PMS: Comparison Between Oral Contraceptive Pills and Calcium Supplements in Treatment of Premenstrual Syndrome
Study Details
Study Description
Brief Summary
Premenstrual syndrome represents a group of problems affecting most of women in reproductive age. These problems include emotional and physical symptoms. In this study the efficacy of oral contraceptive pills and calcium supplements in relieving these symptoms will be assessed .
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Detailed Description
Premenstrual syndrome (PMS) is deļ¬ned as the recurrence of psychological and physical symptoms in the luteal phase, which remit in the follicular phase of the menstrual cycle [1].PMS will be prospectively diagnosed using the Royal college of Obstetricians and Gynecologists (RCOG) recommended daily record of severity of problems (DRSP) . Women will be asked to fill the diary for 2 months, only women with 30% increase in the DRSP score in the week before menses in both months will be diagnosed as having PMS.
Women with PMS will be invited to participate in the study.The invitation will include a clear full explanation of the study and patients will provide written consents. All patients consenting to participate will be included in the trial.
Yasmin, Calver and Placebo will be enclosed in sequentially numbered similar bottles which will be numbered using a computer generated random table. Women will be asked to choose a sealed envelope, each envelope will contain the number allocated to the jar and special instructions on how to use the medication. Yasmin will be taken once daily for 21 days starting from the 2nd day of menstruation, Calver and placebo will be taken continuously. Neither the patients nor the physician will be aware of the drug used. Patients will be categorized in 3 groups: group1 who will receive Yasmin cyclically for 3 months (Yasmin, schering, cairo, Egypt) and daily oral placebo, group 2 who will receive Calver continuously for 3 months (Calver, Marcryl/Vertex, Cairo Egypt) and oral placebo for 21 days, group 3 who will receive a daily placebo and a placebo similar to COC for 21 days and will act as a control group.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Yasmin Yasmin is an oral contraceptive pill containing (Disperinone 3mg+Ethinylestradiol 0.3mg) will be administered once daily orally by the woman from day 2 of the cycle for 21 days each month for 3 months in addition to a daily placebo. |
Drug: Yasmin
will be used every 21 days for three months by the patient
Other Names:
Drug: Placebo 1
Patients will receive a daily placebo similar in size and structure to calvar.
|
Active Comparator: Calver Calver is a calcium supplement drug containing (ca 1000mg+vit D400 I.U) given to the woman continuously for 3 months in addition to placebo for 21 days |
Dietary Supplement: Calver
Calver will be given daily for 3 months
Other Names:
Drug: Placebo 2
Women will receive an oral placebo similar to COC for 21 days starting from the 3rd day of menstruation
|
Placebo Comparator: Placebo A daily oral placebo will be given to the patients daily for 3 months in addition to a placebo similar to COC for 21 days |
Drug: Placebo 1
Patients will receive a daily placebo similar in size and structure to calvar.
Drug: Placebo 2
Women will receive an oral placebo similar to COC for 21 days starting from the 3rd day of menstruation
|
Outcome Measures
Primary Outcome Measures
- Improvement of premenstrual symptoms. [3 months after starting treatment.]
Improvement of symptoms will be assessed by comparing the pre-treatment recorded DRSP with that recorded 3 months after starting treatment.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patients diagnosed by prospective dairy to have PMS
-
Consenting to be included in the study
-
Age 18-40 years
Exclusion Criteria:
- Medical disorders as hypertension or diabetes.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Beni-Suef University | Beni-Suef | Egypt |
Sponsors and Collaborators
- Beni-Suef University
Investigators
- Principal Investigator: Nesreen A Shehata, Lecturer, Beni-Suef University
- Study Chair: Abdelgany M Hassan, Lecturer, Cairo University
Study Documents (Full-Text)
None provided.More Information
Publications
- Endicott J, Nee J, Harrison W. Daily Record of Severity of Problems (DRSP): reliability and validity. Arch Womens Ment Health. 2006 Jan;9(1):41-9. Epub 2005 Sep 20.
- Wyatt K, Dimmock P, Jones P, Obhrai M, O'Brien S. Efficacy of progesterone and progestogens in management of premenstrual syndrome: systematic review. BMJ. 2001 Oct 6;323(7316):776-80.
- Beni-Suef 1