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Randomised trial, 1997

What treatments are proven to work for PMS?

Recent trials show serotonergic antidepressants and gonadotropin-releasing hormone agonists effectively treat PMS. Preliminary evidence supports spironolactone and carbohydrate-rich beverages.

Early or limited evidence Not a specific study. This is a review of PMS research.

What they did

This is a literature review article that summarizes recent randomized controlled trials testing PMS treatments and discusses neuroendocrine research findings.

What they found

Randomized trials showed that serotonergic antidepressants and gonadotropin-releasing hormone agonist are effective treatments. Preliminary data suggested benefit from spironolactone and carbohydrate-rich beverages. Multiple neuroendocrine studies reported findings suggesting an underlying neurobiological vulnerability in PMS.

What it means for you

Multiple treatment approaches have been tested in recent research. Some are well-proven (antidepressants, hormone therapy) while others show only preliminary promise. This review was published in 1997 and newer treatments may now be available.

About the study

Original title
Premenstrual syndrome: current perspectives on treatment and etiology
Authors
Freeman EW
Journal
Current opinion in obstetrics & gynecology
Year
1997
Study design
Randomised trial
What was tested
Antidepressants, hormone agonist, spironolactone, carbohydrate-rich beverages

Topics