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Case-control study, 2005

Is the brain chemical serotonin different in women with premenstrual syndrome?

Yes. Women with PMS have significantly lower levels of serotonin receptors compared to healthy women, which might help explain why antidepressants work for PMS symptoms.

Early or limited evidence 31 women with PMS and 26 healthy women

What they did

Case-control study comparing 31 women with PMS to 26 healthy women. Researchers measured serotonin receptor activity on blood cells using a technique called imipramine binding. Both groups completed the Beck Depression Inventory questionnaire.

What they found

Women with PMS had significantly lower numbers of serotonin receptors compared to healthy women (P = 0.003). They also had significantly higher depression scores (P = 0.001). However, there was no correlation between the level of serotonin receptors and depression scores (r = 0.100, P = 0.591).

What it means for you

There may be a serotonin abnormality in PMS that contributes to mood symptoms, which could explain why antidepressants help some women. However, the study is very small with only 31 women with PMS. The lack of correlation between serotonin receptor levels and depression suggests the relationship is more complex. Much more research is needed.

31

Women with PMS in the study

0.003

P-value for lower serotonin receptors in PMS

0.001

P-value for higher depression scores in PMS

About the study

Original title
Serotonergic activity and the Beck Depression Inventory in the premenstrual syndrome
Authors
Engin-Ustün Y, Ustün Y, Gürdal H et al.
Journal
The Journal of reproductive medicine
Year
2005
Study design
Case-control study
Participants
26
What was tested
None (observational measurement)

Topics