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Review, 1991

What causes PMS and what treatments work?

The exact cause remains unclear but involves ovary hormones. Progesterone supplements have not been shown to work better than placebo in careful tests.

Moderate study design Review of PMS research

What they did

Review of scientific literature on PMS causes and treatments.

What they found

Many theories exist about PMS causes but none are definitively proven. The pituitary and ovary hormones must be involved but the exact mechanism is unclear. Progestin in the presence of estrogen appears essential. Excess estrogen may aggravate the condition. The theory of progesterone deficiency has not been supported by double-blind trials of progesterone versus placebo. Placebo has an important effect in PMS treatment.

What it means for you

We still don't fully understand what causes PMS and what treats it reliably. The main limit is that this review shows our current knowledge is incomplete.

About the study

Original title
The premenstrual syndrome and its treatment
Authors
Dhar V, Murphy BE
Journal
The Journal of steroid biochemistry and molecular biology
Year
1991
Study design
Review
What was tested
None (literature review)

Topics