this post was submitted on 25 Jan 2026
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How? Why? This kind of study should be trivially easy to complete. The medication is already on the market, generics are super cheap, administration is super simple and non-invasive and I'd guess there are plenty of women suffering from PMS. That sounds like the kind of study that a grad student could pull off on a DIY budget.
According to Google, generics are ~€0.50 per dose and they administered a single dose per patient. Let's say placebos cost the same as the generics, then the cost for these 25 participants was less than €15.
Weirdly, they administered sildanefil vaginally. You'll need a pharmacist and a laboritory to create sildenafil vaginal suppositories, so a bit above grad school level.
The reason they cite for the decline of funding - "PMS doesn't exist" - shows that the real reason is misogynistic managers.
Still something that any pharmacy can do for a low price. They only need to grind up regular sildanefil pills and put the powder into vaginal suppositories.
Our pharmacy did something similar for anal suppositories for our baby when there were covid-related shortages for ibuprofen suppositories.
My only wild and reaching guess, beyond simple cruelty and hatred, is marketing was afraid of associating the drug with periods because "men would get grossed out" and potentially impact that share of the market.
Probably something like that... Sucks.
And it's kinda stupid too. PMS is well known to not be conductive to female libido, and female libido is conductive to Viagra sales. So why not sell it to women too (=more sales) which might increase the occasions to sell it to men as well.
IDK if i have a partner i want them to be comfortable. Idk whether there's just a lot of incels in powerful places or men have historically just hated the women they're with. Either way that's one reason I don't identify as a man.
I wonder if actually helpful PMS medication would cannibalize e.g. pain medication sales. Generic viagra is super cheap, and in the study they used just one dose. So if that's the actual dosage required in the end, that could cost the pharmaceuticals industry money.
Similar to with vas occlusive contraception. It's really easy, simple, dirt cheap, lasts long, is reversible, non-hormonal, no side effects male contraception. It's basically the perfect contraception and it's the only reversible long-term contraception that men can use.
But it was dropped because it would pretty much annihilate the female contraceptive industry, which makes a huge amount of money each year.
Quote from the Wiki article on RISUG, the form of Vas-occlusive contraception that came closest to getting to market:
https://en.wikipedia.org/wiki/Reversible_inhibition_of_sperm_under_guidance
Yeah i generally assume decisions like these are profit/hate driven. If you can make a market case, even mildly convincing that profits will be hit, it's going to be researched enough to get copyright and bury as long as possible.
Just can't imagine being one of those researchers(if they knew/weren't duped), board members or marketing fucks going home to someone who thinks they're loved, watching them writhe in pain, and think, "yeah I'm gonna be so rich!"