RESULTS	Overall , a significant improvement in digestive symptoms ( dyschesia P < 0.0001 , diarrhea P < 0.01 , and bowel pain and cramping P < 0.0001 ) , gynecologic symptoms ( dysmenorrhea P < 0.0001 and dyspareunia P < 0.0001 ) , and general symptoms ( back pain P = 0.001 and asthenia P = 0.0001 ) was observed .\