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Systematic review, 2021

Does substance use change across the menstrual cycle, especially in women with PMS or PMDD?

Yes. Women use more nicotine before and during their period, especially those with PMDD or PMS, and alcohol use also increases during these phases.

Strong study design Women in 34 studies examining addictive behaviors across menstrual cycle phases

What they did

Systematic review of 34 studies on the relationship between menstrual cycle phase and addictive behaviors including alcohol, smoking, cannabis, caffeine, and gambling. Researchers screened 1,568 articles total from medical databases.

What they found

Strong evidence showed nicotine use increased during the premenstrual and menstrual phases, with particularly high use among women with PMDD or PMS. Alcohol use also increased during these phases, especially in those with PMDD or PMS. Results for cannabis, caffeine, and gambling were less consistent or not well studied.

What it means for you

The menstrual cycle affects some addictive behaviors, particularly smoking. Women with PMDD or PMS may be especially vulnerable to increased smoking and alcohol use around their period. This matters when treating substance use disorders in women.

34

studies reviewed

1,568

articles initially screened

About the study

Original title
Addictive behaviors across the menstrual cycle: a systematic review
Authors
Joyce KM, Good KP, Tibbo P et al.
Journal
Archives of women's mental health
Year
2021
Study design
Systematic review
What was tested
None - observational review of existing studies

Topics