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Study, 1994

Do women with irregular periods have different premenstrual mood changes than women with regular periods?

No. Both women with irregular and regular periods showed similar increases in anxiety, depression, physical symptoms, and feelings of inadequacy before their period, suggesting the mood changes are not caused by negative expectations.

Early or limited evidence 13 women with irregular periods and 12 women with regular periods

What they did

Researchers studied 13 women with irregular periods and 12 women with regular periods. Each woman reported her symptoms once a week for 5 to 9 weeks. Researchers measured hormone levels to confirm when each woman was ovulating and tracked anxiety, depression, physical symptoms, and feelings of inadequacy.

What they found

Both groups showed a clear increase in total symptoms during the week before their period compared to other times of the month. Both groups reported higher anxiety, depression, physical symptoms, and feelings of inadequacy before menstruation. These premenstrual changes appeared in both women with irregular and regular periods.

What it means for you

Premenstrual mood and physical changes occur in both women with irregular and regular periods. This suggests the symptoms may not be caused just by negative expectations or cycle length, but rather by something about the menstrual cycle itself. However, this study was small and lasted only 5 to 9 weeks, so longer studies in larger groups would help confirm these findings.

13

Women with irregular periods

12

Women with regular periods

5-9

Weeks of tracking for each woman

About the study

Original title
Menstrual-related mood changes in patients with oligomenorrhea
Authors
Facchinetti F, Neri I, Fava M et al.
Journal
Gynecologic and obstetric investigation
Year
1994
Study design
Study
Participants
12
What was tested
None (symptom tracking)
Open access
Yes
Original abstract

In order to evaluate the role of negative anticipation on self-report of premenstrual symptoms, we studied 13 oligomenorrheic and 12 control women with regular menses. Both hormonal and psychological measures (using the Symptom Rating Test) were obtained once a week for 5-9 weeks. The presence of ovulatory cycles was confirmed by progesterone levels > or = 3.0 ng/ml. In both groups, there was a significant increase in the total Symptom Rating Test score during the premenstrual phase with respect to the intermenstrual period. As far as specific symptoms were concerned, MANOVA showed significant premenstrual fluctuations in anxiety, depression, somatic symptoms, and inadequacy in both groups. These results suggest that premenstrual discomfort may be unrelated to both cycle length and negative anticipation of one's menses.

Reproduced under CC-BY.

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