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Systematic review, 2017

Do estrogen patches or gels help control PMS symptoms?

Estrogen patches and gels work by stopping ovulation and the hormone changes that cause PMS. However, the abstract does not provide results from the trials reviewed, so effectiveness cannot be assessed.

Moderate study design Women of reproductive age with PMS

What they did

Systematic review of randomized trials comparing non-contraceptive estrogen preparations (patches, gels, or implants) versus placebo or other active treatments. Included women of reproductive age with PMS diagnosed by at least two prospective menstrual cycles. Searched multiple databases through March 2016.

What they found

Transdermal estradiol by patch, gel, or implant effectively stops ovulation and the cyclical hormonal changes that produce cyclical PMS symptoms. A seven-day course of progestin is required each month for endometrial protection. Results from the trials are not included in this abstract.

What it means for you

Estrogen preparations work by stopping ovulation and hormone fluctuations. The abstract is incomplete and does not show results from the reviewed trials, making it impossible to assess how effective this approach is or what side effects may occur.

7 days

progestin course duration per month

patches and gels

estrogen delivery methods

About the study

Original title
Non-contraceptive oestrogen-containing preparations for controlling symptoms of premenstrual syndrome
Authors
Naheed B, Kuiper JH, Uthman OA et al.
Journal
The Cochrane database of systematic reviews
Year
2017
Study design
Systematic review
What was tested
Non-contraceptive estrogen preparations versus placebo or active treatment
Open access
Yes

Topics