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Cohort study, 2016

Is inflammation linked to premenstrual symptoms?

Yes, high inflammation (measured as hs-CRP above 3 mg/L) was associated with mood problems, cramping, bloating, and breast pain in this study. Cross-sectional design means we cannot prove inflammation causes these symptoms.

Moderate study design 2939 midlife women in the SWAN study, racially and ethnically diverse

What they did

Cross-sectional analysis of baseline data from a racially and ethnically diverse cohort of 2939 midlife women in the SWAN study. Researchers measured inflammation (hs-CRP) and grouped eight premenstrual symptoms into five categories.

What they found

Having hs-CRP above 3 mg/L was significantly associated with mood symptoms, abdominal cramps and back pain, appetite cravings/weight gain/bloating, and breast pain. It was not associated with headaches or having three or more PMS symptoms overall.

What it means for you

If you have high inflammation, this might explain some of your PMS symptoms and suggests anti-inflammatory treatments could help. The main limitation is that this is cross-sectional data taken at one time point, so we cannot determine whether inflammation causes PMS or results from it.

2939

women studied

>3 mg/L

hs-CRP level associated with PMS

1.40

odds ratio for cramps and back pain with high inflammation

About the study

Original title
The Association of Inflammation with Premenstrual Symptoms
Authors
Gold EB, Wells C, Rasor MO
Journal
Journal of women's health (2002)
Year
2016
Study design
Cohort study
Participants
2,939
What was tested
None (observational study measuring hs-CRP)
Open access
Yes

Topics