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Survey study, 1989

What does research say about what causes PMS and what treatments work?

A review of PMS research found no definitive cause and no universally effective treatment. Lifestyle approaches like diet, exercise, and support help many women, while some medications like alprazolam and mefenamic acid help some, but progesterone therapy is ineffective.

Moderate study design Literature review, not a primary study

What they did

A literature review assessing research on PMS diagnosis, causes, epidemiology, and treatment.

What they found

There is no proof that the premenstrual period causes increased violence, nor is an association with other psychiatric illness proven. Despite many theories no definitive cause has been established. Controlled studies have not found a universally effective treatment. Conservative measures with support, diet, and exercise help in most cases. Alprazolam and mefenamic acid may help some women. Rectal or vaginal progesterone therapy has been proven ineffective and should not be used.

What it means for you

After reviewing many studies, we still don't know what causes PMS or have a cure-all treatment. Basic lifestyle approaches work for most women. This is a review of existing research, not a new study.

About the study

Original title
Premenstrual syndrome: current knowledge and management
Authors
Robinson GE
Journal
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
Year
1989
Study design
Survey study
What was tested
None
Open access
Yes

Topics