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. 2019 Sep 19;2019(9):CD000400. doi: 10.1002/14651858.CD000400.pub4

Rybo 1981.

Methods Randomisation method not given
Double‐blind placebo‐controlled trial with cross‐over design
No loss to follow‐up
Participants Sweden
18 women with a complaint of menorrhagia, ovulatory cycles and a normal coagulation test (data reported for subgroup of 4 women with primary menorrhagia, the remaining 12 had IUD‐induced menorrhagia)
Exclusion criteria: organic cause of menorrhagia
Interventions Group 1: naproxen 500 mg morning, 250 mg afternoon days 1 and 2, then 250 mg twice daily for up to 7 days, n = 4
Group 2: placebo same dosage regimen, n = 4
Duration: 2 + 2 cycles
Outcomes MBL (alkaline haematin method)
Notes Not ITT analysis
Data not available at end of first cross‐over period and so not suitable for pooling
Very large standard deviation for mean MBL in Rx group
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not stated
Allocation concealment (selection bias) Unclear risk Unclear risk
Blinding (performance bias and detection bias) 
 All outcomes Low risk Double bind
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No dropouts reported
Other bias Unclear risk Nothing detected