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Survey study, 2005

Does the menstrual cycle affect obsessive-compulsive disorder symptoms?

Yes, for some women. OCD started at menarche in 22% of women and worsened premenstrually in 20%. It worsened after childbirth in 50% of women who became pregnant.

Early or limited evidence 46 women with OCD

What they did

Cross-sectional study where 46 women with OCD completed interviews from 2001 to 2003 about whether their OCD started or worsened during reproductive events like menarche, pregnancy, postpartum, or menopause.

What they found

OCD began at menarche in 22% (n=10), at pregnancy in 2% (n=1), at postpartum in 7% (n=3), and at menopause in 2% (n=1). It worsened premenstrually in 20% (9/45), at pregnancy in 8% (1/12), at postpartum in 50% (6/12), and at menopause in 8% (1/12). Women with more premenstrual mood symptoms had 5.1-fold higher risk of premenstrual OCD worsening and 2.7-fold higher risk of postpartum worsening.

What it means for you

For some women, OCD symptoms are linked to hormonal changes during the menstrual cycle and pregnancy. This study relied on women remembering when symptoms started, which is not always accurate.

46

women with OCD

22%

with OCD onset at menarche

20%

with premenstrual OCD worsening

About the study

Original title
Female reproductive cycle and obsessive-compulsive disorder
Authors
Labad J, Menchón JM, Alonso P et al.
Journal
The Journal of clinical psychiatry
Year
2005
Study design
Survey study
Participants
10
What was tested
None, interviews about symptom timing

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