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Zinc and iron: what the research says

29 studies on zinc and iron in PMS and PMDD, each explained in plain English. 3 of them use the strongest designs: randomised trials and systematic reviews.

Randomised trial 7Case-control study 6Survey study 6Systematic review 4Study 3Review 2
Systematic review, 2025

Does zinc supplementation help with PMS symptoms?

Yes. Zinc supplements significantly reduced physical symptoms, anger, anxiety, tearfulness, difficulty concentrating, insomnia, and overeating compared to placebo.

Randomised trial, 2023

Does curcumin reduce inflammation in women with PMS and painful periods?

Curcumin slightly reduced a marker of inflammation (hsCRP) compared to placebo, but the reduction was small and didn't affect most other inflammation measures or iron levels.

Randomised trial, 2023

Does zinc supplementation reduce PMS symptoms in women?

Yes. Daily zinc supplementation for 24 weeks significantly reduced multiple PMS symptoms including anger, anxiety, depressed mood, and physical symptoms like breast tenderness and bloating compared to placebo.

Systematic review, 2025

Does curcumin supplement help reduce PMS and period pain symptoms?

This review of 10 randomized controlled trials found that curcumin showed promise for reducing PMS and dysmenorrhea symptoms. Six out of 10 trials reported significant symptom reduction, and inflammatory markers were affected.

Systematic review, 2025

Does taking zinc supplements help with PMS symptoms?

Yes, the evidence so far suggests zinc supplements can reduce overall PMS symptoms, including emotional and physical ones, but the research base is still small so this isn't fully settled.

Systematic review, 2025

Does taking zinc supplements reduce PMS symptoms?

The overall evidence is mixed: combining all the studies showed no significant benefit, but some higher-quality randomized trials found zinc reduced certain physical and psychological PMS symptoms.

Case-control study, 2022

Are zinc and antioxidant levels different in women with PMS?

Yes. Women with PMS have lower zinc and antioxidant levels than women without PMS. Antioxidant levels appear linked to diet, particularly intake of antioxidant-rich foods.

Randomised trial, 2020

Does zinc supplementation help PMS symptoms?

Yes. Women taking 30mg of zinc daily for 12 weeks showed significant improvement in both physical and psychological PMS symptoms compared to placebo.

Randomised trial, 2020

Does zinc supplementation improve quality of life and sleep in young women with PMS?

Zinc improved the physical aspects of quality of life significantly but overall quality of life improvement wasn't significantly better than placebo. Sleep quality showed a small improvement in the zinc group but it wasn't statistically significant.

Survey study, 2019

Do women with PMS have different nutrient levels than healthy women?

Yes. Women with PMS had significantly lower vitamin D levels than healthy women. Other minerals tested showed no significant differences. However, this does not prove that low vitamin D causes PMS.

Randomised trial, 2017

Does zinc sulfate help premenstrual syndrome symptoms and quality of life?

Yes. Zinc sulfate significantly reduced severe PMS over 3 months and improved quality of life, though quality of life benefits took the full 3 months to become statistically significant.

Randomised trial, 2015

Does zinc supplement help dysmenorrhea and PMS symptoms?

Yes. Taking zinc supplements for 4 days before menstruation reduced period pain severity, improved menstrual bleeding, and reduced symptoms like headache, dizziness, and muscle pain compared to placebo.

Case-control study, 2013

Does eating more minerals help prevent PMS?

Women eating more iron had lower PMS risk, but women eating more potassium had higher risk. This suggests some minerals might help prevent PMS, but the evidence was mixed.

Case-control study, 1988

Do women with PMS have vitamin or mineral deficiencies?

No. The study found no difference in vitamin and mineral levels between women with PMS and healthy women, so deficiencies probably do not cause PMS.

Survey study, 2026

Can changing your diet help with period and PMS symptoms like fatigue, mood swings and bloating?

This paper suggests certain foods may help, but it is not a real study on people, it is a write-up of general nutrition advice based on a newspaper health article, so it does not prove anything.

Randomised trial, 2026

Does a multinutrient supplement reduce premenstrual and menstrual symptoms?

The supplement appears to reduce symptom severity and duration, with 88% of women reporting reduced symptom severity by the third cycle. However, this pilot study lacked a placebo control group, so we cannot be certain the supplement itself caused the improvement.

Survey study, 2025

Does iron level change during different phases of the menstrual cycle?

Yes. Iron levels are lower in the follicular phase before ovulation than in the luteal phase after ovulation. This was one school study, so it may not apply to all girls.

Study, 2025

Could taking a combination of vitamins and minerals help with PMS and PMDD symptoms?

This paper proposes a theoretical framework linking low or borderline vitamin and mineral intake to many health problems, including PMS and PMDD, but it is not a new study testing a supplement in women, so it cannot tell us how well any particular combination actually works.

Review, 2025

Does nutrition affect PMS and menstrual cycle regularity?

Yes, good nutrition supports regular periods and helps PMS, especially anti-inflammatory diets with magnesium, vitamin B6, and vitamin D. More research is needed for specific dietary guidelines.

Survey study, 2025

Do zinc, copper, and magnesium help PMS?

These minerals affect mood regulation and appear to work through similar pathways as PMS. However, the review does not provide clear evidence that supplements help PMS symptoms.

Non-randomised trial, 2022

Does eating papaya help premenstrual tension syndrome?

We cannot tell if papaya helps because the abstract does not report the actual results. The study was small and not properly randomized.

Survey study, 2021

Does iron status affect the risk of PMS symptoms?

Women with genes suggesting high iron were less likely to experience some PMS symptoms like headaches, confusion, and nausea. No link was found between genes for low iron and PMS symptoms.

Study, 2021

Does an iron supplement with vitamin C help women with severe iron deficiency?

Yes. Hemoglobin increased from 7.577 gm/dl to 11.022 gm/dl and protein increased from 10.056 mg/ml to 27.138 mg/ml over 90 days of treatment.

Case-control study, 2019

Are zinc and copper levels linked to PMS in teenage girls?

The study found that girls with both irritable bowel syndrome and period pain had lower dietary zinc intake, but did not find a clear link between minerals and PMS alone.

Survey study, 2017

Does the body's immune response to tryptophan relate to PMS?

Women with PMS had higher immune responses to certain tryptophan byproducts. This suggests PMS involves the immune system, though more research is needed to understand what this means.

Case-control study, 2016

Is low zinc or low antioxidant levels connected to PMS?

Yes. Women with PMS had lower zinc and antioxidant levels in their blood than healthy women, and these levels were linked to how severe their symptoms were.

Review, 2001

Does calcium supplementation reduce PMS symptoms?

Yes. Calcium supplementation significantly reduces both the physical symptoms (like pain or bloating) and emotional symptoms of PMS.

Case-control study, 1994

Do women with PMS have different mineral levels in their blood?

Yes. Women with PMS had significantly lower magnesium levels (0.70 versus 0.87 mmol/l) and a lower zinc-to-copper ratio (1.40 versus 1.51) than women without PMS.

Study, 1992

Does a supplement with linolenic acid, calcium, and iron help premenstrual syndrome symptoms?

A small trial found improvements in energy, PMS symptoms, and skin condition after two months. However, the abstract provides no specific numbers, so we cannot know how large the improvements were.