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Survey study, 2025

How do estrogen and progesterone affect anxiety and cigarette craving during the menstrual cycle?

Anxiety and cigarette craving are highest during the 7 days before your period starts and the first 3 days after, regardless of hormone levels. At other times, higher progesterone and lower estrogen are linked to lower anxiety and craving.

Early or limited evidence 50 women who smoke daily

What they did

50 women who smoke daily provided morning saliva samples to measure estrogen and progesterone. They also reported their anxiety and cigarette craving each day. Researchers compared days right before and during the period (perimenstrum) with other days of the cycle.

What they found

During perimenstrum, anxiety and craving were high no matter what the hormone levels were. Outside perimenstrum, higher progesterone with lower estrogen was associated with lower anxiety and lower craving.

What it means for you

The time around your period is a high-risk window for anxiety and craving regardless of hormone levels. At other times, the balance between your hormones matters more. These findings are from women who smoke daily, so may not apply to all women.

50

women studied

7

days before period in perimenstrum window

3

days after period starts in perimenstrum window

About the study

Original title
The Influence of Perimenstrual Daily Ovarian Hormones on Anxiety and Cigarette Craving
Authors
Farris SG, Rogers AH, DiBello AM et al.
Journal
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
Year
2025
Study design
Survey study
Participants
50
What was tested
Daily measurement of estrogen and progesterone during natural menstrual cycle
Open access
Yes

Topics