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. 2009 Oct 7;2009(4):CD002120. doi: 10.1002/14651858.CD002120.pub3

Nakano 1971.

Methods Randomisation by 'envelope method' 
 Double blind 
 22 participants randomised, 18 analysed
Participants Inclusion: severe primary dysmenorrhoea that required absence from duty 
 Location: Japan
Interventions 1. SH‐850 ‐ 0.5mg norgestrel, 0.05mg ethinyl estradiol from day 5‐25 
 2. Placebo 
 Duration: 44 cycles experimental group, 31 cycles placebo group (between 3‐6 cycles for each participant)
Outcomes Degree of symptomatic relief ‐ 3 point scale for each women and cycle 
 Menstrual flow
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk No data provided
Allocation concealment? Low risk A "envelope method"
Blinding? 
 All outcomes Low risk Double
Incomplete outcome data addressed? 
 All outcomes High risk  
Free of selective reporting? Unclear risk No adverse events
Power calculations High risk  
Dropouts reported Low risk 4/22
Baseline comparability Low risk