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Randomised trial, 2018

Does micronized progesterone help premenstrual syndrome?

Yes. Micronized progesterone 200 mg daily from day 16-25 of the cycle was effective for PMS, especially pain, behavior changes, and fluid retention. Treatment should continue up to 6 months to prevent relapse.

Moderate study design 68 women aged 18-40 years (mean 31.2 ± 5.3 years) with mild to moderate premenstrual syndrome

What they did

RCT with 68 women aged 18-40 (mean 31.2±5.3 years) with mild to moderate PMS, divided into treatment group (n=35) and control group (n=33). Treatment group received Proginorm OVO 200 mg daily from day 16-25 of the menstrual cycle for 3 cycles. Both groups received lifestyle recommendations including work/rest balance, nutrition, and moderate physical activity.

What they found

Micronized progesterone was effective in treating main PMS manifestations, particularly pain, behavioral changes, and fluid retention. The authors concluded treatment should continue up to 6 months to prevent rapid symptom recurrence after stopping therapy.

What it means for you

Micronized progesterone appears helpful for PMS, especially physical pain, mood, and water retention symptoms. Women may need several months of treatment rather than just a few cycles to maintain improvement. Both groups received lifestyle advice, which may partly explain improvements.

68

Women studied

200 mg daily

Progesterone dose

6 months

Recommended treatment duration

About the study

Original title
Premenstrual syndrome. Pathogenetic aspects of treatment
Authors
Т. Ф Татарчук, Н. Ф. Захаренко, I.P. Manoliak
Journal
Reproductive Endocrinology
Year
2018
Study design
Randomised trial
Participants
35
What was tested
Micronized progesterone (Proginorm OVO) 200 mg daily from day 16-25 of menstrual cycle for 3 cycles
Open access
Yes
Original abstract

The purpose of the described research was to study the effectiveness of the use of micronized progesterone in the treatment of premenstrual syndrome. 68 women of reproductive age from 18 to 40 years old (mean age 31.2 ± 5.3 years) with premenstrual syndrome of mild and moderate severity were studied. The women were randomized into two groups: the treatment group (n = 35) and the control group (n = 33). The study groups were comparable in age and forms of premenstrual syndrome.Patients of treatment group received therapy with Proginorm OVO, 200 mg per day from 16 to 25 days of the menstrual cycle for three cycles. The drug Proginorm OVO was chosen taking into account its properties, which are similar to the properties of natural endogenous progesterone in the presence of progestogenic, antiestrogenic and light antiandrogenic and aldosterone effects. The women of control group did not receive drugs. To alleviate the condition, for patients of both groups were recommended non-drug measures: optimization of work and rest, balanced nutrition, active lifestyle with moderate physical exertion.Authors concluded that the use of micronized progesterone is appropriate and effective in treating the main manifestations of premenstrual syndrome, especially with regard to pain, changes in behavior and symptoms of fluid retention in the body. In this case, the period of premenstrual syndrome manifestations treatment is advisable to continue up to 6 months, preventing the rapid recovery of symptoms after cessation of therapy.

Reproduced under CC-BY.

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