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Study, 2007

Can a certain birth control pill ease the emotional and physical symptoms of PMDD?

Yes. This combined birth control pill eased both the emotional and physical symptoms of PMDD, with the dosing pattern thought to play a role in why it worked.

Early or limited evidence Women with premenstrual dysphoric disorder

What they did

This piece describes a combined birth control pill containing 20 microgram ethinyl estradiol and 3 mg of the progestin drospirenone. It is taken as 24 active pills followed by 4 placebo pills, a shorter hormone free break than older pill designs.

What they found

The pill eased both the emotional and physical symptoms of PMDD. Drospirenone acts differently from older progestins because it also has anti-androgenic and anti-aldosterone effects, and the shorter placebo break may allow better control over the body's own hormone production.

What it means for you

This kind of birth control pill may be a useful option for easing PMDD symptoms, including mood related ones. No information is given here about how many women were involved or for how long they used it, so it is hard to judge how strong this evidence is.

20 microg

Estrogen dose

3 mg

Drospirenone dose

24 active, 4 off

Pill schedule

About the study

Original title
Ethinyl estradiol/drospirenone for the treatment of the emotional and physical symptoms of premenstrual dysphoric disorder
Authors
Rapkin AJ, McDonald M, Winer SA
Journal
Women's health (London, England)
Year
2007
Study design
Study
What was tested
A combined birth control pill with 20 microgram ethinyl estradiol and 3 mg drospirenone, 24 active pills then 4 placebo pills
Open access
Yes

Topics