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REVIEW article

Front. Psychiatry

Sec. Mood Disorders

Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1640781

The prevalence of premenstrual syndrome in China: A systematic review and meta-analyses

Provisionally accepted
Yanmei  YangYanmei Yang1Yu  JiaYu Jia1Songying  FuSongying Fu1Lu  ZhangLu Zhang1Feng  XiangFeng Xiang1Wanqin  HuWanqin Hu1Xue Hua  CaoXue Hua Cao2*
  • 1Chengdu University of Traditional Chinese Medicine, Chengdu, China
  • 2Sichuan Academy of Medical Sciences and Sichuan People's Hospital, Chengdu, China

The final, formatted version of the article will be published soon.

Background: Reliable estimates of the prevalence of premenstrual syndrome (PMS) serve as the basis for adequate prevention and treatment. However, the prevalence of PMS has rarely been synthesized at the Chinese level. We conducted this systematic review and meta-analyses to provide accurate and comprehensive evidence on the prevalence of PMS in China Methods: PubMed, Web of Science, Embase, Cochrane Library, China National Knowledge Information, Chinese Scientific Journal (VIP), Wan fang and China Biology Medicine databases were systematically searched from inception until March 8, 2025. The prevalence of PMS in China was analyzed using a random effects model. Results: A total of 77 studies (108,178 participants) were included in the meta-analyses. The pooled prevalence of PMS in China was 48% (95% CI, 44-53 %). Subgroup analyses revealed significant differences in the prevalence of PMS according to the screening tool, region, setting, and mean age. Meta-regression analyses indicated that using a prospective tool was significantly associated with lower prevalence. Limitations: There was a high degree of heterogeneity among the included studies; The included studies were conducted in urban areas; There was significant publication bias in this meta - analyses; Current meta-analyses contain insufficient information on many risk factors for PMS in China. Conclusion: The findings demonstrate that most Chinese women have PMS. Given the prevalence of PMS in China, future studies should explore its risk and protective factors, provide regular screening, and implement effective preventive and treatment measures for this demographic.

Keywords: Premenstrual syndrom, China, Prevalence, Women, Systematic review

Received: 04 Jun 2025; Accepted: 22 Aug 2025.

Copyright: © 2025 Yang, Jia, Fu, Zhang, Xiang, Hu and Cao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Xue Hua Cao, Sichuan Academy of Medical Sciences and Sichuan People's Hospital, Chengdu, China

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