Vitamin D has a crucial role in female reproduction, possibly through its effects on
calcium homeostasis, cyclic
sex steroid hormone fluctuations, or
neurotransmitter function. We have assessed the effects of
vitamin D supplementation on
dysmenorrhea and
premenstrual syndrome (PMS) in adolescents. In this study, 897 adolescent girls living in Mashhad and Sabzevar, Iran, received nine high-dose
vitamin D supplements (as 50,000 IU/week of
cholecalciferol) and were followed up over 9 weeks. We evaluated the effect of
vitamin D supplementation on individuals in four categories: those with only PMS; individuals with only
dysmenorrhea; subjects with both PMS and
dysmenorrhea and normal subjects. The prevalence of PMS after the intervention fell from 14.9% to 4.8% (p < .001). Similar results were also found for the prevalence of subjects with
dysmenorrhea (35.9% reduced to 32.4%), and in subjects with both PMS and
dysmenorrhea (32.7% reduced 25.7%).
Vitamin D supplementation was associated with a reduction in the incidence of several symptoms of PMS such as
backache and tendency to cry easily as well as decrement in
pain severity of
dysmenorrhea (p < .05). High dose
vitamin D supplementation can reduce the prevalence of PMS and
dysmenorrhea as well as has positive effects on the physical and psychological symptoms of PMS.