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Case-control study, 2005

How much does premenstrual syndrome cost in medical care and lost work?

PMS diagnosis is associated with $59 more in annual healthcare costs and $4,333 more in annual lost work productivity compared to not having PMS.

Early or limited evidence 374 women aged 18-45 with regular menstrual periods, of which 111 had PMS

What they did

Case-control economic analysis of 374 women aged 18-45 with regular menstrual periods. Researchers used health insurance claims and Medicare Fee Schedule to calculate direct medical costs. They asked women to self-report days of work missed and reduced productivity at work to calculate indirect costs.

What they found

Of the 374 women, 29.6% (111 women) were diagnosed with PMS. Women with PMS had an average annual increase of $59 in direct healthcare costs (P < 0.026) and $4,333 in indirect costs from lost work productivity (P < 0.0001) compared to women without PMS.

What it means for you

The economic burden of PMS is primarily lost work productivity, not medical expenses. The study is relatively small and relies on women's self-reported work absences and productivity, which may not be accurate. The findings may not apply to all women or populations.

29.6%

Percentage diagnosed with PMS

$59

Annual increase in direct healthcare costs

$4,333

Annual increase in lost work productivity costs

About the study

Original title
Estimating direct and indirect costs of premenstrual syndrome
Authors
Borenstein J, Chiou CF, Dean B et al.
Journal
Journal of occupational and environmental medicine
Year
2005
Study design
Case-control study
Participants
111
What was tested
None (economic analysis)

Topics