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Systematic review, 2018

Can herbal remedies help ease PMS symptoms?

A review pulling together 18 Iranian studies found several herbs may help ease PMS symptoms, but it didn't measure how strong or reliable each herb's effect actually was.

Moderate study design Women of reproductive age with PMS, across 18 Iranian randomized controlled trials.

What they did

Researchers searched several medical databases up to December 2017 for randomized controlled trials testing Iranian herbal medicines in women of reproductive age with PMS. Eighteen trials met their criteria and were reviewed.

What they found

Across the 18 trials, herbs including Vitex agnus-castus, St John's wort, chamomile, saffron, curcumin, lemon balm, Zataria multiflora, wheat germ extract, Echinophora platyloba, fennel, valerian root, Citrus sinensis, ginger and flax seed were each reported as possibly easing PMS symptoms.

What it means for you

These herbs might be worth discussing with a doctor as options for PMS, but this is a narrative round-up of separate small studies rather than a pooled analysis, so there are no overall numbers on how much symptoms improved or how safe long-term use is.

18

RCTs included in review

48.9%

Women using complementary therapies

37.8%

Men using complementary therapies

About the study

Original title
The effectiveness and safety of Iranian herbal medicines for treatment of premenstrual syndrome: A systematic review
Authors
Maleki-Saghooni N, Karimi FZ, Behboodi Moghadam Z et al.
Journal
Avicenna journal of phytomedicine
Year
2018
Study design
Systematic review
What was tested
Various Iranian herbal medicines, including Vitex, St John's wort, chamomile, saffron, curcumin, lemon balm, ginger and flax seed.
Open access
Yes
Original abstract

Objective: Premenstrual syndrome (PMS) is one of the most common problems among women of reproductive age. The popularity of complementary/alternative therapies has grown in recent years, and these treatments have been more commonly used by women (48.9%) than men (37.8%). The aim of this systematic review was to assess effectiveness and safety of Iranian herbal medicines for treatment of premenstrual syndrome. Methods: PubMed, Scopus, Cochrane, and Google Scholar were searched along with SID, Magiran and Irandoc up to Dec 2017.Inclusion criteria consist of Iranian, published, randomized controlled trials (RCTs) using Iranian herbal medicine for treatment of reproductive age women with PMS. Eventually Eighteen RCTs met the inclusion criteria. Results: Overall, studies have shown that Vitex agnuscastus, Hypericum perforatum, Matricaria chamomilla , saffron, Curcumin , Melissa officinalis , Zataria multiflora, Wheat Germ Extract, Echinophora platyloba, Foeniculum vulgare, Valerian root extract, Citrus sinensis , Zingiber officinale and Flax seed might alleviate symptoms of PMS. Conclusion: This research demonstrated efficacy and safety of Iranian herbal medicines in alleviating PMS. Therefore, herbal medicine can be regarded as an alternative treatment for women suffering from PMS.

Reproduced under CC-BY.

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