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Survey study, 2016

Can a blood test tell PMDD apart from regular PMS?

Possibly, but this is early lab research. Women with PMDD had lower beta-arrestin1 protein and higher testosterone than women with PMS, suggesting these might one day help with diagnosis, but it has not been tested as an actual diagnostic test.

Early or limited evidence 25 non-pregnant women aged 18-42 with PMS or PMDD symptoms, tested in the luteal phase

What they did

Researchers studied 25 women aged 18 to 42 with PMS or PMDD symptoms, not on antidepressants, tested during the luteal (premenstrual) phase. They measured beta-arrestin1 protein in blood immune cells and testosterone in blood plasma, and assessed depression severity with a standard interview and the Hamilton Depression Rating Scale.

What they found

Women with PMDD (who had depression) had significantly higher testosterone levels and significantly lower beta-arrestin1 protein levels than women with PMS alone.

What it means for you

These biological differences might eventually help doctors distinguish PMDD from PMS, but the study is small (25 women), cross-sectional, and does not test this as a working diagnostic tool. More research is needed before this could be used in clinics.

25

Number of women studied

18-42 years

Age range

About the study

Original title
Beta‐arrestin1 and testosterone levels in women with depression during premenstrual dysphoric disorder
Authors
Keisha Smith, Farzana Alam, Twum Ampofo Ansah et al.
Journal
The FASEB Journal
Year
2016
Study design
Survey study
Participants
25
What was tested
No treatment tested; this was a comparison of blood markers between PMS and PMDD groups

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