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Randomised trial, 1983

Does evening primrose oil help premenstrual syndrome?

Yes. Studies found evening primrose oil highly effective for depression, irritability, breast pain, and fluid retention. The strongest evidence comes from 3 double-blind controlled trials.

Moderate study design Women with premenstrual syndrome across multiple studies

What they did

Five studies testing evening primrose oil (which contains gamma-linolenic acid): 3 double-blind placebo-controlled studies, 1 large open study in women who had failed other treatments, and 1 large open study in women with new cases.

What they found

Evening primrose oil demonstrated highly effective treatment for depression, irritability, breast pain and tenderness, and fluid retention associated with premenstrual syndrome across all studies.

What it means for you

Evening primrose oil may help premenstrual syndrome symptoms, particularly mood and physical symptoms. However, the evidence is mixed because only 3 of the 5 studies were double-blind, and 2 were open unblinded studies. Other nutrients like magnesium and vitamin B6 may enhance this effect.

3

Double-blind placebo-controlled studies

2

Open unblinded studies

About the study

Original title
The role of essential fatty acids and prostaglandins in the premenstrual syndrome
Authors
Horrobin DF
Journal
The Journal of reproductive medicine
Year
1983
Study design
Randomised trial
What was tested
Evening primrose oil

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