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Review, 1998

How does the menstrual cycle affect other medical conditions?

Many medical conditions worsen at specific points in the menstrual cycle because of sudden changes in hormone levels. This includes migraines, epilepsy, asthma, arthritis, irritable bowel syndrome, and diabetes.

Moderate study design Literature review of published research (not a clinical trial)

What they did

Review of peer-reviewed English-language scientific literature examining how menstrual cycle phases affect various medical conditions. Focus was on diagnosis and treatment of conditions that flare at specific times in the cycle.

What they found

Worsening of certain medical conditions at specific menstrual cycle phases is well-recognized. Abrupt changes in ovarian hormones at ovulation and before the period may account for these flares. Medical suppression of ovulation using GnRH agonists (hormone-blocking drugs) can help diagnose and treat severe, recurrent cycle-related disease flares.

What it means for you

Women with chronic medical conditions should track their symptoms on a menstrual calendar to see if they worsen at certain cycle times. If they do, asking a doctor about hormone-suppressing treatment may help. This is a summary of existing knowledge, not new research.

6

Medical conditions reviewed (migraine, epilepsy, asthma, arthritis, IBS, diabetes)

2

Key cycle phases with hormone changes (ovulation and premenstrual)

About the study

Original title
Effects of the menstrual cycle on medical disorders
Authors
Case AM, Reid RL
Journal
Archives of internal medicine
Year
1998
Study design
Review
What was tested
Review of GnRH agonist use for managing cycle-related disease flares

Topics