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Study, 1989

Do menstrual cycle hormones cause premenstrual syndrome, and can stopping ovulation help?

Stopping ovulation significantly reduced physical and mood symptoms, suggesting hormones are involved. However, some women still had symptom flare-ups even when hormone levels showed no ovulation, showing the link between hormones and symptoms is more complex than expected.

Early or limited evidence 11 women with premenstrual problems

What they did

11 women with premenstrual problems received monthly injections of goserelin 3.6mg under the skin for up to 6 months. Doctors measured hormone levels twice weekly and women tracked their symptoms daily.

What they found

Physical and psychological symptoms improved significantly during treatment. However, some women still reported swelling and mood changes even though their hormone levels showed they were not ovulating. Three women reported anxiety and/or depression got worse soon after starting treatment (one withdrew from the study). When ovulation returned after treatment ended, symptoms came back to their original levels, though breast discomfort stayed improved.

What it means for you

These results suggest menstrual cycle hormones do affect mood and physical symptoms, but the connection is not simple. Stopping ovulation did not eliminate all symptoms for everyone. The study is limited because it only included 11 women and had no comparison group to measure against.

11

women treated

6

maximum months of treatment

3

women who reported worsened mood symptoms

About the study

Original title
Modification of symptoms of the premenstrual syndrome during ovarian suppression with goserelin (Zoladex) depot – potential for research and clinical investigation
Authors
Christine P. West, Mary Ann Lumsden, David T. Baird
Journal
Journal of Psychosomatic Obstetrics & Gynecology
Year
1989
Study design
Study
What was tested
Goserelin 3.6mg monthly injections

Topics