In terms of herbal remedies for menopause, black cohosh may be your best option. There are a number of components in black cohosh that can have a positive effect on your menopausal symptoms, including the triterpenes, flavonoids and natural acids, all of which can impact your hormonal balance and serotonin receptors. Menopause can affect both physical and mental health, so it is important to both elevate the mood and protect the body. Hot flashes have also been shown to decrease with the use of black cohosh.