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Study, 2010

Does pregnancy or menstruation affect OCD symptoms?

Yes. About 1 in 3 women with OCD saw symptoms start during pregnancy or after birth. Women whose OCD began during this time are more likely to have worsening with their period.

Moderate study design 126 women aged 18 to 69 with OCD, attending a university clinic

What they did

Interviewed 126 women aged 18 to 69 with OCD from a university clinic about when OCD started and how pregnancy and periods affected their symptoms.

What they found

Of 78 women who had been pregnant, 32.1% (24 women) first developed OCD in the perinatal period. Of these, 15.4% developed OCD during pregnancy, 14.1% after childbirth, and 1.3% after miscarriage. Of 132 pregnancies total, 34.1% involved worsening of OCD symptoms, 22.0% involved improvement, and 43.9% showed no change. Women whose OCD started in the perinatal period were more likely to have worsening with their period compared to other women (66% versus 39%).

What it means for you

Pregnancy and the postpartum period seem important times for OCD to start or worsen. Having premenstrual worsening of OCD may mean a woman's OCD began around pregnancy time. This study asked women to remember past events, which can be less reliable than watching people forward over time.

32.1%

of women with prior pregnancy whose OCD started during pregnancy or after birth

34.1%

of pregnancies where OCD symptoms got worse

66% vs 39%

premenstrual worsening in perinatal-onset versus other OCD groups

About the study

Original title
Onset and exacerbation of obsessive-compulsive disorder in pregnancy and the postpartum period
Authors
Forray A, Focseneanu M, Pittman B et al.
Journal
The Journal of clinical psychiatry
Year
2010
Study design
Study
Participants
24
What was tested
None - observational study
Open access
Yes

Topics