Comparison of the effect of vitamin E, vitamin D and ginger on the severity of primary dysmenorrhea: a single-blind clinical trial
What this study found
All active supplements plus analgesic reduced dysmenorrhea severity, with ginger showing the largest effect. Baseline mean VAS 7.13±0.80; after first month 5.37±1.51; after second month 4.93±1.48. Mean reductions (first/second month): ginger 3.36/3.88; vitamin D 1.56/1.80; vitamin E 1.36/1.88 (P<0.001). No significant baseline differences (P=0.52); significant differences after months 1 and 2 (P<0.001). Ginger yielded the greatest reduction (F=74.54, P<0.001); vitamin D more effective than vitamin E; ginger > vitamin D > vitamin E in reducing dysmenorrhea. Conclusion: ginger is most…
- Study & population
- Single-blind randomized clinical trial conducted in 2016 among female medical students aged 18-25 years with moderate-to-severe dysmenorrhea.
- Intervention
- Ginger: 500 mg ginger capsules daily for up to 5 days around onset of menses.
- Key limitation
- 40 participants excluded due to follow-up loss; analgesic co-therapy prevented isolating effects of individual supplements; study population limited to female medical students, limiting generalizability.
Original abstract
Objective Dysmenorrhea is one of the most common problems for women, especially during their reproductive age. Various studies have examined the effects of vitamins D and E and ginger supplements. This study aimed to investigate the individual effects of each of these supplements on dysmenorrhea. Methods This single-blind clinical trial was conducted in 2016 on students aged 18 to 25 years who complained of mild to severe dysmenorrhea. The participants were randomly assigned into 4 groups: vitamin D, vitamin E, ginger, and placebo. The effects of the supplements on the severity of dysmenorrhea were evaluated in 2 successive cycles using the visual analog scale (VAS) and a questionnaire. Results Initially, 240 female students were enrolled in the study; thereafter, 40 students were excluded from the study owing to follow-up loss. The average VAS score for dysmenorrhea in the entire study population was 7.13±0.80 before the intervention; the mean VAS score after the first and second months of supplement use was 5.37±1.51 and 4.93±1.48, respectively. The highest reduction in pain severity was observed in the ginger group (F=74.54, P<0.001). Conclusion Vitamin D, vitamin E, and ginger significantly reduced the severity of dysmenorrhea, with ginger having the most significant effect followed by vitamin D and vitamin E. Given the low risk of these supplements, more studies must be conducted on their use as opposed to analgesics.