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Benefits of CoQ10 for Women: Insights from Scientific Research

By Dr. Nayana Shetty +2 more

Key Highlights: 

  • CoQ10 is a natural compound with antioxidant properties that may help to support cellular energy production. 
  • Potential benefits for women include improved heart health, fertility enhancement, promoting healthy skin, ageing, and migraine relief.  
  • Available in various forms, including capsules, tablets, and liquid syrups. 
  • Recommended daily intake varies based on the individual’s needs. 
  • Generally safe, with minor side effects such as gastrointestinal discomfort, headaches, or rashes considered uncommon. Always keep your doctor in the loop before adding it to your daily routine.  

Introduction 

CoQ10 is known for its high antioxidant properties.  It helps produce energy in our cells. Moreover, it plays a big part in keeping health issues at bay. Scientists have recently probed its possible health benefits for women. 


This article aims to give you an inside look into how CoQ10 may be beneficial for women. We will discuss its role in heart health, fertility, ageing, and migraines. We will also touch upon the recommended dose, food sources, possible side effects, and other key points related to CoQ10. Lastly, we will answer some frequently asked questions regarding this topic.  

What is CoQ10? 

CoQ10 is a compound naturally found in our cell’s ‘power stations’, known as the mitochondria. Known for producing adenosine triphosphate (or ATP), it offers crucial energy to our cells. 

Chemical structure and function 

CoQ10 comes in two forms which are ubiquinone and ubiquinol. Ubiquinone is the oxidized type, while ubiquinol is the reduced type. The body can flip between these two forms as needed. Both kinds are critical for maintaining good health and both act as antioxidants, shielding our cells from harmful damage. 

Role in energy production within the cells 

CoQ10 helps convert nutrients into energy. It works by aiding the production of ATP. This energy production is vital to keep our cells working well, growing, and well maintained. 

Benefits of CoQ10 for Women 

Studies have pointed out several potential health benefits of CoQ10 for women. These are as follows.  

1. Improved Heart Health 

Various aspects of heart health may get a boost from CoQ10. It aids recovery after heart attacks, eases heart failure symptoms, and helps control blood pressure. 

  • Support after heart attacks 

CoQ10 might help reduce the risk of future heart attacks and chest pain if taken soon after a heart attack. Moreover, CoQ10 may improve heart function and lessen the odds of death due to heart issues. 

  • Relief from heart failure symptoms 

In those with congestive heart failure, CoQ10  may ease symptoms like swollen legs, breathing difficulty, and exercise capacity.

  • Blood pressure regulation 

A few studies hint at how CoQ10 could be a tool in managing blood pressure, possibly reducing high systolic blood pressure. 

2. Fertility Enhancement 

It seems that CoQ10 might give female fertility a positive nudge. Increasing egg quality and boosting success rates with assisted reproductive technology (ART) are some of the potential benefits. More research is needed on this usage. 

  • Impact on female egg quality 

With age, women might find a decline in both the number and quality of their eggs, leading to reduced fertility. But CoQ10 plays a part in this process. Some studies suggest that adding CoQ10 into the mix might reverse declines in egg quality and quantity due to age. 

  • Assisted reproductive technology outcomes 

Taking CoQ10 may increase success rates of in vitro fertilization (IVF). It could enhance egg quality, leading to better chances of a successful pregnancy. 

3. Promoting Healthy Skin Aging 

CoQ10’s antioxidant properties may support healthy skin ageing. Research suggests applying CoQ10 directly to the skin may cut down oxidative damage. This might help reduce visible signs of ageing such as wrinkles, while also improving skin elasticity. 

  • Antioxidant properties 

Free radicals can accelerate the ageing process. But CoQ10 fights these harmful molecules, shielding skin cells from damage, and contributing to youthful skin. More research is needed to corroborate this. 

  • Reduced skin damage from UV exposure 

Sun exposure is a major factor in skin ageing. However, applying CoQ10 to the skin may curb the damage caused by UV exposure. You may see fewer wrinkles and sunspots. 

4. Migraine Relief 

If migraines are becoming unbearable, CoQ10 may offer some respite. It may decrease the occurrences and severity of this kind of severe headache. 

  • Frequency reduction 

Documents from clinical trials suggest that using CoQ10 might cut down the occurrences of migraines in children, as well as adults. 

  • Intensity alleviation 

Along with decreasing the frequency of migraines, there are also claims that CoQ10 supplementation could lessen the severity of the headaches. More research is needed to support the usage for this indication.  

5. Exercise Performance Enhancement 

CoQ10 isn’t just limited to cell processes when it comes to energy production. It might also affect physical performance. By helping efficient energy production and curbing oxidative stress, CoQ10 might boost energy levels. It may also ease muscle fatigue, leading to better exercise performance. 

  • Increased energy levels 

Taking CoQ10 may boost energy production within cells, fuel your muscles, and reduce exhaustion during exercise. 

  • Relief from muscle fatigue 

CoQ10 fights off oxidative stress in the muscles. This may help avoid muscle damage and fatigue, leading to better workout performance. 

6. Support for Diabetes Management 

Managing diabetes involves maintaining blood sugar levels and controlling risk factors for complications related to the condition. CoQ10’s potential role in improving blood sugar control and cutting down diabetes-related complications is being looked into. 

  • Improved blood sugar control 

Some studies suggest it to be a promising adjuvant therapy for individuals with type 2 diabetes. 

  • Reduced diabetic complications 

CoQ10 might have a role in curbing complications linked with diabetes. Such as damage to blood vessels and nerves. Its antioxidant and anti-inflammatory properties may offer protection against these. However, this area needs more research to verify these claims. 

7. Potentially Lower the Risk of Cancer  

Test-tube studies show CoQ10’s ability to block cancer cell growth. This has led researchers to look into its potential benefit in cancer. Although the nature of this link isn’t completely clear, some proof suggests low CoQ10 levels might increase the risk of specific cancers. For example, breast, prostate, and lung cancer. 

  • Anti-proliferative properties 

Test-tube studies display CoQ10’s potential to slow down the growth and spreading of cancer cells. But we need more research to find out if this effect can work in humans too. 

  • Increased cell apoptosis 

CoQ10 supplementation might promote the death of cancer cells. This process, called apoptosis, is a programmed cell death pathway. This could have implications for lowering cancer risk, but more research is needed. 

8. Brain Health Support 

CoQ10’s antioxidant properties may affect brain health. Some studies suggest CoQ10 might help stop age-related cognitive decline and lower the risks of brain diseases that get worse over time. 

  • Reduced risk of age-related cognitive decline 

As we age, our levels of CoQ10 fall. This makes us less able to fight off oxidative stress, which can lead to cognitive decline. By reducing oxidative damage in the brain, CoQ10 might help protect against this age-related decline. 

  • Neurodegenerative disease risk reduction 

Malfunctioning mitochondria are linked to diseases like Alzheimer’s and Parkinson’s to be specific. By supporting mitochondrial function and combating oxidative stress, CoQ10 could possibly slow down the progression of these conditions. But more research is required. 

9. Lung Protection 

Well, oxidative stress can lead to respiratory diseases like asthma and COPD. Turns out, CoQ10 may help ease this oxidative stress and support better breathing function. 

  • Reduced inflammation 

By batting away harmful free radicals, CoQ10 might help ease inflammation in the lungs. This might offer relief to individuals with respiratory conditions like asthma or COPD. More research is required regarding this health benefit.  

Research suggests that when paired with traditional treatments, CoQ10 may aid in the management of heart failure. Low levels of CoQ10 are also possible in those with congestive heart failure, a condition in which the heart is unable to pump blood as effectively as it should. In my opinion, CoQ10 by itself should never be used to treat heart failure; instead, consult your doctor before taking supplements.

Dr. Siddharth Gupta, B.A.M.S, M.D

CoQ10 Dosage 

The right dose is always a key factor when starting any supplement, including CoQ10. The suggested daily intake of CoQ10 will differ based on aspects like age, general health, and the specific medical condition. 

Recommended daily intake 

Typically, a daily CoQ10 dose ranges from 60 mg to 500 mg. However, some clinical trials have used doses as high as 1,200 mg. Remember, you should always seek medical advice before incorporating supplements into your daily life.  

Also Read: Foods for Vaginal Health: Science-Backed Dietary Recommendations

Factors affecting individual dosage requirements 

CoQ10 dosage can vary from person to person. This variation depends on factors like age, overall health, and any existing medical conditions. It’s therefore vital to discuss your individual needs and any probable contraindications with a healthcare professional. 

In my experience, supplementing with CoQ10 may help control hypertension in diabetics and enhance heart health and blood sugar levels. CoQ10 is believed to enhance blood sugar regulation, according to preliminary investigations. Other studies, however, find no impact. Consult a certified nutritionist or your physician before taking CoQ10 if you have diabetes.

Dr. Rajeev Singh, BAMS

Natural Food Sources of CoQ10 

CoQ10 is found in several foods naturally. However, the amounts found in dietary sources may not be adequate to significantly affect CoQ10 body levels. Even so, some foods may provide moderate amounts of CoQ10 to help overall health. 

Animal-based sources 

Meat, fish, and organs (like liver, kidney, and heart) are the richest animal-based sources of CoQ10. For instance, you can find CoQ10 in beef, pork, chicken, salmon, mackerel, and sardines. 

Plant-based sources 

Certain plant-based foods contain CoQ10 too. Although, their amounts are less than animal-based sources. Some plant-based CoQ10 sources include soybeans, lentils, peanuts, sesame seeds, pistachios, and canola oil. 

A typical issue that results in gum swelling, bleeding, pain, and redness is gum disease. According to clinical research, gum disease patients typically have low levels of CoQ10. Taking CoQ10 supplements might speed up tissue repair and recovery. However, you need to discuss this with your doctor before taking it.

Dr. Smita barode, B.A.M.S, M.S.

Safety and Possible Side Effects of CoQ10 

Before starting a CoQ10 supplement regimen, it’s always prudent to discuss any likely risks and interactions with a healthcare professional. While generally safe, CoQ10 supplementation may cause some small side effects mentioned below. 

Minor side effects 

Some people might experience mild side effects from taking CoQ10. These side effects can include tummy troubles such as upper belly pain, loss of appetite, throwing up, or loose stool. Other likely side effects can include headaches, dizziness, being unable to sleep, itchy skin, rashes, and being annoyed or upset. 

Interactions with medications 

CoQ10 could mess with certain medications, including blood thinners like warfarin, and some types of cancer chemotherapies.  So, it’s essential to consult a medical professional before taking CoQ10 if you’re on any medications or have any pre-existing health issues. 

Precautions for specific populations 

As there isn’t enough research on CoQ10 safety during pregnancy and breastfeeding, avoid CoQ10 during these times. 

Numerous clinical studies indicate that CoQ10 supplements may assist lower leg oedema, lessen lung fluid, which facilitates breathing, and improve an individual’s ability to exercise while suffering from heart failure. Talk to your doctor before using this supplement.

Dr. Anuja Bodhare, B.A.M.S, M.D

Conclusion 

CoQ10 is an antioxidant that offers several possible health benefits for women. These benefits include support in heart health, and fertility, slowing down skin aging, and more. While generally safe to use, always remember to consult with a healthcare professional before starting any new supplement regimen. This consultation ensures that you are informed of any possible side effects or interactions with medications. 

Putting good food on your plate and staying active are important parts of leading a healthy life. As science keeps delving deep into the potential benefits of CoQ10 supplementation, we eagerly anticipate learning more about this amazing nutrient and how it may impact women’s health. 

Frequently Asked Questions (FAQs) 

Why should women take CoQ10? 

CoQ10 may offer several possible health benefits for women. It supports improved heart health, better fertility, healthy skin ageing, relief from migraines, and even more. But remember, always consult with a healthcare professional before starting on any new supplement regimen. 

What happens when you take CoQ10 every day? 

Taking CoQ10 daily may support heart health, boost fertility, slow skin ageing, and lessen the occurrence and severity of migraines. However, ensure you’re taking it under the guidance of a healthcare professional in the right dosage. 

What happens when you start taking CoQ10? 

On starting CoQ10, you may see improvements in heart health, and fertility, slowing down skin ageing, and migraine relief. However, it’s vital to use it as directed by a healthcare professional and adhere to the suggested dosage guidelines. 

What are the benefits of taking CoQ10? 

CoQ10 offers potential health support for women including heart health improvement, a boost in fertility, support for healthy skin ageing, relief from migraines, and more. These benefits are still being studied and the full impact of CoQ10 on women’s health is yet to be fully uncovered. 

References: 

  1. National Center for Biotechnology Information (NCBI). Coenzyme Q 10 Supplementation in Aging and Disease [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5807419 
  1. National Center for Biotechnology Information (NCBI). Coenzyme Q10 in Cardiovascular and Metabolic Diseases: Current State of the Problem [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6131403 
  1. National Center for Biotechnology Information (NCBI). A Pilot Clinical Study of Liquid Ubiquinol Supplementation on Cardiac Function in Pediatric Dilated Cardiomyopathy [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6266971 
  1. National Center for Biotechnology Information (NCBI). Coenzyme Q 10 defects may be associated with a deficiency of Q 10 -independent mitochondrial respiratory chain complexes [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4705639 
  1. National Center for Biotechnology Information (NCBI). Coenzyme q10 liquid supplementation in dyslipidemic subjects with statin-related clinical symptoms: a double-blind, randomized, placebo-controlled study [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6814351 
  1. National Center for Biotechnology Information (NCBI). Mitochondrial Biology and Neurological Diseases [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4825945 
  1. National Center for Biotechnology Information (NCBI). Improved Health-Related Quality of Life, and More Days out of Hospital with Supplementation with Selenium and Coenzyme Q10 Combined. Results from a Double Blind, Placebo-Controlled Prospective Study [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26482687 
  1. National Center for Biotechnology Information (NCBI). Free Radicals, Antioxidants in Disease and Health [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3614697 
  1. National Center for Biotechnology Information (NCBI). Cellular Consequences of Coenzyme Q10 Deficiency in Neurodegeneration of the Retina and Brain [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7730520 
  1. National Center for Biotechnology Information (NCBI). Coenzyme Q10 in the treatment of heart failure: A systematic review of systematic reviews [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097169 
  1. National Center for Biotechnology Information (NCBI). Efficacy of coenzyme Q10 in patients with cardiac failure: a meta-analysis of clinical trials [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5525208 
  1. National Center for Biotechnology Information (NCBI). Does Coenzyme Q10 Supplementation Improve Human Oocyte Quality? [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8431086 
  1. National Center for Biotechnology Information (NCBI). The Effect of Nutrients and Dietary Supplements on Sperm Quality Parameters: A Systematic Review and Meta-Analysis of Randomized Clinical Trials [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247182 
  1. PubMed. Optimization of nutraceutical coenzyme Q10 nanoemulsion with improved skin permeability and anti-wrinkle efficiency [Internet]. [cited 2023 Oct 16]. Available from: https://pubmed.ncbi.nlm.nih.gov/29096550 
  1. National Center for Biotechnology Information (NCBI). Coenzyme Q 10 Sunscreen Prevents Progression of Ultraviolet-Induced Skin Damage in Mice [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7453241 
  1. National Center for Biotechnology Information (NCBI). Coenzyme Q 10 : Clinical Applications beyond Cardiovascular Diseases [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8156424 
  1. PubMed. Efficacy of CoQ10 as supplementation for migraine: A meta-analysis [Internet]. [cited 2023 Oct 16]. Available from: https://pubmed.ncbi.nlm.nih.gov/30428123 
  1. PubMed. Effectiveness of coenzyme Q10 in prophylactic treatment of migraine headache: an open-label, add-on, controlled trial [Internet]. [cited 2023 Oct 16]. Available from: https://pubmed.ncbi.nlm.nih.gov/27670440 
  1. National Center for Biotechnology Information (NCBI). Coenzyme Q 10 Supplementation and Its Impact on Exercise and Sport Performance in Humans: A Recovery or a Performance-Enhancing Molecule? [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9104583 
  1. PubMed. Effect of oral CoQ<sub>10</sub> supplementation along with precooling strategy on cellular response to oxidative stress in elite swimmers [Internet]. [cited 2023 Oct 16]. Available from: https://pubmed.ncbi.nlm.nih.gov/30058646 
  1. National Center for Biotechnology Information (NCBI). Effectiveness of Coenzyme Q10 Supplementation for Reducing Fatigue: A Systematic Review and Meta-Analysis of Randomized Controlled Trials [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9449413 
  1. National Center for Biotechnology Information (NCBI). Effectiveness of Coenzyme Q10 Supplementation for Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6165589 
  1. PubMed. The Effects of Coenzyme Q10 Supplementation on Glucose Metabolism, Lipid Profiles, Inflammation, and Oxidative Stress in Patients With Diabetic Nephropathy: A Randomized, Double-Blind, Placebo-Controlled Trial [Internet]. [cited 2023 Oct 16]. Available from: https://pubmed.ncbi.nlm.nih.gov/29111905 
  1. PubMed. Low plasma coenzyme Q(10) levels and breast cancer risk in Chinese women [Internet]. [cited 2023 Oct 16]. Available from: https://pubmed.ncbi.nlm.nih.gov/21467235 
  1. PubMed. Plasma coenzyme Q10 levels and prostate cancer risk: the multiethnic cohort study [Internet]. [cited 2023 Oct 16]. Available from: https://pubmed.ncbi.nlm.nih.gov/21297042 
  1. National Center for Biotechnology Information (NCBI). 13 reasons why the brain is susceptible to oxidative stress [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881419 
  1. National Center for Biotechnology Information (NCBI). Oxidative Stress and the Central Nervous System [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5193071 
  1. PubMed. Investigation of protective effects of coenzyme Q10 on impaired synaptic plasticity in a male rat model of Alzheimer’s disease [Internet]. [cited 2023 Oct 16]. Available from: https://pubmed.ncbi.nlm.nih.gov/30721766 
  1. PubMed. Neuroprotective effects of coenzyme Q10 in Parkinson’s model via a novel Q10/miR-149-5p/MMPs pathway [Internet]. [cited 2023 Oct 16]. Available from: https://pubmed.ncbi.nlm.nih.gov/34357552 
  1. PubMed. Coenzyme Q10, copper, zinc, and lipid peroxidation levels in serum of patients with chronic obstructive pulmonary disease [Internet]. [cited 2023 Oct 16]. Available from: https://pubmed.ncbi.nlm.nih.gov/21080098 
  1. PubMed. Supplementation with Qter<sup>®</sup> and Creatine improves functional performance in COPD patients on long term oxygen therapy [Internet]. [cited 2023 Oct 16]. Available from: https://pubmed.ncbi.nlm.nih.gov/30170808 
  1. National Center for Biotechnology Information (NCBI). Comparative Bioavailability of Different Coenzyme Q10 Formulations in Healthy Elderly Individuals [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7146408 
  1. National Center for Biotechnology Information (NCBI). Coenzyme Q 10 [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6822644 
  1. ScienceDirect. Applied nutritional investigation [Internet]. [cited 2023 Oct 16]. Available from: https://www.sciencedirect.com/science/article/abs/pii/S089990071830488X 
  1. National Center for Biotechnology Information (NCBI). Antioxidant and Anti-Inflammatory Effects of Coenzyme Q10 Supplementation on Infectious Diseases [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8953254 
  1. National Center for Biotechnology Information (NCBI). Coenzyme Q10 [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK531491 
  1. PubMed. Understanding oxidants and antioxidants: Classical team with new players [Internet]. [cited 2023 Oct 16]. Available from: https://pubmed.ncbi.nlm.nih.gov/31960481 
  1. National Center for Biotechnology Information (NCBI). Clinical Evidence for Q10 Coenzyme Supplementation in Heart Failure: From Energetics to Functional Improvement [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7287951 
  1. National Center for Biotechnology Information (NCBI). Disorders of Human Coenzyme Q10 Metabolism: An Overview [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7555759 
  1. National Center for Biotechnology Information (NCBI). The Impact of Oxidative Stress in Male Infertility [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8766739 
  1. National Center for Biotechnology Information (NCBI). Bioavailability of Coenzyme Q 10 : An Overview of the Absorption Process and Subsequent Metabolism [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7278738 
  1. National Center for Biotechnology Information (NCBI). Focus on the Contribution of Oxidative Stress in Skin Aging [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9220264 
  1. National Center for Biotechnology Information (NCBI). Exercise and oxidative stress [Internet]. [cited 2023 Oct 16]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5023702 
  1. PubMed. Antioxidant and Anti-Inflammatory Effects of Coenzyme Q10 Supplementation on Infectious Diseases [Internet]. [cited 2023 Oct 16]. Available from: https://pubmed.ncbi.nlm.nih.gov/35326965 
  1. PubMed. Mitochondrial dysfunction in neurodegenerative diseases and drug targets via apoptotic signaling [Internet]. [cited 2023 Oct 16]. Available from: https://pubmed.ncbi.nlm.nih.gov/31288090 

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