---
title: Are hormone and growth factor levels different in women with PMDD during the luteal phase?
description: Yes. Women with PMDD have higher progesterone and cortisol during the late luteal phase, and these are linked to worse symptoms. Growth factors that may prote
url: https://niyora.com/research/papers/estrogen-progesterone-cortisol-brain-derived-neurotrophic-factor-and-vascular-2024/
---

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- Are hormone and growth factor levels different in women with PMDD during the luteal phase?

Case-control study, 2024

# Are hormone and growth factor levels different in women with PMDD during the luteal phase?

Yes. Women with PMDD have higher progesterone and cortisol during the late luteal phase, and these are linked to worse symptoms. Growth factors that may protect are lower in women with PMDD.

 Moderate study design

58 women with PMDD and 50 healthy women

## What they did

58 women with PMDD and 50 healthy women had blood samples at three timepoints during the luteal phase: preovulation, mid-luteal, and late-luteal. Researchers measured estrogen, progesterone, cortisol, BDNF (brain-derived neurotrophic factor), and VEGF (vascular endothelial growth factor). They also measured PMDD severity, depression, perceived stress, attention, cravings, and fatigue.

## What they found

Women with PMDD who had higher progesterone during the mid-luteal or late-luteal phase showed greater increases in PMDD symptoms. Women with PMDD had higher cortisol during the late-luteal phase than controls. BDNF was negatively linked with PMDD severity (lower BDNF meant worse symptoms). Both BDNF and VEGF were negatively linked with inattention and cravings for sweet foods among women with PMDD.

## What it means for you

Progesterone and cortisol may worsen PMDD symptoms in the late luteal phase. Growth factors like BDNF may be protective. These are associations, not proof that hormones cause symptoms. Larger studies are needed.

58

Women with PMDD

50

Healthy control women

3

Blood sampling timepoints

## About the study

Original title Estrogen, progesterone, cortisol, brain-derived neurotrophic factor, and vascular endothelial growth factor during the luteal phase of the menstrual cycle in women with premenstrual dysphoric disorder Authors Ko CH, Wong TH, Suen JL et al. Journal Journal of psychiatric research Year 2024 Study design Case-control study Participants 58 What was tested Blood hormone and growth factor measurement at three cycle timepoints Read the paper [doi.org/10.1016/j.jpsychires.2023.11.019](https://doi.org/10.1016/j.jpsychires.2023.11.019)

## Topics

[Premenstrual dysphoric disorder (PMDD)](https://niyora.com/research/topics/condition-pmdd/)[Low mood and depression](https://niyora.com/research/topics/symptom-depression-mood/)[Cognition, concentration and memory](https://niyora.com/research/topics/symptom-cognition/)[Appetite and food cravings](https://niyora.com/research/topics/symptom-food-cravings/)[Stress](https://niyora.com/research/topics/symptom-stress/)[Major depressive disorder](https://niyora.com/research/topics/comorbidity-major-depression/)

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