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Review, 1990

How do hormones affect brain chemicals that control mood?

Sex hormones change how the brain's serotonin system works across the menstrual cycle. Stopping ovulation with danazol eliminated premenstrual mood changes in studied women, showing a hormone-mood connection.

Moderate study design Review of menstrual cycle hormone and mood research (includes studies of women with premenstrual dysphoric changes)

What they did

Reviewed research on how sex hormones affect serotonin (a brain chemical related to mood) throughout the menstrual cycle. Also presented studies testing drugs that affect or activate the serotonin system at different cycle phases, and danazol, a medication that stops ovulation.

What they found

Serotonin receptor activity in blood was lower in women with premenstrual dysphoric changes in the early second half of the cycle, about 5 to 7 days after ovulation. This timing occurs 5 to 7 days before their mood symptoms appear. Responses to serotonin-affecting drugs were weaker right before the period compared to mid-cycle. Danazol, which stops ovulation, eliminated premenstrual dysphoric symptoms in treated women.

What it means for you

Changes in how the brain uses serotonin may explain why some women experience mood changes before their period. Stopping ovulation relieves premenstrual mood symptoms in some women. The research is limited because we don't fully understand all the mechanisms and individual responses to treatments vary.

5 to 7 days

time after ovulation when serotonin changes occur

About the study

Original title
Gonadal hormones and antihormones, serotonin and mood
Authors
Halbreich U
Journal
Psychopharmacology bulletin
Year
1990
Study design
Review
What was tested
Serotonin-affecting drugs and danazol (ovulation suppressant)

Topics