Introduction

Genistein is a compound found in soy products. It has been used reduce symptoms of menopause and to help control blood glucose. It has also been used to help lower chances of prostate and breast cancer. It can be taken by eating foods like soy beans and soy milk. Genistein can also be taken as a pill.

Dosages

30 to 60 milligrams once daily

What Research Shows

Likely Effective

  • Breast cancer —likely to lower the risk of breast cancer in Asian women A1
  • High blood pressure —likely to lower blood pressure in people with high blood pressure C1, C2
  • High cholesterol —likely to lower total and LDL (“bad”) cholesterol but not effect HDL (“good”) cholesterol or triglycerides D1
  • Menopause —likely to help control blood glucose, raise HDL (“good”) cholesterol, reduce hot flashes, and improve cognitive function; may ease vaginal symptoms E1-E16
  • Osteoporosis —likely to increase bone mineral density in women G1

May Be Effective

Editorial process and description of evidence categories can be found at EBSCO NAT Editorial Process.

Editorial process and description of evidence categories can be found at EBSCO NAT Editorial Process.

Safety Notes

It is likely safe to take genistein in small doses for a short time. Not enough studies have been done to say whether it is safe to use for a long period. It is also not known whether it is safe to take by women who are pregnant or breastfeeding.

Interactions

Talk to your doctor about any supplements or therapy you would like to use. Some can interfere with treatment or make conditions worse, such as:

  • People taking hormone medicine should talk to their doctor before taking genistein. It may interact with the medicine.
  • People with bone problems should talk to their doctors before taking genistein. It may interact with their medicine.

References

REFA Breast Cancer

REFA1 Dong JY, Qin LQ. Soy isoflavones consumption and risk of breast cancer incidence or recurrence: a meta-analysis of prospective studies. Breast Cancer Res Treat. 2011 Jan;125(2):315-323.

REFB Diabetes

REFB1 Ding M, Pan A, et al. Consumption of soy foods and isoflavones and risk of type 2 diabetes: a pooled analysis of three US cohorts. Eur J Clin Nutr. 2016 Dec;70(12):1381-1387.

REFC High Blood Pressure

REFC1 Taku K, Lin N, et al. Effects of soy isoflavone extract supplements on blood pressure in adult humans: systematic review and meta-analysis of randomized placebo-controlled trials. J Hypertens. 2010 Oct;28(10):1971-1982.

REFC2 Liu XX, Li SH, et al. Effect of soy isoflavones on blood pressure: a meta-analysis of randomized controlled trials. Nutr Metab Cardiovasc Dis. 2012 Jun;22(6):463-470.

REFD High Cholesterol

REFD1 Taku K, Umegaki K, et al. Soy isoflavones lower serum total and LDL cholesterol in humans: a meta-analysis of 11 randomized controlled trials. Am J Clin Nutr. 2007 Apr;85(4):1148-1156.

REFE Menopause

REFE1 Liu J, Ho SC, et al. Effect of long-term intervention of soy isoflavones on bone mineral density in women: a meta-analysis of randomized controlled trials. Bone. 2009 May;44(5):948-953.

REFE2 Taku K, Melby MK, et al. Effect of soy isoflavone extract supplements on bone mineral density in menopausal women: meta-analysis of randomized controlled trials. Asia Pac J Clin Nutr. 2010;19(1):33-42.

REFE3 Bolaños R, Del Castillo A, et al. Soy isoflavones versus placebo in the treatment of climacteric vasomotor symptoms: systematic review and meta-analysis. Menopause. 2010 May-Jun;17(3):660-666.

REFE4 Ricci E, Cipriani S, et al. Soy isoflavones and bone mineral density in perimenopausal and postmenopausal Western women: a systematic review and meta-analysis of randomized controlled trials. J Womens Health (Larchmt). 2010 Sep;19(9):1609-1617.

REFE5 Ricci E, Cipriani S, et al. Effects of soy isoflavones and genistein on glucose metabolism in perimenopausal and postmenopausal non-Asian women: a meta-analysis of randomized controlled trials. Menopause. 2010 Sep-Oct;17(5):1080-1086.

REFE6 Taku K, Melby MK, et al. Extracted or synthesized soybean isoflavones reduce menopausal hot flash frequency and severity: systematic review and meta-analysis of randomized controlled trials. Menopause. 2012;19(7):776-790.

REFE7 Lethaby A, Marjoribanks J, et al. Phytoestrogens for menopausal vasomotor symptoms. Cochrane Database Syst Rev. 2013 Dec 10;(12):CD001395.

REFE8 Li L, Lv Y, et al. Quantitative efficacy of soy isoflavones on menopausal hot flashes. Br J Clin Pharmacol. 2015 Apr;79(4):593-604.

REFE9 Cheng PF, Chen JJ, et al. Do soy isoflavones improve cognitive function in postmenopausal women? A meta-analysis. Menopause. 2015 Feb;22(2):198-206.

REFE10 Fang K, Dong H, et al. Soy isoflavones and glucose metabolism in menopausal women: A systematic review and meta-analysis of randomized controlled trials. Mol Nutr Food Res. 2016;60(7):1602-1614.

REFE11 Ghazanfarpour M, Sadeghi R, et al. The application of soy isoflavones for subjective symptoms and objective signs of vaginal atrophy in menopause: A systematic review of randomised controlled trials. J Obstet Gynaecol. 2016;36(2):160-171.

REFE12 Franco OH, Chowdhury R, et al. Use of Plant-Based Therapies and Menopausal Symptoms: A Systematic Review and Meta-analysis. JAMA. 2016 Jun 21;315(23):2554-2563.

REFE13 Li J, Liu Y, et al. Does genistein lower plasma lipids and homocysteine levels in postmenopausal women? A meta-analysis. Climacteric. 2016 Oct;19(5):440-447.

REFE14 Perna S, Peroni G, et al. Multidimensional Effects of Soy Isoflavone by Food or Supplements in Menopause Women: a Systematic Review and Bibliometric Analysis. Nat Prod Commun. 2016 Nov;11(11):1733-1740.

REFE15 Liu Y, Li J, et al. The effect of genistein on glucose control and insulin sensitivity in postmenopausal women: A meta-analysis. Maturitas. 2017 Mar;97:44-52.

REFE16 Daily JW, Ko BS, et al. Equol Decreases Hot Flashes in Postmenopausal Women: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. J Med Food. 2019 Feb;22(2):127-139.

REFF Obesity

REFF1 Akhlaghi M, Zare M, et al. Effect of Soy and Soy Isoflavones on Obesity-Related Anthropometric Measures: A Systematic Review and Meta-analysis of Randomized Controlled Clinical Trials. Adv Nutr. 2017 Sep 15;8(5):705-717.

REFG Osteoporosis

REFG1 Wei P, Liu M, et al. Systematic review of soy isoflavone supplements on osteoporosis in women. Asian Pac J Trop Med. 2012 Mar;5(3):243-248.

REFH Prostate Cancer

REFH1 van Die MD, Bone KM, et al. Soy and soy isoflavones in prostate cancer: a systematic review and meta-analysis of randomized controlled trials. BJU Int. 2014 May;113(5b):E119-E130.

Revision Information

  • Reviewer: EBSCO NAT Review Board Eric Hurwitz, DC
  • Review Date: 07/2019
  • Update Date: 05/06/2020