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7 Benefits of Pycnogenol for Menopause

By | Fact Checked |

7 Benefits of Pycnogenol for Menopause

Pycnogenol is one of the better studied ingredients in the menopause space, which is rarer than it should be. It is also one where a lot of websites, including an earlier version of this one, have stretched the research well past what it says. Here is the version we can actually stand behind, and we have been clear about what came out and why.

What Pycnogenol is

Pycnogenol is an extract from the bark of Pinus pinaster, the French maritime pine. The capital letter matters: Pycnogenol is a registered trademark for one specific standardized extract, which is what nearly all of the research was run on. The same family of active compounds, flavonoids and proanthocyanidins, turns up in grape seed, witch hazel bark and peanut skins, so if you are shopping, check whether the label says French maritime pine bark extract or something else.

1. Hot flashes and night sweats

This is the most common reason women look it up, and it is where the menopause specific evidence sits.

Kohama T and Negami M, 2013, gave 170 perimenopausal women either 30 mg of Pycnogenol or placebo, twice daily for three months. The supplement group showed significantly greater improvement in hot flashes and in sleep problems than placebo at both 4 and 12 weeks.

Errichi S and colleagues, 2011, followed 70 women through the transition, 38 taking 100 mg daily and 32 as controls. Hot flashes and night sweats improved in the supplement group, alongside a broader set of symptoms and self reported quality of life.

Worth knowing: both are modest in size, and the second used a control group rather than a placebo, which is a weaker design. Promising is the right word. Proven is not.

2. Sleep

The sleep result came out of the same 2013 trial rather than a separate one, which is a limitation worth naming. It is also consistent with what women report, and if your sleep is being wrecked by night sweats specifically, an ingredient that touches the sweats will touch the sleep.

3. The wider symptom cluster

In the Errichi 2011 group, women taking 100 mg daily for eight weeks reported improvement across fatigue, breast pain, headaches, tingling in the hands and feet, burning tongue, dizziness, the electric shock sensation, digestive discomfort and irritability.

Read that as a signal rather than a promise. Self reported symptom scores in a small unblinded study move for lots of reasons, including simply being in a study where someone is paying attention to you.

4. Skin hydration and elasticity

In 20 postmenopausal women, 12 weeks of Pycnogenol produced measurable improvement in skin hydration and elasticity, confirmed by biopsy rather than by asking. The researchers also saw increased expression of an enzyme involved in hyaluronic acid production, and increases of 41 percent and 29 percent in two genes involved in collagen production.

Twenty women is a very small study. But the outcome was measured objectively, which counts for something.

5. Hair density

In a 2023 trial, 76 menopausal women took either 150 mg daily of Pycnogenol or placebo for six months, with scalp circulation, hair density and skin measures recorded at baseline, two months and six months. Hair density rose significantly, by 30 percent at two months and 23 percent at six. Scalp water loss dropped. The authors concluded it might have potential to reduce hair loss in postmenopausal women, and their hedging is appropriate.

6. Mental sharpness

Sixty healthy working professionals took either 50 mg of Pycnogenol three times daily for 12 weeks alongside a healthy lifestyle, or followed the lifestyle alone. The supplement group did better on mental performance, attention, memory and mood, and showed a decline in markers of oxidative stress.

This is in healthy adults doing demanding work, not in women with menopausal brain fog, so treat it as adjacent rather than direct.

7. Antioxidant activity

Pycnogenol is a genuinely potent antioxidant, which is the mechanism sitting underneath most of the above. Free radical damage accumulates over decades from sun, pollution and ordinary metabolism, and the skin and circulation findings are consistent with an antioxidant doing antioxidant things.

What we took off this page

We want to be specific rather than quietly editing.

This article used to include sections on Pycnogenol and heart disease risk, on urinary tract infections and interstitial cystitis, on asthma, arthritis and autoimmune conditions, and on Parkinson's disease and mild cognitive impairment. It also described Pycnogenol as a treatment for melasma.

Those studies are real. They are just studies in people who already have a diagnosed condition, and results in that group do not transfer to a woman without the diagnosis. More to the point, a supplement is not permitted to be presented as something that treats or prevents a disease, and we agree with that rule rather than resenting it. If you have any of those conditions, that is a conversation with your doctor, not something to solve from a supplement page.

Bottom line

Pycnogenol has a real body of menopause specific research behind it, which is more than most ingredients can say, and the strongest findings are on hot flashes, night sweats and sleep, with useful signals on skin and hair. The studies are mostly small. It is not a fix for everything, and anyone telling you it addresses 30 symptoms is selling rather than reporting.

Morphus does not make a Pycnogenol supplement. This page exists because women ask us about it, not because we are selling one. If you decide to try it, talk to a healthcare professional who knows what else you take.

  • Kohama T, Negami M. Effect of low-dose French maritime pine bark extract on climacteric syndrome in 170 perimenopausal women: a randomized, double-blind, placebo-controlled trial. Journal of Reproductive Medicine 2013; 58(1-2):39-46.
  • Errichi S et al. Supplementation with Pycnogenol improves signs and symptoms of menopausal transition. Panminerva Medica 2011; 53(3 Suppl 1):65-70.
  • Marini A et al. Pycnogenol effects on skin elasticity and hydration coincide with increased gene expressions of collagen type I and hyaluronic acid synthase in women. Skin Pharmacology and Physiology 2012; 25(2):86-92.
  • Cai C et al. An oral French maritime pine bark extract improves hair density in menopausal women: a randomized, placebo-controlled, double blind intervention study. Health Science Reports 2023; 6(1):e1045.
  • Belcaro G et al. Pycnogenol improves cognitive function, attention, mental performance and specific professional skills in healthy professionals aged 35-55. Journal of Neurosurgical Sciences 2014; 58(4):239-48.
  • Simpson T et al. Assessing the efficacy and mechanisms of Pycnogenol on cognitive aging from in vitro, animal and human studies. Frontiers in Pharmacology 2019; 10:694.
Andrea is a Registered Holistic Nutritionist (RHN) & Menopause Expert. Andrea is in menopause & has been researching for the last 5 years science-based ingredients and methods to help women manage their symptoms. She’s the Founder of NaturallySavvy.com—a multiple award-winning website. Andrea co-authored the book “Unjunk Your Junk Food” published by Simon and Schuster, as well as “Label Lessons: Your Guide to a Healthy Shopping Cart,” and “Label Lessons: Unjunk Your Kid’s Lunch Box.” Andrea co-hosts the Morphus for Menopause podcast and appears as a Healthy Living Expert on TV across North America. Andrea has more than 20 years of experience in the health & wellness space and is a multiple award-winning Influencer.