Condition
Premenstrual Syndrome (PMS)
Premenstrual syndrome is a cluster of mood and physical symptoms, such as bloating and breast tenderness, that shows up after ovulation, linked to hormonal shifts that affect brain chemistry. The evidence is strongest for lemon balm and chaste tree: trials found PMS symptoms eased with lemon balm, and breast tenderness eased with chaste tree. Only two lemon balm trials, in teenage girls, and one chaste tree trial were reviewed, so the results are early.
Sources: PMID 26339667; PMID 29369810; PMID 26860808
- Supplements studied
- 19
- Graded outcomes
- 18
- Trials
- 50
- People studied
- 7,310
Evidence by supplement
- Strong
- Moderate
- Limited
- Very limited
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| PMS Symptoms Moderate Improvement | Improves (the measure goes down) | Moderate effect | 2 studies | 493 people | ||
| Depression Symptoms Moderate Improvement | Improves (the measure goes down) | Moderate effect | 1 study | 100 people | ||
Studies that measured depression symptoms | ||||||
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Breast Tenderness Moderate Improvement | Improves (the measure goes down) | Moderate effect | 1 study | 405 people | ||
Studies that measured breast tenderness | ||||||
| Anxiety Symptoms Small Improvement | Improves (the measure goes down) | Small effect | 64 people | |||
| PMS Symptoms | Improves (the measure goes down) | 9 studies | 883 people | |||
Studies that measured pms symptoms
| ||||||
| Cramps | Improves (the measure goes down) | 64 people | ||||
| Depression Symptoms | Improves (the measure goes down) | 192 people | ||||
| Fatigue Symptoms | Improves (the measure goes down) | 67 people | ||||
| Insomnia Signs and Symptoms | Improves (the measure goes down) | 64 people | ||||
| Irritability | Improves (the measure goes down) | 195 people | ||||
| Migraine Severity | Improves (the measure goes down) | 128 people | ||||
| Sleep Quality | Improves (the measure goes up) | 67 people | ||||
Vitamin B6
- PMS Symptoms
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| PMS Symptoms Mixed effect | 5 studies | 1,463 people | ||||
Vitamin D
- Anxiety Symptoms: improves
- Depression Symptoms: improves
- Cramps: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Anxiety Symptoms Small Improvement | Improves (the measure goes down) | Small effect | 2 studies | 346 people | ||
Studies that measured anxiety symptoms | ||||||
| Depression Symptoms | Improves (the measure goes down) | 5 studies | 58 people | |||
Studies that measured depression symptoms
| ||||||
| Cramps | Improves (the measure goes down) | 1 study | 897 people | |||
| Total Antioxidant Capacity (TAC) | Improves (the measure goes up) | 1 study | 44 people | |||
Studies that measured total antioxidant capacity (tac) | ||||||
| Fatigue Symptoms | Improves (the measure goes down) | 130 people | ||||
| Interleukin 10 | Improves (the measure goes up) | 44 people | ||||
| Interleukin 12 | Improves (the measure goes up) | 44 people | ||||
| PMS Symptoms | Improves (the measure goes down) | 1,287 people | ||||
Thiamine (Vitamin B1)
- PMS Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| PMS Symptoms Large Improvement | Improves (the measure goes down) | Large effect | 1 study | 344 people | ||
Studies that measured pms symptoms | ||||||
Calcium
- Depression Symptoms: improves
- Anxiety Symptoms: improves
- PMS Symptoms: changes; see studies
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depression Symptoms Small Improvement | Improves (the measure goes down) | Small effect | 245 people | |||
| Anxiety Symptoms Small Improvement | Improves (the measure goes down) | Small effect | 66 people | |||
| PMS Symptoms | Changes; see studies | 7 studies | 1,501 people | |||
Studies that measured pms symptoms | ||||||
Manganese
- PMS Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| PMS Symptoms Moderate Decrease | Improves (the measure goes down) | Moderate effect | 180 people |
Saffron
- Anxiety Symptoms: improves
- Depression Symptoms: improves
- Estrogen: changes; see studies
Zinc
- Anti-Oxidant Enzyme Profile: improves
- Depression Symptoms: improves
- PMS Symptoms: improves
Fish Oil
- Anxiety Symptoms: improves
- Depression Symptoms: improves
- Fatigue Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Anxiety Symptoms Small Improvement | Improves (the measure goes down) | Small effect | 1 study | 95 people | ||
Studies that measured anxiety symptoms | ||||||
| Depression Symptoms | Improves (the measure goes down) | 14 studies | 95 people | |||
Studies that measured depression symptoms
| ||||||
| Fatigue Symptoms | Improves (the measure goes down) | 95 people | ||||
| Insomnia Signs and Symptoms | Improves (the measure goes down) | 95 people | ||||
| PMS Symptoms | Improves (the measure goes down) | 175 people | ||||
Krill Oil
- Breast Tenderness: improves
- Irritability: improves
- PMS Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Breast Tenderness Small Improvement | Improves (the measure goes down) | Small effect | 1 study | 70 people | ||
Studies that measured breast tenderness | ||||||
| Irritability | Improves (the measure goes down) | 70 people | ||||
| PMS Symptoms | Improves (the measure goes down) | 70 people | ||||
| Stress Signs and Symptoms | Improves (the measure goes down) | 70 people | ||||
Wild Yam
- Estrogen
- Prostaglandin E2: improves
- Pain: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Estrogen Mixed effect | 10 people | |||||
| Prostaglandin E2 | Improves (the measure goes down) | 1 study | 10 people | |||
| Pain | Improves (the measure goes down) | 10 people | ||||
| Progesterone | Improves (the measure goes up) | 10 people | ||||
Vitamin E
- Anxiety Symptoms: improves
- PMS Symptoms: improves
- Depression Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Anxiety Symptoms Small Improvement | Improves (the measure goes down) | Small effect | 58 people | |||
| PMS Symptoms | Improves (the measure goes down) | 1 study | 213 people | |||
| Depression Symptoms | Improves (the measure goes down) | 58 people |
Magnesium
- Anxiety Symptoms: improves
- PMS Symptoms: improves
- Depression Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Anxiety Symptoms Small Improvement | Improves (the measure goes down) | Small effect | 126 people | |||
| PMS Symptoms | Improves (the measure goes down) | 5 studies | 311 people | |||
| Depression Symptoms | Improves (the measure goes down) | 3 studies | 126 people |
Inositol
- Depression Symptoms
- PMS Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depression Symptoms No effect | NoneNo effect | 5 studies | 71 people | |||
| PMS Symptoms | Improves (the measure goes down) | 1 study | 71 people |
Ginkgo Biloba
- PMS Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| PMS Symptoms | Improves (the measure goes down) | 2 studies | 85 people |
Royal Jelly
- PMS Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| PMS Symptoms | Improves (the measure goes down) | 1 study | 110 people |
Valerian
- PMS Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| PMS Symptoms | Improves (the measure goes down) | 1 study | 100 people |
Curcumin
- PMS Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| PMS Symptoms | Improves (the measure goes down) | 1 study | 70 people |
Key findings
- PMS SymptomsImproves (the measure goes down)
- Breast TendernessImproves (the measure goes down)
- Anxiety SymptomsImproves (the measure goes down)
The Premenstrual Syndrome (PMS) protocol
2 primary supplements · 2 supporting supplements
- Vitex (Chaste Tree Berry)20–40 mg daily (standardized extract)
- Calcium1,000–1,200 mg daily
Shop the evidence-backed picks
The collection holds the supplements we grade A or B for its theme, in products from the Fullscript catalog. It opens in our Fullscript store. You can look through it without signing in; Fullscript asks for a free account to order.
Or shop one supplement
The supplements graded A or B for Premenstrual Syndrome (PMS). Each opens the products we list for that supplement.
- Grade A
- Grade B
- Grade B
- Grade B
We earn from purchases made in our Fullscript store, and links to Fullscript, iHerb or Thorne carry our referral, so we may earn a commission at no extra cost to you. Grades come from the research and never change based on what we earn. Full disclosure
Studies cited
100 studies from PubMed
- Effect of curcumin on inflammatory markers and disease activity in patients with rheumatoid arthritis: A meta-analysis.
- Effect of vitamin D supplementation for major adverse cardiovascular events: a meta-analysis based on randomised controlled trials.
- The Effect of Antioxidant Polyphenol Supplementation on Cardiometabolic Risk Factors: A Systematic Review and Meta-Analysis.
- The Effectiveness of Curcumin, Resveratrol, and Silymarin on MASLD: A Systematic Review and Meta-Analysis.
- Curcumin alleviates postprandial glycaemic response in healthy subjects: A cross-over, randomized controlled study
- Substantial Variability Across Individuals in the Vascular and Nutrigenomic Response to an Acute Intake of Curcumin: A Randomized Controlled Trial
- Curcumin supplementation improves vascular endothelial function in healthy middle-aged and older adults by increasing nitric oxide bioavailability and reducing oxidative stress
- Novel Form of Curcumin Improves Endothelial Function in Young, Healthy Individuals: A Double-Blind Placebo Controlled Study
- Vitamin D3 supplementation does not modify cardiovascular risk profile of adults with inadequate vitamin D status
- Effect of different curcuminoid supplement dosages on total in vivo antioxidant capacity and cholesterol levels of healthy human subjects
- Effects of Curcuma longa (turmeric) on postprandial plasma glucose and insulin in healthy subjects
- Combined inhibitory effects of soy isoflavones and curcumin on the production of prostate-specific antigen
- Association of A1C levels with vitamin D status in U.S. adults: data from the National Health and Nutrition Examination Survey
- Effect of NCB-02, atorvastatin and placebo on endothelial function, oxidative stress and inflammatory markers in patients with type 2 diabetes mellitus: a randomized, parallel-group, placebo-controlled, 8-week study
- Serum 25-hydroxyvitamin D, ethnicity, and blood pressure in the Third National Health and Nutrition Examination Survey
- Chili, but not turmeric, inhibits iron absorption in young women from an iron-fortified composite meal
- Reduction of rise in blood pressure and cortisol release during stress by Ginkgo biloba extract (EGb 761) in healthy volunteers
- A pilot study to compare fluoxetine, calcium, and placebo in the treatment of premenstrual syndrome
- Dietary calcium and manganese effects on menstrual cycle symptoms
- Calcium in milk products precipitates intestinal fatty acids and secondary bile acids and thus inhibits colonic cytotoxicity in humans
- Faecal steroid excretion in humans is affected by calcium supplementation and shows gender-specific differences
- The effect of calcium supplementation in people under 35 years old: A systematic review and meta-analysis of randomized controlled trials.
- Calcium supplementation, bone mineral density and bone mineral content. Predictors of bone mass changes in adolescent mothers during the 6-month postpartum period
- Testosterone levels in athletes at rest and exhaustion: effects of calcium supplementation
- Effect of calcium on premenstrual syndrome: A double-blind randomized clinical trial
- Effects of calcium supplement therapy in women with premenstrual syndrome
- Calcium carbonate and the premenstrual syndrome: effects on premenstrual and menstrual symptoms. Premenstrual Syndrome Study Group
- Calcium supplementation in premenstrual syndrome: a randomized crossover trial
- Calcium, magnesium, and vitamin D supplementations as complementary therapy for hypertensive patients: a systematic review and meta-analysis.
- Calcium supplementation in nulliparous women for the prevention of pregnancy-induced hypertension, preeclampsia and preterm birth: an Australian randomized trial. FRACOG and the ACT Study Group
- World Health Organization randomized trial of calcium supplementation among low calcium intake pregnant women
- Association Between Calcium Supplementation and the Risk of Cardiovascular Disease and Stroke: A Systematic Review and Meta-Analysis.
- Calcium supplementation during pregnancy for preventing hypertensive disorders and related problems
- Risk factors associated with preeclampsia in healthy nulliparous women. The Calcium for Preeclampsia Prevention (CPEP) Study Group
- Calcium supplementation for prevention of primary hypertension.
- Calcium supplementation (other than for preventing or treating hypertension) for improving pregnancy and infant outcomes.
- Effects of Maternal Nutritional Supplements and Dietary Interventions on Placental Complications: An Umbrella Review, Meta-Analysis and Evidence Map
- Effectiveness of calcium supplementation in the prevention of gestational hypertension: A systematic review and meta-analysis of randomised controlled trials.
- Calcium supplementation for people with overweight or obesity.
- Efficacy of Vitex agnus castus L. extract Ze 440 in patients with pre-menstrual syndrome (PMS)
- Efficacy and safety of Vitex agnus-castus extract for treatment of premenstrual syndrome in Japanese patients: a prospective, open-label study
- Dose-dependent efficacy of the Vitex agnus castus extract Ze 440 in patients suffering from premenstrual syndrome
- Use of Vitex agnus-castus in migrainous women with premenstrual syndrome: an open-label clinical observation
- Evaluating therapeutic effect in symptoms of moderate-to-severe premenstrual syndrome with Vitex agnus castus (BNO 1095) in Chinese women
- Therapeutic effect of Vitex agnus castus in patients with premenstrual syndrome
- Fluoxetine versus Vitex agnus castus extract in the treatment of premenstrual dysphoric disorder
- Treatment for premenstrual syndrome with Vitex agnus castus: A prospective, randomized, multi-center placebo controlled study in China
- Effects of Vitex agnus and Flaxseed on cyclic mastalgia: A randomized controlled trial
- Efficacy of Curcuma longa in relieving pain symptoms of knee osteoarthritis patients: a systematic review and meta-analysis of clinical trials.
- Curcuma longa extract reduces inflammatory and oxidative stress biomarkers in osteoarthritis of knee: a four-month, double-blind, randomized, placebo-controlled trial
- Efficacy and safety of curcumin and its combination with boswellic acid in osteoarthritis: a comparative, randomized, double-blind, placebo-controlled study
- Short-term effects of highly-bioavailable curcumin for treating knee osteoarthritis: a randomized, double-blind, placebo-controlled prospective study
- Safety and efficacy of curcumin versus diclofenac in knee osteoarthritis: a randomized open-label parallel-arm study
- Curcuminoid treatment for knee osteoarthritis: a randomized double-blind placebo-controlled trial
- Safety and efficacy of Curcuma longa extract in the treatment of painful knee osteoarthritis: a randomized placebo-controlled trial
- Efficacy and safety of Meriva®, a curcumin-phosphatidylcholine complex, during extended administration in osteoarthritis patients
- Efficacy and safety of Curcuma domestica extracts compared with ibuprofen in patients with knee osteoarthritis: a multicenter study
- Product-evaluation registry of Meriva®, a curcumin-phosphatidylcholine complex, for the complementary management of osteoarthritis
- The efficacy of Curcuma Longa L. extract as an adjuvant therapy in primary knee osteoarthritis: a randomized control trial
- A Randomized, Double Blind, Placebo Controlled, Parallel-Group Study to Evaluate the Safety and Efficacy of Curene® versus Placebo in Reducing Symptoms of Knee OA
- Efficacy and safety of Curcuma domestica extracts in patients with knee osteoarthritis
- Efficacy and safety of curcumin therapy for knee osteoarthritis: A Bayesian network meta-analysis.
- Effect of turmeric products on knee osteoarthritis: a systematic review and network meta-analysis.
- Effects of curcumin on serum inflammatory biomarkers in patients with knee osteoarthritis: a systematic review and meta-analysis of randomized controlled trials.
- Curcumin Lowers Serum Lipids and Uric Acid in Subjects With Nonalcoholic Fatty Liver Disease: A Randomized Controlled Trial
- The effects of curcumin supplementation on liver enzymes, lipid profile, glucose homeostasis, and hepatic steatosis and fibrosis in patients with non-alcoholic fatty liver disease
- Treatment of Non-alcoholic Fatty Liver Disease with Curcumin: A Randomized Placebo-controlled Trial
- Nano-curcumin improves glucose indices, lipids, inflammation, and Nesfatin in overweight and obese patients with non-alcoholic fatty liver disease (NAFLD): a double-blind randomized placebo-controlled clinical trial
- Curcumin as adjuvant treatment in patients with non-alcoholic fatty liver (NAFLD) disease: A systematic review and meta-analysis
- Turmeric Supplementation Improves Serum Glucose Indices and Leptin Levels in Patients with Nonalcoholic Fatty Liver Diseases
- Does Turmeric/curcumin Supplementation Change Anthropometric Indices in Patients with Non-alcoholic Fatty Liver Disease? A Systematic Review and Meta-analysis of Randomized Controlled Trials.
- Highly bioavailable micellar curcuminoids accumulate in blood, are safe and do not reduce blood lipids and inflammation markers in moderately hyperlipidemic individuals
- Efficacy of Turmeric as Adjuvant Therapy in Type 2 Diabetic Patients
- Effects of curcumin/turmeric supplementation on lipid profile: A GRADE-assessed systematic review and dose-response meta-analysis of randomized controlled trials.
- Bread enriched with phytosterols with or without curcumin modulates lipoprotein profiles in hypercholesterolaemic individuals. A randomised controlled trial
- The Effect of Curcumin on some of Traditional and Non-traditional Cardiovascular Risk Factors: A Pilot Randomized, Double-blind, Placebo-controlled Trial
- Effect of Curcumin on Serum Urate in Asymptomatic Hyperuricemia: A Randomized Placebo-Controlled Trial
- Effect of turmeric on glycemic status, lipid profile, hs-CRP, and total antioxidant capacity in hyperlipidemic type 2 diabetes mellitus patients
- Effects of phytosomal curcumin on anthropometric parameters, insulin resistance, cortisolemia and non-alcoholic fatty liver disease indices: a double-blind, placebo-controlled clinical trial
- Highly absorptive curcumin reduces serum atherosclerotic low-density lipoprotein levels in patients with mild COPD
- Curcumin potentiates cholesterol-lowering effects of phytosterols in hypercholesterolaemic individuals. A randomised controlled trial
- Curcuminoids modify lipid profile in type 2 diabetes mellitus: A randomized controlled trial
- Diverse effects of a low dose supplement of lipidated curcumin in healthy middle aged people
- Effects of supplementation with curcuminoids on dyslipidemia in obese patients: a randomized crossover trial
- Curcumin effects on blood lipid profile in a 6-month human study
- The effect of nano-curcumin on HbA1c, fasting blood glucose, and lipid profile in diabetic subjects: a randomized clinical trial
- Effects of Curcuminoids Plus Piperine on Glycemic, Hepatic and Inflammatory Biomarkers in Patients with Type 2 Diabetes Mellitus: A Randomized Double-Blind Placebo-Controlled Trial
- Curcumin attenuates urinary excretion of albumin in type II diabetic patients with enhancing nuclear factor erythroid-derived 2-like 2 (Nrf2) system and repressing inflammatory signaling efficacies
- The effects of curcumin supplementation on high-sensitivity C-reactive protein, serum adiponectin, and lipid profile in patients with type 2 diabetes: A randomized, double-blind, placebo-controlled trial
- Reduction of atherogenic risk in patients with type 2 diabetes by curcuminoid extract: a randomized controlled trial
- Curcuminoids exert glucose-lowering effect in type 2 diabetes by decreasing serum free fatty acids: a double-blind, placebo-controlled trial
- Nano curcumin supplementation reduced the severity of diabetic sensorimotor polyneuropathy in patients with type 2 diabetes mellitus: A randomized double-blind placebo- controlled clinical trial
- Curcumin extract for prevention of type 2 diabetes
- The effect of turmeric/curcumin supplementation on anthropometric indices in subjects with prediabetes and type 2 diabetes mellitus: A GRADE-assessed systematic review and dose-response meta-analysis of randomized controlled trials.
- The effects of curcumin-containing supplements on biomarkers of inflammation and oxidative stress: A systematic review and meta-analysis of randomized controlled trials.
- Curcumin on Human Health: A Comprehensive Systematic Review and Meta-Analysis of 103 Randomized Controlled Trials.
- Effects of Curcumin on Postmenopausal Women's Health: A Systematic Review and Meta-Analysis.
- The effect of curcumin supplementation on weight loss and anthropometric indices: an umbrella review and updated meta-analyses of randomized controlled trials.
- Curcumin ingestion and exercise training improve vascular endothelial function in postmenopausal women
- Effect of endurance exercise training and curcumin intake on central arterial hemodynamics in postmenopausal women: pilot study