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Randomised trial, 1991

Does higher progesterone dose work better for PMS?

No. The researchers found that symptoms improved in both the progesterone group and placebo group when more suppositories were given, suggesting higher doses do not add extra benefit.

Early or limited evidence Women with PMS (specific numbers unclear from this reply letter)

What they did

This is a response to criticism of the authors' earlier progesterone study. They reviewed findings from a placebo-controlled trial using 400-mg progesterone suppositories and measured blood progesterone levels.

What they found

Symptoms decreased for both the progesterone group and placebo group when the number of suppositories was increased.

What it means for you

Since both groups improved together with more treatment, this suggests improvement may not be due to progesterone itself. Higher doses may not be more effective than lower doses. Main limits: reply letter with incomplete information.

400 mg

dose of suppositories

About the study

Original title
Premenstrual Syndrome and Progesterone Suppositories-Reply
Authors
Ellen W. Freeman
Journal
JAMA
Year
1991
Study design
Randomised trial
What was tested
Progesterone suppositories 400-mg

Topics