Premenstrual Syndrome
Conditions
Keywords
PMS, Hormones, Skin tests, Allergen Immunotherapy
Brief summary
The EVE-PMS technology is intended for determination of intolerance or sensitivity to sex hormones, among women suffering from severe PreMenstrual Syndrome (PMS). The system includes skin testing panel for identification of hormones to which the patients might be sensitive. Tests are applied close to the ovulation period and the skin reaction is examined in 20 minutes, 48 hours and daily during the following month. Results of skin tests and patient's history will determine the value of EVE-PMS Skin-Test Panel as a diagnostic tool for severe PMS patients.
Interventions
DRUGSkin test panel
Skin testing 4 sex hormones will be performed during the luteal phase of the subject's menstrual cycle by study investigators. Hormones: 1. Progesterone 1mmol/L 2. Estradiol 1mmol/L 3. Estrone 3mmol/L 4. Estriol 3mmol/l Controls: 5. Saline (NaCl) 0.9% 6. Ethyl Oleate with 10% Benzyl Alcohol 7. Histamine phosphate 1mg/ml (epicutaneous- prick test)
Sponsors
EVE Medical Systems Ltd.
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
DIAGNOSTIC
Masking
SINGLE (Caregiver)
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
1. Person is over the age of 20 but not older than age 45. 2. Person is willing to participate as evidenced by signing the written informed consent form. 3. Suffers from known dominant severe symptom of breast swelling and tenderness (level 7-10 according to standard scale of PMS symptoms severity) 4. Other severe symptoms of Premenstrual syndrome (based on WHO and ACOG criteria). This may include one or more of PMS symptoms with level 7-10 according to standard scale of PMS symptoms severity. 5. At work, school, home, or in daily routine, at least one of the PMS symptoms caused reduction of productivity or inefficiency 6. At least one of the PMS symptoms caused avoidance of or less participation in hobbies or social activities 7. At least one of the PMS symptoms interfere with relationships with others: i. Timing of PMS symptom(s): during the 14 days prior to onset of menstrual flow (rather than spotting) and up to 5 days during the menstrual flow. ii. Pattern and length of PMS symptomatic period: minimum of 2 days, up to 14 days. iii. For PMS diagnosis two out of last three consecutive menstrual cycles were monitored by daily monitoring of symptoms. iv. Timing and length of asymptomatic phase: day 6 to at least day 10 of the menstrual cycle. v. Cyclicity - presentation of the 'off-on' phenomenon: there should be a clear shift from no PMS symptoms to PMS symptoms. vi. Reliable non hormonal contraception.
Exclusion criteria
1. Pregnant or lactating woman 2. Oral contraceptives during last three months, including hormonal IUD (trade name mirena). 3. Serious health problems. 4. Unexplained menstrual disorders. 5. Treated by hormones (estrogen and progesterone). 6. For healthy: Irregular or abnormal test results.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| EVE-PMS Skin-Test Panel can obtain statistically significant sensitivity & specificity to support the diagnosis of PMS, particularly in women with severe symptoms(i.e. breast swelling; tenderness; other PMS symptoms according to widely accepted criteria | Total study duration will be approximately 2-3 months |
Secondary
| Measure | Time frame |
|---|---|
| Minimal skin test related adverse events. | 2-3 Months |
Countries
Israel
Contacts
Primary ContactYonit Bomstein, Dr.
Backup ContactAlek Itsekson, Dr.
Outcome results
None listed