--- title: Can psychotic symptoms happen only during and just after menstruation? description: Yes, in this case a woman had psychotic symptoms including hallucinations and paranoia that started with her period and went away about 10 days later. This pa url: https://niyora.com/research/papers/is-menstrual-psychosis-a-forgotten-entity-2018/ --- - [Niyora](https://niyora.com/) - [Research](https://niyora.com/research/) - [Library](https://niyora.com/research/library/) - Can psychotic symptoms happen only during and just after menstruation? Case report, 2018 # Can psychotic symptoms happen only during and just after menstruation? Yes, in this case a woman had psychotic symptoms including hallucinations and paranoia that started with her period and went away about 10 days later. This pattern repeated every menstrual cycle for 7 years. Very few cases like this have been reported. Early or limited evidence One 42-year-old woman in India with psychotic symptoms linked to menstruation ## What they did A case report of one 42-year-old woman who had psychotic symptoms tied to her menstrual cycle. Doctors gave her risperidone medication and tracked her symptoms. They tested her hormone levels. When she stopped medication after 3 months, they watched what happened next. ## What they found The woman had irritability, aggression, paranoid ideas, hallucinations, disorganized behavior and poor self-care lasting about 20 days starting with menstruation, then 10 days without symptoms until the next period. Her hormone levels were normal despite this pattern. When treated with risperidone, she had no symptoms with her next period. When she stopped medication after 3 months, symptoms came back in the first two weeks of her menstrual cycle. ## What it means for you A very small number of women may have psychotic symptoms tied to their menstrual cycle, possibly because of estrogen changes. This is very rare, and we only know about a handful of cases. It's important because doctors might not recognize it as a menstrual-related condition. The medication risperidone seemed to help, but the woman's symptoms returned when she stopped taking it. 1 woman in case 7 years cyclical pattern duration 20 days symptoms per cycle ## About the study Original title Is menstrual Psychosis a Forgotten Entity? Authors Vengadavaradan A, Sathyanarayanan G, Kuppili PP et al. Journal Indian journal of psychological medicine Year 2018 Study design Case report Participants 30 What was tested Risperidone 4 mg per day Open access Yes Read the paper [doi.org/10.4103/ijpsym.ijpsym_205_18](https://doi.org/10.4103/ijpsym.ijpsym_205_18) ## Topics [Menstrual cycle and mood](https://niyora.com/research/topics/condition-cycle-mood/)[Menstrual psychosis](https://niyora.com/research/topics/condition-menstrual-psychosis/)[Irritability and anger](https://niyora.com/research/topics/symptom-irritability-anger/)[Schizophrenia and psychosis](https://niyora.com/research/topics/comorbidity-psychosis/) Research tells you what helps on average. Niyora helps on the day it hits. Calm down, see it another way, and decide what to say, with a PMS and PMDD app built by a doctor. ## Related studies Case-control study, 2021 Do women with PMDD have different brain responses to emotions? Interview study, 2000 Are depression and personality disorders linked to PMDD? Study, 2024 Can PMDD cause psychosis that returns with each menstrual cycle? Case report, 2023 What is menstrual psychosis? Randomised trial, 2023 What does research show about PMDD neurochemistry? Case report, 2018 Can medication stop psychotic symptoms that come every month with your period? Ask AI about this page Copy prompt ChatGPT ↗ Claude ↗ Perplexity ↗ Google AI Mode ↗ Grok ↗