The 4 mg drospirenone preparation became available in Australia in October 2021 after we wrote the article.1 For contraceptives containing drospirenone, a 2012 Cochrane meta-analysis tentatively described improvement in women… Click to show full abstract
The 4 mg drospirenone preparation became available in Australia in October 2021 after we wrote the article.1 For contraceptives containing drospirenone, a 2012 Cochrane meta-analysis tentatively described improvement in women with premenstrual dysphoric disorder, however there was a large placebo effect.2 Our clinical experience with the 20 microgram ethinylestradiol/3 mg drospirenone preparation in women with premenstrual dysphoric disorder and (commonly) a trauma history is that the lower dose ethinylestradiol, compared to many other preparations, did not improve premenstrual dysphoric disorder as well as the combination of estradiol and nomegestrol.3
               
Click one of the above tabs to view related content.