Fig. 4From: Changes in menstrual symptoms and work productivity after checklist-based education for premenstrual syndrome: an 8-month follow-up of a single-arm study in JapanEstimated scores (95% confidence interval) on the Menstrual Distress Questionnaire (MDQ) at T1 and T2. Generalized estimating equation models were used for T2 participants, controlling for the baseline sociodemographic and lifestyle factors and including interaction terms between the baseline severity of PMS, time, and help-seeking. Score changes from T1 to T2 of moderate-to-severe PMS participants who sought medical help are shown. (a) Premenstrual MDQ score (b) Menstrual MDQ score (c) Intermenstrual MDQ scoreBack to article page