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Case-control study, 1993

Are hormone levels different in women with PMS?

Possibly. Women with PMS had lower ACTH levels during the luteal phase, and different subgroups showed different hormone patterns, suggesting multiple biological subtypes.

Early or limited evidence 10 women with premenstrual syndrome and 8 women without symptoms

What they did

Case-control study of 10 women with PMS and 8 women without symptoms. Blood samples were drawn daily throughout one menstrual cycle, and women reported symptoms daily.

What they found

ACTH levels were significantly lower in women with PMS compared to controls during the luteal phase. Cluster analysis identified two PMS subgroups. Cluster 1 had significantly lower ACTH compared to controls, while Cluster 2 had ACTH levels nearly identical to controls. These preliminary results suggest distinct hormonal subgroups within the heterogeneous PMS population.

What it means for you

Women with PMS may fall into different biological subtypes with different hormone patterns. This suggests that treating all PMS identically may not be appropriate. Main limitations: very small sample sizes and preliminary findings requiring further research.

10

women with PMS

8

women without symptoms

About the study

Original title
Preliminary evidence for plasma adrenocorticotropin levels as biological correlates of premenstrual symptoms
Authors
Redei E, Freeman EW
Journal
Acta endocrinologica
Year
1993
Study design
Case-control study
Participants
2
What was tested
None - observational study

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