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Case-control study, 2000

Does blood flow in the brain change during PMS?

Yes. A small study found that brain blood flow decreased in the temporal lobes during the premenstrual period in women with PMS, and this related to worsening depression.

Early or limited evidence 7 women with PMS who sought treatment and 7 healthy control women

What they did

Case-control study comparing 7 women with PMS to 7 healthy controls. Participants had brain scans during the premenstrual and postmenstrual periods. The researchers measured blood flow in different brain areas and depression severity.

What they found

Brain blood flow in the temporal lobes decreased during the premenstrual period in women with PMS but not in controls. The decrease strongly correlated with depression scores (right temporal lobe r = 0.91, p < 0.01; left temporal lobe r = 0.86, p = 0.01). No changes were seen in other brain areas.

What it means for you

PMS may involve changes in brain blood flow that relate to mood changes. The study is preliminary and limited by the small sample size (only 7 women per group), so results need confirmation in larger studies.

7

Women with PMS in study

7

Control women in study

0.91

Right temporal lobe correlation coefficient

About the study

Original title
Changes in cerebral blood flow associated with premenstrual syndrome: a preliminary study
Authors
Buchpiguel C, Alavi A, Crawford D et al.
Journal
Journal of psychosomatic obstetrics and gynaecology
Year
2000
Study design
Case-control study
What was tested
None - observational study comparing brain blood flow between periods

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