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Case-control study, 2006

Do women with IBS and period pain have worse symptoms?

Yes. Women with IBS who also have dysmenorrhea and premenstrual distress report significantly more cramping, depression, anger, and cognitive problems than women with IBS alone. This group may need complex, multicomponent treatment.

Early or limited evidence 226 women aged 18-45 with IBS

What they did

Descriptive study combining data from three prior studies on 226 women aged 18-45 with IBS. Women were divided into four groups based on whether they had dysmenorrhea and premenstrual distress. Researchers compared pain and mood symptoms across menstrual cycle phases.

What they found

Of 226 women: 38 had both dysmenorrhea and premenstrual distress, 59 had premenstrual distress only, 15 had dysmenorrhea only, and 114 had IBS alone. Premenstrual distress strongly affected cramping at menses and was linked to higher depression, anger, and cognitive problems in both luteal and menses phases.

What it means for you

Women with both IBS and period distress may need multicomponent treatment including education, diet changes, relaxation, and cognitive strategies. The study combines data from multiple prior studies, which limits confidence in conclusions.

226

Women with IBS

38

With both dysmenorrhea and premenstrual distress

114

With IBS only

About the study

Original title
Increased symptoms in female IBS patients with dysmenorrhea and PMS
Authors
Altman G, Cain KC, Motzer S et al.
Journal
Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates
Year
2006
Study design
Case-control study
Participants
226
What was tested
Comparison of four groups with and without dysmenorrhea and premenstrual distress

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