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Randomised trial, 2008

Does drospirenone with ethinyl estradiol birth control help PMDD?

This birth control formulation is the only hormone-based option with large randomized controlled trials proving it works for PMDD and has FDA approval for this use.

Strong study design Women with PMDD using or considering hormone-based birth control

What they did

This is a narrative review describing drospirenone/ethinyl estradiol oral contraceptives, their properties, and the evidence base for effects on PMDD and acne. It does not report a single original study.

What they found

Drospirenone 3 mg/ethinyl estradiol 20 micrograms in a 24/4 formulation (24 active pills, 4 inactive pills) is currently the only hormone-based contraceptive with large randomized controlled trials demonstrating efficacy for PMDD. It has FDA approval for pregnancy prevention, PMDD, and moderate acne in women choosing oral contraception.

What it means for you

If you have PMDD and want hormone-based birth control, this formulation has the strongest evidence. This abstract is a review of evidence rather than reporting original research findings, so you would need to read the actual clinical trial reports to see specific results.

3 mg

drospirenone dose

20 micrograms

ethinyl estradiol dose

24/4

active to inactive pill ratio

About the study

Original title
Drospirenone/ethinyl estradiol
Authors
Rapkin AJ, Sorger SN, Winer SA
Journal
Drugs of today (Barcelona, Spain : 1998)
Year
2008
Study design
Randomised trial
What was tested
Drospirenone 3 mg/ethinyl estradiol 20 micrograms in 24/4 formulation

Topics