ashwagandha (Withania somnifera) extract on sleep: A systematic review and meta-analysis. PLoS One. 2021 Sep 24;16(9):e0257843. doi: 10.1371/journal.pone.0257843. PMID: 34559859; PMCID: PMC8462692.

Anxiety: Kieran Cooley ,Orest Szczurko,Dan Perri,Edward J. Mills,Bob Bernhardt,Qi Zhou,Dugald Seely, August 31, 2009, https://doi.org/10.1371/journal.pone.0006628

Sexual Function/Fertility: Dongre S, Langade D, Bhattacharyya S. Efficacy and Safety of Ashwagandha (Withania somnifera) Root Extract in Improving Sexual Function in Women: A Pilot Study. Biomed Res Int. 2015;2015:284154. doi: 10.1155/2015/284154. Epub 2015 Oct 4. PMID: 26504795; PMCID: PMC4609357.

Adrenal Fatigue: Liao LY, He YF, Li L, Meng H, Dong YM, Yi F, Xiao PG. A preliminary review of studies on adaptogens: comparison of their bioactivity in TCM with that of ginseng-like herbs used worldwide. Chin Med. 2018 Nov 16;13:57. doi: 10.1186/s13020-018-0214-9. PMID: 30479654; PMCID: PMC6240259.