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Survey study, 2014

Are immune system markers in the blood linked to PMS severity?

Yes, several immune markers (IL-2, IL-4, IL-10, IL-12, and interferon-gamma) were higher in women with PMS and correlated with symptom severity.

Early or limited evidence 277 women aged 18-30, of whom 67 met PMS diagnostic criteria

What they did

Researchers studied 277 women aged 18-30 between 2006 and 2011. They gave participants a questionnaire about menstrual symptoms and took a blood sample during the mid-luteal phase (the phase before menses). Of these, 67 met diagnostic criteria for PMS and 37 had moderate-to-severe PMS.

What they found

After adjusting for age, smoking, and body mass index, higher levels of IL-2, IL-4, IL-10, and IL-12 were associated with higher menstrual symptom scores. Women with PMS had 92% higher IL-4 levels, 87% higher IL-10, 170% higher IL-12, and 158% higher interferon-gamma compared to women without PMS.

What it means for you

Chronic inflammation may contribute to PMS symptoms, suggesting new treatment approaches. However, the study was cross-sectional with only one blood sample per woman, so it is unclear whether inflammation causes PMS or results from it. Controlled studies are needed to test causation.

277

women studied total

67

met PMS criteria

170%

IL-12 was higher in women with PMS

About the study

Original title
Association of inflammation markers with menstrual symptom severity and premenstrual syndrome in young women
Authors
Bertone-Johnson ER, Ronnenberg AG, Houghton SC et al.
Journal
Human reproduction (Oxford, England)
Year
2014
Study design
Survey study
Participants
67
What was tested
Blood sample analysis for inflammatory markers

Topics