Self-management strategies for menstrual cycle symptoms: a systematic review
Abstract
Purpose: Menstrual cycle symptoms, such as discomfort, fatigue, and mood swings, are prevalent among women and can significantly diminish quality of life. Many women employ non-clinical, self-management strategies to mitigate symptoms, yet the supporting evidence for these strategies is equivocal. This systematic review sought to identify, evaluate and synthesise existing evidence from randomised controlled trials (RCTs) for non-clinical, self-management strategies for menstrual cycle symptoms.
Methods: A systematic literature search was performed in PubMed, Scopus, Web of Science, and Cochrane Library in March 2025 and updated in December 2025. The review adhered to PRISMA principles. Eligible studies comprised double- and triple-blinded RCTs published from 2000 onwards that examined non-clinical, self-management strategies including physical activity, nutrition, heat treatment, sleep, stress management, education, and over-the-counter medications for alleviating menstrual cycle symptoms in females aged 18 years and older. The JBI Critical Appraisal Checklist for RCTs was utilised for quality assessment.
Results: Of the 13,208 screened records, 39 were included in the final synthesis, comprising 42 treatment interventions and 3,806 participants. This provided categories of physical activity strategies (n = 5), nutritional strategies (n = 26), other self-management strategies (n = 7), and combined strategies (n = 4). Physical activity, especially yoga, consistently showed…
How strong is the evidence?
Evidence Hub reads this as a systematic review, done in people. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid. Reported size: 3,806 participants or records.
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