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Non-randomised trial, 1983

Do drugs that block prostaglandins help PMS?

This paper proposes that prostaglandin-blocking drugs might help PMS based on a theory, but it does not present results from a clinical trial.

Early or limited evidence This is a review article, not a study of specific women

What they did

Review article proposing a theory that PMS is caused by too much of a hormone-like substance called prostaglandin produced in the brain, breast, gut, kidneys and reproductive tract. The authors suggest a stepped treatment approach.

What they found

The authors propose that avoiding xanthine-containing foods (coffee, tea, cola and chocolate) and restricting salt during the luteal phase might reduce nervousness, irritability and breast tenderness. For the 20-25% of women who need more help, a prostaglandin inhibitor or natural progesterone given when PMS begins might bring relief. In women with depressive PMS, small daily doses of antidepressant may help.

What it means for you

This is a theoretical proposal for how PMS might work and how to treat it, not evidence from a trial showing these treatments work. Actual clinical trial evidence is needed.

20-25%

of PMS women estimated to need medication

7-10 days

before menses when PMS typically occurs

24 hours

after menses onset when PMS typically stops

About the study

Original title
The use of prostaglandin inhibitors for the premenstrual syndrome
Authors
Budoff PW
Journal
The Journal of reproductive medicine
Year
1983
Study design
Non-randomised trial
What was tested
Proposed treatments: diet changes, prostaglandin inhibitors, natural progesterone, antidepressants

Topics