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Non-randomised trial, 2014

Does hormone therapy help women with depression linked to periods and menopause?

Yes. Thirty-five percent reported being cured and 55 percent had considerable improvement. For 94 percent, hormone therapy was life-changing for the better, and none reported worsening.

Early or limited evidence 238 women with depression as the main symptom attending a PMS and Menopause Centre

What they did

238 women from a PMS and Menopause Centre completed an email survey. Their main symptom was depression. All received transdermal estrogen. Ninety-three percent also received transdermal testosterone. Of those with a uterus, 171 also received cyclical progestogen. Their treatment outcomes and depression histories were recorded.

What they found

Most women had severe or moderate depression, a history of PMS as teenagers, no depression during pregnancy but depression after birth. With hormone therapy, 35 percent reported being cured, 55 percent had considerable improvement, and only 3.7 percent had no improvement. Thirty-eight women who had hysterectomy and removal of both ovaries reported the procedure was life-changing for the better. Sixty-three percent of those on progestogen developed PMS-type symptoms during progestogen days.

What it means for you

Hormone therapy appears helpful for depression linked to periods and menopause. However, this is a survey of women who chose to attend a specialized centre, with no control group. We cannot be certain the improvement was caused by the therapy alone.

238

women surveyed

35%

reported being cured

55%

had considerable improvement

About the study

Original title
Hormone therapy for reproductive depression in women
Authors
Studd J
Journal
Post reproductive health
Year
2014
Study design
Non-randomised trial
Participants
238
What was tested
Transdermal estrogen and testosterone, with cyclical progestogen for some

Topics