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Randomised trial, 2007

Does drospirenone/ethinylestradiol birth control help PMDD symptoms?

Yes. This specific birth control pill significantly improved PMDD symptoms over three cycles and improved acne over six cycles while providing 99% contraceptive protection over one year.

Moderate study design Women taking the pill for contraception, PMDD, or acne

What they did

Multiple randomized double-blind trials tested drospirenone 3mg with ethinylestradiol 20mcg (Yaz) in a 24-day active plus 4-day placebo regimen. PMDD symptoms were measured over three cycles and acne over six cycles.

What they found

The pill provided 99% contraceptive effectiveness over one year. PMDD emotional and physical symptoms significantly improved over three treatment cycles. Moderate acne improved over six treatment cycles. It was well tolerated with side effects typical of other birth control pills, mostly in early cycles.

What it means for you

This birth control can treat PMDD while providing contraception and acne relief. However, this is a review article summarizing multiple trials without stating individual trial sizes, so the strength of evidence for each finding varies.

99%

contraceptive effectiveness over 1 year

3

cycles to improve PMDD symptoms

6

cycles to improve acne

About the study

Original title
Drospirenone/ethinylestradiol 3mg/20microg (24/4 day regimen): a review of its use in contraception, premenstrual dysphoric disorder and moderate acne vulgaris
Authors
Fenton C, Wellington K, Moen MD et al.
Journal
Drugs
Year
2007
Study design
Randomised trial
What was tested
Drospirenone 3mg/ethinylestradiol 20mcg in 24/4 day regimen

Topics