Premenstrual Syndrome
Conditions
Keywords
Acupuncture, Premenstrual Syndrome, TCM syndrome
Brief summary
The design of the study includes 3 groups for women with premenstrual syndrome, 1low dose acupuncture in the low-dose group, 2 high dose acupuncture in the high-dose group, and 3 the drug group (contraceptives) . Serum marker change of PGE2, CA125, E2, and progesterone in enrolled patients will be measured before and after treatment, along with VAS and MDQ questionnaires. The treatment efficacy of different groups and the relationship between PMS and patients TCM syndrome pattern will also be recorded and estimated.
Detailed description
Premenstrual syndrome (PMS) is the sum of a group of symptoms (including physical and psychological symptoms) that occurs during the luteal phase of the menstrual cycle. Women who have such symptoms have been estimated as high as 75%; of which 3% to 8% are severe symptoms, called premenstrual dysphoric disorder (premenstrualdysphoric syndrome, PMDD). The two groups are very similar. PMS is mostly for physical discomfort, while PMDD is for emotional problems, affecting women's sleep seriously. Regarding the treatment of premenstrual syndrome (PMS), western medicine adopt oral contraceptive pills (OCP) as the first-line medication. However, the common side effects of OCP, such as headache, dizziness, nausea, vomiting, depression, breast pain and so on are also troublesome, In recent years, some women also use acupuncture as an adjunctive replacement therapy because of its safety and fewer side effects. Nevertheless, the factors affecting treatment effect of acupuncture and moxibustion. such as the selection of acupoint s ( of which meridians) or number(dose) of acupuncture ,etc., maight affect the efficacy, yet the relevant research on this issue is not enough. In traditional Chinese medicine theory, acupuncture and moxibustion regulate the energy of the meridians and adjust blood and qi, which in turn help the balance of yin and yang. Female menstrual cycle is a process of conversion between yin and yang in TCM theory. While in western medicine, it is regulated by the endocrine system.
Interventions
DRUGNSAIDs or oral contraceptives treatment
Taking NSAIDs or oral contraceptives.NSAIDs include Ibuprofen, Naproxen, Diclofenac, and Piroxicam. Oral contraceptives include Yasmin.
DEVICELow dose acupuncture
Six acupoints: Three Yin Intersection( SP6)、Grandfather Grandson(SP4)、 Sea of Blood(SP10) 、Sea of Qi(RN6)、Origin Pass(RN4) 、Inner Pass(PC6)
DEVICEHigh dose acupuncture
Twelve acupoints: Three Yin Intersection( SP6)、Grandfather Grandson(SP4)、 Sea of Blood(SP10) 、Sea of Qi(RN6)、Origin Pass(RN4) 、Middle Extremity(RN3)、Inner
Sponsors
Taipei City Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
19 Years to 49 Years
Healthy volunteers
No
Inclusion criteria
1.15 to 49 years 2.with a history of regular menstrual cycles (28days±7 days) 3.Symptoms：breast pain、dizziness、bloating、cramps、nausea、vomiting、 diarrhea、headache、 fatigue，etc
Exclusion criteria
1. irregular menstrual cycles 2. intrauterine contraceptive device (IUCD/IUD) 3. uncontrolled neurological diseases 4. lactation， pregnant women，or those with plans to get pregnant in the coming half year
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Wang Qi Chinese Medicine Questionnaire | Change from Baseline TCM constitutions at 4 cycles (each cycle is 30 days). | This questionnaire is used to survey TCM constitutions. Evaluate body constitution of |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual analogue scale(VAS) score | Change from Baseline VAS score at 4 cycles (each cycle is 30 days). | VAS is used to assess the extent of menstrual pain. |
| Blood test estrogen | Change from Baseline blood test at 4 cycles (each cycle is 30 days). | — |
| Blood test progesterone | Change from Baseline blood test at 4 cycles (each cycle is 30 days). | — |
| Blood test prostaglandin | Change from Baseline blood test at 4 cycles (each cycle is 30 days). | — |
| Menstrual Distress Questionnaire(MDQ) | Change from Baseline Menstrual Distress Questionnaire at 4 cycles (each cycle is 30 days). | Contain: Pain；Concentration；Behavioral Change；Autonomic Reactions；Water Retention；Negative Affect |
Countries
Taiwan
Outcome results
None listed