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Study, 2021

Does prenatal hormone exposure affect PMDD risk?

Women with PMDD had a longer distance from clitoris to urethra than women without PMDD, suggesting higher prenatal androgen exposure might increase PMDD risk. This is one small measurement study and needs confirmation.

Early or limited evidence 77 women: 25 with PMDD and 52 without

What they did

Researchers measured physical characteristics on 77 women (25 with PMDD, 52 without) including distance from clitoris to urethra, anogenital distance, and finger length ratios. These measurements reflect prenatal androgen (male hormone) exposure in the womb.

What they found

Women with PMDD had a longer distance from clitoris to urethra compared to women without PMDD (25.03 ± 4.73 versus 22.07 ± 4.30). There was no clear difference between groups in anogenital distance or finger length ratios.

What it means for you

Higher prenatal androgen exposure may increase PMDD risk. This is measurement research on a small sample, so the results need confirmation in larger studies. Other factors like current life circumstances and hormone levels may also affect PMDD.

77

Total women studied

25

Women with PMDD

25.03 vs 22.07

Clitoris-to-urethra distance

About the study

Original title
Premenstrual dysphoric disorder is associated with the longer length from clitoris to urethra
Authors
Li Z, Xu MJ, Jin Y et al.
Journal
BMC women's health
Year
2021
Study design
Study
Participants
77
What was tested
Physical measurements (observational study)
Open access
Yes
Original abstract

Background: Premenstrual dysphoric disorder (PMDD) is a common, recently recognized, psychiatric condition among reproductive women, reflecting abnormal responsivity to ovarian steroids. Moreover, the potential organizational effect of prenatal sex hormones during PMDD has got attentions, but there have been considerably less of researches on this topic. The aim of this research was to investigate the possible role of prenatal androgen in the PMDD. Methods: Anogenital distance (AGD), the distance between a woman's clitoris and her urethral meatus (CUMD), left and right 2D:4D ratios were measured in 77 subjects (25 patients with PMDD), as these anthropometric indicators are considered to indirectly reflect prenatal androgen exposures in utero. Results: Patients with PMDD had a longer CUMD than controls (25.03 ± 4.73 vs. 22.07 ± 4.30, P = 0.008), while there were no significant difference between PMDD group and control group in the AGD and right and left 2D:4D ratios. Conclusion: Atypical high prenatal androgen exposure might predispose individuals to be susceptible to PMDD.

Reproduced under CC-BY.

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