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Randomised trial, 2013

What treatments work for PMDD?

Serotonin reuptake inhibitor antidepressants and hormonal contraceptives are the most evidence-based treatments. Alternative treatments like calcium, chasteberry, St. John's wort, and behavioral therapy may help but have less research supporting them.

Early or limited evidence Review of PMDD treatments affecting 3-8% of menstruating women

What they did

This is a literature review that summarizes published research on PMDD treatments. It does not present a new research study but reviews existing evidence on antidepressants, hormonal contraceptives, calcium supplementation, chasteberry, St. John's wort, and behavioral therapies.

What they found

Serotonin reuptake inhibitors are effective and have the advantage that they do not need to be taken daily but only during the luteal phase. Ovulation suppression using contraceptives is also effective. Alternative treatments including calcium, agnus castus (chasteberry), Hypericum perforatum (St. John's wort), and cognitive/behavioral/relaxation therapies may be useful. PMDD affects 3-8% of menstruating women.

What it means for you

Multiple treatment approaches exist for PMDD, with antidepressants and birth control being most proven. An advantage of antidepressants for PMDD is they do not require daily dosing like depression treatment usually does. This is a review summarizing existing research rather than new evidence.

3-8%

of menstruating women with PMDD

About the study

Original title
Treatment of premenstrual dysphoric disorder
Authors
Rapkin AJ, Lewis EI
Journal
Women's health (London, England)
Year
2013
Study design
Randomised trial
What was tested
Various: serotonin reuptake inhibitors, hormonal contraceptives, calcium, chasteberry, St. John's wort, behavioral therapy
Open access
Yes

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