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Study, 1987

Does stopping ovulation with buserelin help PMS?

For some women yes, but for others it makes things much worse. Half improved with lasting symptom relief for 5 to 15 months, while half had severe side effects and stopped within 2 months.

Early or limited evidence 20 women with premenstrual syndrome

What they did

Researchers gave 20 women with PMS a nasal spray called buserelin that stops the pituitary gland from signalling ovulation. They tracked symptom changes and side effects over time.

What they found

10 women benefited and continued treatment for periods varying from 5 to 15 months, with significant improvements in mood and physical symptoms and mild side effects such as hot flushes. The remaining 10 women were made worse by the spray and stopped it within 2 months, sometimes with severe adverse effects. Of the long-term group, 6 eventually became amenorrhoeic (stopped menstruating) and 4 continued to menstruate. In women who continued, mood changes lost their relationship to menstruation but physical symptoms continued to appear before any menstrual bleeding.

What it means for you

Buserelin can help some women with PMS significantly, but it makes others much worse and it is not clear in advance which women will benefit. Even in women it helps, some physical symptoms may persist. The main limits are half had bad reactions, it was not compared to a control group, and individual characteristics that predict response are unknown.

20

women in study

10

women who improved

10

women who worsened

About the study

Original title
The use of an LHRH agonist, buserelin, in the long-term management of premenstrual syndromes
Authors
Bancroft J, Boyle H, Warner P et al.
Journal
Clinical endocrinology
Year
1987
Study design
Study
Participants
20

Topics