The Impact of Achillea Millefolium on Primary Dysmenorrhea and Menstrual bleeding: A Systematic Review

Background aim:. This study systematically reviewed the clinical trials to assesse Achillea millefolium’s impact on primary dysmenorrhea and menstrual bleedingMethods: In this systematic review, the databases of Science Direct, PubMed, ProQuest, Cochrane library, Scopus, Web of Science were searched using the keywords of Dysmenorrhea , Pain , Menorrhagia and Achilles until Aug 2022. The study population included women with moderate to severe dysmenorrhea or menorrhagia with a score of 100 on Pictorial menstrual bleeding Assessment Chart (PBLAC). Intervention included oral administration of Achillea millefoliums with other modern dosage forms. The Cochran’s Risk of Bias tool was applied to evaluate the quality of articles.Results: Among 80 initial articles, six studies were systematically reviewed. Among six reviewed studies, three studies examined the impact of Achillea millefolium on primary dysmenorrhea, two studies evaluated the effect of Achillea millefolium on menorrhagia and one study assessed the impact of Achillea millefolium on both primary dysmenorrhea and menorrhagia. The results showed the effect of Achillea millefolium in pain relief of  dysmenorrhea and reduction of menstrual bleeding.Conclusion: Achillea millefolium is an effective and safe herbal remedy for primary dysmenorrhea and reduction of menstrual bleeding.