Publication:
The effects of evening primrose oil on menopausal symptoms: A systematic review and meta-analysis of randomized controlled trials

dc.contributor.authorChristelle, Karen
dc.date.accessioned2026-11-04T06:06:13Z
dc.date.available2026-11-04T06:06:13Z
dc.date.issued2021
dc.description.abstractIntroduction : Evening primrose oil has been a treatment option for reducing menopausal symptoms but evidence for its use is inadequate. Objective : To determine the effectiveness of evening primrose oil in treating menopausal symptoms among peri and postmenopausal women. Methodology : The study design is a systematic review with meta-analyses of randomized controlled clinical trials. We searched CENTRAL, Medline, Embase and trial registries for relevant randomized clinical trials. The methodology and reporting were carried out grounded on references from the Cochrane collaboration and the preferred reporting items for systematic reviews and meta-analyses statement. Review manager version 5.3.5 was used to perform all the statistical analyses. Results : Five randomized clinical trials, recruiting a total of 402 peri and postmenopausal women were identified. There was no difference between evening primrose oil and control for the frequency of daily vasomotor symptoms (MD 0.01 episodes; 95% CI -0.54 to 0.57; P=0.960; two trials; I2 = 38%), frequency of daytime hot flash episodes (MD -0.51 episodes; 95% CI -2.05 to 1.03; P=0.510; two trials, I2 = 87%), frequency of night sweat episodes per day (MD 0.33 episodes; 95% CI -0.48 to 1.13; P=0.430; two trials, I2=74%) and severity of vasomotor symptoms (SMD -0.45; 95% CI -1.56 to 0.66; P=0.420, four trials; I2 = 95%). EPO may reduce the severity of overall menopausal symptoms (SMD -1.18; 95% CI-2.18 to -0.18, P=0.02, two trials, I2 = 91%). There was no significant difference for the occurrence of nausea (RR 5.94; 95% CI 0.74 to 48.00; P=0.090; I2 = 0%). There were insufficient data to pool results for musculoskeletal symptoms, mood, sexuality, sleeping disorders and quality of life. Conclusion : Evening primrose oil may reduce the severity of overall menopausal symptoms but is not effective to reduce the frequency and severity of vasomotor symptoms. The evidence quality ranged from very low to moderate. Further research is needed to enhance related evidence.
dc.identifier.urihttps://erepo.usm.my/handle/123456789/25321
dc.language.isoen
dc.subjectevening primrose oil
dc.subjectmenopause
dc.titleThe effects of evening primrose oil on menopausal symptoms: A systematic review and meta-analysis of randomized controlled trials
dc.typeResource Types::text::thesis::master thesis
dspace.entity.typePublication
oairecerif.author.affiliationUniversiti Sains Malaysia
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