Cochrane · systematic review · CD006586

Oral contraceptives containing drospirenone for premenstrual syndrome

Ma, S, Song, SJ · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

Gynaecology and FertilityAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 7 · 100%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Drospirenone plus ethinylestradiol compared to placebo for premenstrual syndrome – primary outcomes

Population: women with premenstrual syndrome (most met DSM‐V criteria for premenstrual dysphoric disorder (PMDD))
7 questions
OutcomeEffectEvidenceStatus / GRADE
Mean daily rating of problem severity (lower score is better)
Drospirenone plus ethinylestradiol vs placebo
no estimate extracted2 studies · 513 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Mean change in daily rating of functional impairment: reduction of productivity (lower score is better)
Drospirenone plus ethinylestradiol vs placebo
no estimate extracted2 studies · 432 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Mean change in daily rating of functional impairment: social activities (lower score is better)
Drospirenone plus ethinylestradiol vs placebo
no estimate extracted2 studies · 432 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Mean change in daily rating of functional impairment: relationship interference (lower score is better)
Drospirenone plus ethinylestradiol vs placebo
no estimate extracted2 studies · 432 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Changes in Premenstrual Tension Scale scores (observer‐rated; lower score is better)
Drospirenone plus ethinylestradiol vs placebo
no estimate extracted1 study · 387 participantsLow
Downgraded: risk of bias, imprecision
Changes in Premenstrual Tension Scale scores (self‐rated; lower score is better)
Drospirenone plus ethinylestradiol vs placebo
no estimate extracted2 studies · 438 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Withdrawal due to adverse events
Drospirenone plus ethinylestradiol vs placebo
OR 3.41 [2.01, 5.78]4 studies · 776 participantsLow
Downgraded: risk of bias, imprecision