Skip to content

Non-randomised trial, 2006

Does serotonin play a role in causing PMS and PMDD symptoms?

This small exploratory study found differences in serotonin levels between women with no symptoms, PMS, and PMDD, suggesting serotonin may play a role. However, the sample was very small with only preliminary results.

Early or limited evidence 15 participants: 9 without premenstrual symptoms, 3 with probable PMS, 3 with probable PMDD

What they did

15 women tracked their symptoms daily for 2 months and were divided into 3 groups: 9 without symptoms, 3 with probable PMS, and 3 with probable PMDD. Each woman had blood drawn twice to measure a serotonin metabolite called 5-HIAA, once before the period started and once after.

What they found

The three groups showed potentially significant differences in biological markers for serotonin. The results are consistent with a hypothesis that serotonin is involved in the generation of premenstrual symptoms.

What it means for you

This exploratory study suggests serotonin may be involved in PMS and PMDD. However, the sample was very small with only 3 women in the PMS group and 3 in the PMDD group. The differences were described as only potentially significant, not definitively proven. More research with larger groups is needed.

15

total participants

2

months of symptom tracking

3

with PMS and 3 with PMDD

About the study

Original title
Exploratory study of premenstrual symptoms and serotonin variability
Authors
Clayton AH, Keller AE, Leslie C et al.
Journal
Archives of women's mental health
Year
2006
Study design
Non-randomised trial
Participants
9
What was tested
No intervention; exploratory biological study

Topics