Premenstrual Syndrome Clinical Trial
Official title:
An Observational Study on the Efficacy of Individualised Homoeopathic Treatment on Premenstrual Syndrome in Indian Females
Premenstrual Syndrome (PMS) is a group of physical, mental and behavioural symptoms that
occur cyclically through the luteal phase of the menstrual cycle and resolve within three
days of the onset of menstruation. Many women are affected by the physical and psychological
symptoms of PMS. The symptoms of PMS can change behaviour and wellbeing of women which has
an impact on families, social life and work. Research has shown that women with PMS reported
additional days missed at work compared to women that do not suffer with PMS. A study done
by Brohi et al. (2011) showed that PMS is a common problem that occurs in 81.25% of women
and has an adverse impact on a woman's quality of life. Conventional treatment is limited,
not always effective and is associated with many side effects. Research using individualised
homeopathic treatment, known as the homeopathic similimum, in PMS has shown to be well
tolerated as well as have a positive impact on the symptoms of PMS although further research
is warranted in this regard. There have not been any studies done on homeopathic treatment
in Indian females in South Africa.
The aim of this study is to determine the effect of individualised homeopathic treatment on
females of Indian origin who are suffering with symptoms of PMS, using observational
studies.
This study will be a 12 week observational study of an embedded mixed method design and will
be conducted over 12 weeks, consisting of four consultations 4 weeks apart, at the
Homeopathic Health Centre, University of Johannesburg Doornfontein Campus. Ten South African
Indian females, between 18-40 years of age, who experience PMS symptoms will be recruited
through the placement of advertisements placed at health stores, homoeopathic/medical
practices and on the University campus (with the relevant permission granted).
Each participant must meet the criteria of the selection questionaire. In the first
consultation, the researcher will explain the study to the participant. The participant will
then be requested to sign the Participant Information and Consent Form. A full case history
will be taken using a standard homeopathic case taking form. Each participant will be given
a PMS chart to score their symptoms every day for the following 4 weeks in order to
establish the baseline of each participant's premenstrual symptoms. No treatment will be
prescribed in this period.
Participants will be reminded of their appointments via email and text message before every
follow up consultation. Each follow-up consultation will consist of a homoeopathic case
taking, relevant physical examination and the collection of the PMS-chart which was
completed over the previous 4 weeks by the participant.
After each follow-up consultation, the researcher will establish the participant's
individualised homoeopathic remedy according to the principles of classical homoeopathy by
using the Complete Repertory 2014 provided in Mercurius® repertory software and the standard
Materia Medica, with the guidance of the supervisor or co-supervisor. The potency and dosage
of each remedy will be determined in accordance with the principles of individualised
homoeopathic prescribing as described by De Schepper. The selected remedy will then be
dispensed to the participant. No remedy will be dispensed at week 12. The participant will
return a completed PMS-chart, completed over a 4 week period, to the researcher at weeks 4,
8 and 12.
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Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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