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Survey study, 2025

How do hormone changes during the menstrual cycle affect mood and emotions?

Estrogen and progesterone affect brain chemicals and structures that control mood, but scientists still cannot fully explain why some women experience severe symptoms like PMS or PMDD.

Early or limited evidence Literature review, not a primary research study

What they did

Literature review examining how hormonal phases of the menstrual cycle affect mood through neurobiological mechanisms.

What they found

Estrogen and progesterone fluctuations affect serotonin and dopamine systems. Brain structures including the amygdala and prefrontal cortex regulate emotional responses to hormonal changes. Selective serotonin reuptake inhibitors (SSRIs), cognitive behavioral therapy (CBT), and lifestyle interventions may help manage mood symptoms.

What it means for you

Understanding the hormonal and brain basis of menstrual mood changes could lead to better treatments and support. Future research should explore genetic susceptibility, long-term birth control effects, and culturally sensitive approaches to hormone-related mood disorders.

About the study

Original title
Hormonal Fluctuations and Mood Disorders Across the Menstrual Cycle
Authors
Yichen Li
Journal
Theoretical and Natural Science
Year
2025
Study design
Survey study
What was tested
Various treatments discussed: SSRIs, cognitive behavioral therapy, lifestyle interventions
Open access
Yes
Original abstract

The menstrual cycle is an important feature of female reproductive physiology, and its association with psychological factors is increasingly understood. Studies have found that fluctuations in estrogen and progesterone during the menstrual cycle can affect mood, cognition, and emotion regulation. Subsequent studies have had some success in attributing hormonal changes to neurotransmitter systems and brain regions that regulate emotional function. However, these findings still leave some unanswered questions, especially why some women experience severe symptoms such as premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD). This article explores the various hormonal phases of the menstrual cycle and their effects on mood through neurobiological mechanisms, including the effects of estrogen on serotonin and dopamine, and the effects of progesterone on GABA-A receptors. It then explores the role of brain structures such as the amygdala and prefrontal cortex, as well as treatment strategies such as selective serotonin reuptake inhibitors (SSRIs), cognitive behavioral therapy (CBT), and lifestyle interventions. This article explores the effects of hormones on mood through an integrated perspective, which helps to deepen the understanding of mental health during menstruation and demonstrates the need for supportive public health policies. Future research could explore genetic susceptibility, long-term effects of birth control, and culturally sensitive approaches to better address and normalize hormone-related mood disorders.

Reproduced under CC-BY.

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