Can Folsäure help with Wechseljahre?

Whether folic acid (vitamin B9) can help with menopause symptoms is a common question, but the scientific evidence is limited. Folic acid is crucial for cell division and red blood cell formation. Some studies suggest that adequate folate status is linked to lower homocysteine levels, which may theoretically reduce cardiovascular risk – a concern during menopause. There are also weak hints for mood improvement or hot flash reduction, but no robust clinical trials confirm these effects. Most benefits likely come from a balanced diet rich in leafy greens, legumes, and whole grains, which provide natural folate. Supplementing beyond the recommended daily intake (400–800 µg) without medical advice is not recommended and may carry risks (e.g., masking vitamin B12 deficiency). In summary: folic acid is not a miracle remedy for menopause; a healthy lifestyle and, if needed, medically supervised hormone therapy or other interventions are more effective. The evidence is 'mixed', based partly on mechanistic reasoning and partly on weak human studies.