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Cohort study, 2007

Is there something different about calcium and vitamin D levels in women with PMDD?

Yes, this study found women with PMDD had some differences in calcium-related hormones across the cycle compared to women without PMDD, including lower vitamin D levels in the second half of the cycle, though this does not prove it causes PMDD.

Early or limited evidence Women with and without PMDD, tracked across their menstrual cycle.

What they did

Researchers compared women with and without PMDD. The women tracked their symptoms for 2 months, then had their calcium-related hormones measured across one full menstrual cycle at several time points.

What they found

Calcium-related hormones changed significantly across the cycle in both groups. Women with PMDD had lower ionized calcium at menses (1.166 vs 1.182 mmol/liter, p=0.027), lower urine calcium at three points in the cycle, and lower active vitamin D (1,25-dihydroxyvitamin D) in the luteal phase, the time before a period (45.0 vs 50.6 pg/ml, p=0.032).

What it means for you

The drop in active vitamin D before a period may help explain some PMDD symptoms, but this is an early finding from one study comparing two groups, not a treatment trial, so it cannot yet tell women whether taking vitamin D or calcium would help.

1.166 vs 1.182

Ionized calcium at menses, PMDD vs controls (mmol/liter)

45.0 vs 50.6

Active vitamin D in luteal phase, PMDD vs controls (pg/ml)

p=0.032

Statistical significance for vitamin D difference

About the study

Original title
Cyclical changes in calcium metabolism across the menstrual cycle in women with premenstrual dysphoric disorder
Authors
Thys-Jacobs S, McMahon D, Bilezikian JP
Journal
The Journal of clinical endocrinology and metabolism
Year
2007
Study design
Cohort study
What was tested
No treatment tested; hormone and mineral levels were measured, not changed.

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