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Cohort study, 2003

Do symptoms change across the menstrual cycle and does birth control affect this?

Symptoms are lowest in the early cycle phase and increase before and during menstruation. Over 40 percent of women show a 30 percent increase in symptoms before their period. Birth control use does not change whether women experience these changes.

Moderate study design 181 women from the general population, mean age 30 years

What they did

181 women aged 30 on average tracked symptoms daily for 70 days using a symptom questionnaire. Researchers compared women taking monophasic birth control, triphasic birth control, or no birth control.

What they found

All symptom types changed across the cycle. Symptoms were lowest in the early phase and increased before menstruation. Body symptoms peaked during menstruation, fluid retention peaked before. Over 40 percent of women showed 30 percent increases in symptoms before their period. Close to 50 percent had mood increases, over 70 percent had fluid retention increases. Monophasic birth control users reported higher fluid retention and body symptoms than triphasic users. Birth control did not change the overall symptom pattern.

What it means for you

Most women experience symptom changes tied to their menstrual cycle regardless of birth control use. These changes reflect normal hormone patterns. Different birth control formulations may result in different symptom levels.

181

Women tracked

70

Days of tracking

40%

With 30% premenstrual symptom increase

About the study

Original title
Prospectively reported symptom change across the menstrual cycle in users and non-users of oral contraceptives
Authors
Ross C, Coleman G, Stojanovska C
Journal
Journal of psychosomatic obstetrics and gynaecology
Year
2003
Study design
Cohort study
What was tested
Menstrual cycle phase and oral contraceptive type comparison

Topics