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Systematic review, 2013

Does Vitex (chaste tree) help PMS and PMDD symptoms?

Most studies found Vitex better than placebo for PMS. For PMDD, results were mixed: one study showed it equal to fluoxetine, while another found fluoxetine more effective. Side effects were mild.

Strong study design Women with PMS, PMDD, or latent hyperprolactinaemia from randomized controlled trials

What they did

Systematic review of 12 to 13 randomized controlled trials. Searched multiple databases for studies testing Vitex as the sole treatment. Included 8 studies on PMS, 2 on PMDD, and 2 on other hormone conditions. Assessed methodological quality and bias.

What they found

For PMS: 7 of 8 trials found Vitex superior to placebo (5 studies), pyridoxine (1 study), or magnesium oxide (1 study). For PMDD: 1 study reported Vitex equivalent to fluoxetine, while the other found fluoxetine outperformed Vitex. Adverse events were mild and infrequent.

What it means for you

Vitex appears helpful for PMS symptoms, but evidence for PMDD is less clear. Main limitations: small sample sizes in some studies and variation in what treatments were compared.

7 of 8

PMS trials where Vitex beat placebo or other treatments

12

Randomized controlled trials included in review

8

Studies testing Vitex for PMS

About the study

Original title
Vitex agnus-castus extracts for female reproductive disorders: a systematic review of clinical trials
Authors
van Die MD, Burger HG, Teede HJ et al.
Journal
Planta medica
Year
2013
Study design
Systematic review
What was tested
Vitex agnus-castus (chaste tree) extracts
Open access
Yes

Topics