Evaluation of combining kava extract with hormone replacement therapy in the treatment of postmenopausal anxiety

Abstract Objective: to evaluate the efficacy of combining kava extract with hormone replacement therapy in the treatment of menopausal anxiety. Materials and methods: HAMA score was evaluated before and after therapy in four groups of women in menopause (duration of menopause ranged from 1 to 12 years). The groups were treated with hormone replacement therapy (with and without progestogens) and kava extract or placebo for 6 months. Results: A significant reduction in HAMA score was observed in all four groups of women. The reduction was more significant in groups taking kava extract than in groups on hormones only. Discussion: The combined use of hormone replacement therapy and kava extract seems to be effective against menopausal anxiety. Kava extract accelerates resolution of psychological symptoms while hormone therapy safeguards against osteoporosis and cardiovascular disease.