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Survey study, 2019

Do birth control pills reduce psychological symptoms of PMS?

Yes. Women who had used birth control pills reported significantly lower rates of depression (P=0.039), sadness (P=0.012), and anger (P=0.032) related to PMS, but we cannot be certain the pills caused this because the study did not randomly assign women to use them.

Early or limited evidence Female university students in Iran

What they did

Cross-sectional survey of female students at a medical university in Iran. They completed a standard PMS questionnaire and reported their history of oral contraceptive use.

What they found

65.5% of participants had some degree of PMS. Among women with PMS symptoms, those who had previously used oral contraceptives reported significantly lower rates of depression (P=0.039), sadness (P=0.012), sobering up (P=0.003), and anger (P=0.032) compared to those who had not used them.

What it means for you

Birth control pills may reduce some psychological symptoms of PMS including depression, sadness, and anger. However, this was a comparison between women who chose to use pills and those who did not, so other factors could explain the differences. A randomized controlled trial would be needed to prove the pills caused the improvement.

65.5%

had some PMS

P=0.039

depression lower in pills

P=0.012

sadness lower in pills

About the study

Original title
Evaluation of Relationship between Oral Contraceptive Usages with Psychiatry Symptoms of Premenstrual Syndrome
Authors
M. Zuhdi Zainul Majdi, Maryam Farjamfar, Pouneh Zolfaghari et al.
Journal
International Journal of Health Studies
Year
2019
Study design
Survey study
What was tested
Oral contraceptive (birth control pill) use

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