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Survey study, 1987

Do oral contraceptive pills reduce premenstrual symptoms?

Pills reduce some specific symptoms like anxiety, mood changes, and water retention. However, women on pills reported similar total numbers of symptoms as those not on pills.

Early or limited evidence Women aged 18-45 (101 using oral contraceptives, 149 not)

What they did

101 women using oral contraceptives and 149 not using them, aged 18-45, completed the Premenstrual Assessment Form at health and gynecology clinics.

What they found

Pill users reported similar overall symptom numbers but had significantly lower severity scores for anxiety, fatigue, low mood, water retention, and impaired social functioning. The type and duration of pill use did not matter. Symptoms starting more than two days before menstruation were less common in pill users. Women who had difficulty tolerating pills reported more moderate to severe premenstrual changes.

What it means for you

Oral contraceptives may help with specific emotional and physical symptoms but do not eliminate premenstrual symptoms overall. The main limitation is that this was a cross-sectional study comparing groups at one point in time, so we cannot prove pills caused the reduction.

101

women using oral contraceptives

149

women not using oral contraceptives

About the study

Original title
The relationship between retrospective premenstrual symptom reporting and present oral contraceptive use
Authors
Graham CA, Sherwin BB
Journal
Journal of psychosomatic research
Year
1987
Study design
Survey study
What was tested
Oral contraceptive use

Topics