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The Efficacy of Lavender Herbal Tea in Premenstrual Syndrome

NCT07737366 — Not applicable, Completed, 60 participants, Sakarya University

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Psychological and Physiological Effects of Lavender Herbal Tea in Women With Premenstrual Syndrome: a Randomized Clinical Trial

RegistryNCT07737366
StatusCompleted
PhaseNot applicable
Study typeInterventional; randomized, parallel, masking: none, other
Enrollment60 (Actual)
SponsorSakarya University (Other)
ConditionsPremenstrual Syndrome, Anxiety, Depression, Stress, Pain Measurement, Complementary Medicine, Bleeding
InterventionsLavender herbal tea (Other)
Datesstart 2025-07-09, primary completion 2025-07-09, completion 2025-10-18, first posted 2026-07-30, last updated 2026-10-08
Locations1 site in Turkey (Türkiye)

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-Summary

Premenstrual syndrome (PMS) is a common but complex condition defined as a combination of emotional, psychological, and physical symptoms that occur during the luteal phase of the menstrual cycle, usually between 2 and 14 days before the onset of menstruation, and that diminish with menstruation. Epidemiological studies have reported that 80-90% of women experience premenstrual syndrome symptoms, with approximately 20-40% reported to affect daily functioning and relationships. Symptoms associated with PMS include irritability, mood swings, anxiety, depression, bloating, breast tenderness, and headaches. Pharmacological treatments such as selective serotonin reuptake inhibitors (SSRIs) and non-pharmacological methods such as dietary changes, exercise, and cognitive behavioral therapy are used in the management of PMS symptoms. Complementary herbal therapies are gaining increasing interest among individuals who want to avoid the side effects of traditional pharmacological agents. Various agents such as Vitex agnus-castus (chaste tree), Hypericum perforatum (St John's wort), evening primrose oil, and conventional herbal formulations have been studied in the literature. Vitex agnus-castus was found to be effective in relieving PMS symptoms by regulating hormonal balance. The antidepressant effects of yellow cantharone have been evaluated, but findings on its efficacy are inconsistent. Evening primrose oil shows particularly favorable effects on cyclic mastalgia. Lavender tea is known to reduce depression, anxiety, and mood swings. There are no clinical studies evaluating the effect of lavender tea on menstrual bleeding. A randomized controlled trial has shown that abdominal massage with lavender oil reduces the severity of menstrual pain. In this context, it may be a potential complementary herbal treatment to relieve PMS symptoms. Therefore, women with PMS will be divided into two groups. The intervention group will use 2 grams of lavender tea 2 times a day, morning and evening, for 9 days during 2 menstrual cycles (5 days before and 4 days after the estimated onset of menstruation). The control group will create a waiting list. The study data will be provided by 'Personal Information Form', 'Premenstrual Syndrome Scale', 'Depression Anxiety Stress-21 Scale', 'Premenstrual Syndrome Specific Quality of Life Scale', Visual Analogue Scale (VAS), and pad follow-up to monitor bleeding. SPSS 25.0 software will be used to analyze the data obtained from the study. Although the effects of lavender tea on PMS are promising, more clinical studies are needed to confirm its effectiveness. With this study, the need for clinical studies on the effectiveness of lavender tea will be met and a natural and complementary treatment method that can alleviate PMS symptoms will be tested.

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+Detailed description

Premenstrual syndrome (PMS) is a clinical picture characterized by physical, psychological, and behavioral symptoms that occur during the luteal phase of the menstrual cycle, starting approximately one week before menstruation and decreasing with menstruation. The prevalence of PMS is quite high and it is reported that 50-90% of women experience at least one PMS symptom during the reproductive age. Physical symptoms of PMS include breast tenderness and bloating, headaches, muscle and joint pain, fatigue, appetite changes, sleep disturbances, and skin problems. Psychological symptoms include irritability, outbursts of anger, hypersensitivity, crying spells, difficulty focusing, and social isolation. Behavioral symptoms include overeating, increased alcohol and caffeine consumption, sleep irregularity, and decreased physical activity.

Pharmacological, non-pharmacological, and complementary approaches are applied in the management of PMS symptoms. Within the scope of pharmacological treatment, Selective Serotonin Reuptake Inhibitors (SSRIs) are widely used, especially in alleviating psychological symptoms. Non-pharmacological interventions include aerobic exercise, cognitive behavioral therapy, mindfulness-based approaches, diet and lifestyle changes. Dietary restriction of caffeine, sugar, and salt consumption has been reported to reduce PMS symptoms.

The trend towards complementary therapies is increasing due to the lower side effect profile compared to traditional pharmacological treatments. Various herbal agents such as Vitex agnus-castus (chaste tree), Hypericum perforatum (St John's wort), evening primrose oil, and traditional herbal formulations have been studied in the literature. Vitex agnus-castus was found to be effective in relieving PMS symptoms by regulating hormonal balance. The antidepressant effects of yellow cantharone have been evaluated, but findings on its efficacy are inconsistent. Evening primrose oil shows particularly favorable effects on cyclic mastalgia. Lavender tea has the potential to alleviate depression, anxiety, and mood swings, but there are no clinical studies evaluating the effect of lavender tea on menstrual bleeding. A randomized controlled trial showed that abdominal massage with lavender oil reduced the severity of menstrual pain. However, further research examining the effects of lavender tea specifically on the menstrual process is needed.

+Arms and interventions

ArmTypeInterventionsDescription
Experimental group (lavender herbal tea)ExperimentalOther: Lavender herbal teaEach participant will receive 36 bags of 2 grams of lavender tea of Turkish origin. The intervention group will be advised to use 2 grams of lavender tea brewed in 300 mL of hot water in the morning and evening for 9 days during 2 menstrual cycles (5 days before and 4 days after the estimated onset of menstruation). Participants will be advised to take some time and inhale the scent before drinking the herbal tea.
Control group (wait-list)No interventionThe control group will not receive any intervention for 2 menstrual cycles (5 days before and 4 days after the estimated onset of menstruation).
  • Lavender herbal tea (Other): The participant will receive 36 lavender tea bags containing 2 grams of lavender tea originating from Turkey. The participant will be advised to use 2 grams of lavender herb brewed in 300 mL of hot water in the morning and evening for 9 days during 2 menstrual cycles (5 days before and 4 days after the estimated onset of menstruation).

+Outcome measures

Primary outcomes

  • Premenstrual Syndrome Scale [1. within 24 hours on the 4th day of menstruation (after the first 9 days of lavender tea use) 2. within 24 hours on the 4th day of menstruation (after the second 9 days of lavender tea use)]

Secondary outcomes

  • Visual Analogue Scale (VAS) [1. within 24 hours on the 4th day of menstruation (after the first 9 days of lavender tea use) 2. within 24 hours on the 4th day of menstruation (after the second 9 days of lavender tea use)]
  • Number of pads [1. within 24 hours on the 4th day of menstruation (after the first 9 days of lavender tea use) 2. within 24 hours on the 4th day of menstruation (after the second 9 days of lavender tea use)]
  • Premenstrual Syndrome Specific Quality of Life Scale [1. within 24 hours on the 4th day of menstruation (after the first 9 days of lavender tea use) 2. within 24 hours on the 4th day of menstruation (after the second 9 days of lavender tea use)]
  • Depression Anxiety Stress-21 Scale [1. within 24 hours on the 4th day of menstruation (after the first 9 days of lavender tea use) 2. within 24 hours on the 4th day of menstruation (after the second 9 days of lavender tea use)]

+Eligibility

Sex: Female, ages: 18 Years to any

Inclusion Criteria:

* No history of acute or chronic illness, Meeting the diagnostic criteria for PMS specified by ACOG, Over 18 years of age, No psychiatric distress and no treatment for psychiatric distress in the last 3 months, No (current or past) participation in psychotherapy for premenstrual symptoms, Not pregnant, Gynecological diseases (hysterectomy, oophorectomy, gynecological cancer, polycystic ovary syndrome, endometriosis, infertility) are among the inclusion criteria.

Exclusion Criteria:

* Allergy to any herbal tea, food or medicine, Psychiatric illness or chronic illness, Use of psychiatric medication (such as anxiolytics and antidepressants), Regular medication use (such as antihypertensive, antidiabetic), Regular use of herbal teas or complementary medicines, Failure to meet the diagnostic criteria for PMS specified by ACOG, No regular menstruation in the last 3 months, Use of oral contraceptives during the last 3 months, Use of analgesics during menstruation while participating in the study.

+Locations (1)

FacilityCityCountryStatus
Sakarya UniversitySakaryaTurkey (Türkiye)

+Publications

  • Babajani, S., Asgari, K., Orayzi, H., & Ghasemi, N. (2017). Effectiveness of cognitive-behavioral therapy on premenstrual syndrome through compliance to treatment in an iranian sample. Zahedan Journal of Research in Medical Sciences, 19(6). https://doi.org/10.5812/zjrms.12537
  • Results publication: Makvandi S, Mirzaiinajmabadi K, Tehranian N, Esmily H, Mirteimoori M. The Effect of Normal Physiologic Childbirth on Labor Pain Relief: an Interventional Study in Mother-Friendly Hospitals. Maedica (Bucur). 2018 Dec;13(4):286-293. doi: 10.26574/maedica.2018.13.4.286. Greek, Modern. PMID 30774727
  • Results publication: Savitri, R. and Hardyanti, O. (2019). The effectiveness of lavender aromatherapy in reducing the level of dysmenorrhea in adolescent girls. Journal of Maternity Care and Reproductive Health, 2(3). https://doi.org/10.36780/jmcrh.v2i3.95
  • Results publication: Hashim, S., Elsayed, H., & Wasel, S. (2016). The effect of cinnamon on physical symptoms of premenstrual syndrome among adolescent girls. Mansoura Nursing Journal, 3(2), 83-96. https://doi.org/10.21608/mnj.2016.149415
  • Results publication: Sener Cetin N, Solt Kirca A. The Effect of a Mindfulness-Based Stress Reduction Program on Premenstrual Symptoms: A Randomized Controlled Trial. J Midwifery Womens Health. 2023 Sep-Oct;68(5):604-610. doi: 10.1111/jmwh.13530. Epub 2023 Jun 19. PMID 37335817
  • Results publication: Mohebbi Dehnavi Z, Jafarnejad F, Sadeghi Goghary S. The effect of 8 weeks aerobic exercise on severity of physical symptoms of premenstrual syndrome: a clinical trial study. BMC Womens Health. 2018 May 31;18(1):80. doi: 10.1186/s12905-018-0565-5. PMID 29855308
  • Results publication: Dante G, Facchinetti F. Herbal treatments for alleviating premenstrual symptoms: a systematic review. J Psychosom Obstet Gynaecol. 2011 Mar;32(1):42-51. doi: 10.3109/0167482X.2010.538102. Epub 2010 Dec 21. PMID 21171936
  • Results publication: Rossignol AM, Bonnlander H. Caffeine-containing beverages, total fluid consumption, and premenstrual syndrome. Am J Public Health. 1990 Sep;80(9):1106-10. doi: 10.2105/ajph.80.9.1106. PMID 2382749
  • Results publication: Takeda T. Premenstrual disorders: Premenstrual syndrome and premenstrual dysphoric disorder. J Obstet Gynaecol Res. 2023 Feb;49(2):510-518. doi: 10.1111/jog.15484. Epub 2022 Nov 1. PMID 36317488
  • Results publication: Chumpalova P, Iakimova R, Stoimenova-Popova M, Aptalidis D, Pandova M, Stoyanova M, Fountoulakis KN. Prevalence and clinical picture of premenstrual syndrome in females from Bulgaria. Ann Gen Psychiatry. 2020 Jan 15;19:3. doi: 10.1186/s12991-019-0255-1. eCollection 2020. PMID 31969927

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