alt Hacker NewsThere has been some research on spearmint suggesting anti-androgen effects in PCOS, which is a bit unexpected to me as I wouldn't expect mint-family herbs to have much hormone modulating effect at all. I would imagine there to be similarities in profile between spearmint and peppermint so perhaps a related mechanism is involved, although I would probably expect the opposite outcome as a naive layperson. But I haven't closely evaluated the paper nor do I know whether there's been much else suggesting this
It is important to remember that herbs are difficult to study in this setting compared with isolated compounds -- likely because their pharmacological and chemical compositions are sensitive to many factors: hour and season of harvest, form consumed (raw powder, alcohol extract, cold water infusion, fat emulsion, hot water infusion, combustion, pyrolysis, essential oil), part consumed (leaf, root, flower, seed), among staggeringly many others. Anyone with experience consuming cannabis or coffee can probably testify to the above
Not to mention that the pharmacologically active compounds in many plants are far from being comprehensively understood, let alone their interactions and dynamics
This isn't to say that every claim about herbs is to be taken seriously. My point here is more that there is no good reason to dismiss the herb itself as a cause yet simply because it's an herb and a fairly mundane one at that. There are easy examples of herbs which have pronounced physiological effects, used for recreation, performance enhancement, as literal poison, to induce labor, to thin the blood -- among others.
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>I wouldn't expect mint-family herbs to have much hormone modulating effect at all
Mints are closely related to pennyroyal (Mentha pulegium), which was traditionally (and dangerously because of toxicity) used as an abortifacient. Its mechanism of action is still unknown, so hormone modulating effects seem plausible to me.
So spearmint is not peppermint. Peppermint (mentha pipereta in this study) inhibits CYP3A4 and CYP1A2. CYP1A2 is in the liver and if that is inhibited then estrogen will route down the CYP1B1 path so the ratio of the two metabolites 2-OHE1 v.s 4-OHE1 would be altered. For the PCOS (renamed to PMOS btw) if they start with elevated 2-OHE1 after the peppermint this could result in improve estrogen signaling because the now raised 4-OHE1 has much higher affinity than the 2-OHE1 for ESR1 (Era). ESR1 in particular is known for lowering blood pressure.
This particular path isn't that crazy, but it would only be for a subset of folk. From the study there is something simpler: menthol acts as a natural calcium-channel blocker, triggering vasodilation to reduce blood pressure.