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Study, 2015

How are hormones related to depression in women?

Depression in women is caused by hormonal changes at certain times: before periods, after birth, and around menopause. These can be effectively treated with medications or procedures that change hormone levels, especially transdermal estrogens.

Early or limited evidence Women experiencing depression related to hormonal changes

What they did

The author reviews how hormonal fluctuations cause depression in women and examines treatment approaches including hormonal therapies.

What they found

Hormonal fluctuations cause depression at three key times: before periods, after birth, and around menopause. Severe premenstrual depression responds to ovulation suppression using transdermal estrogens or GnRH analogs. Transdermal estrogens also help depression after birth, especially in women with a history of premenstrual depression. Transdermal testosterone gel helps with loss of energy and loss of libido. The Mirena IUS and surgical removal of the womb and ovaries can help women who cannot tolerate progestogens.

What it means for you

Hormonal changes directly cause certain depressions in women, which means hormonal treatments may work better than standard antidepressants alone. The main limitation is that this discusses treatment approaches based on clinical experience rather than testing treatments in research studies.

About the study

Original title
Personal view: Hormones and depression in women
Authors
Studd J
Journal
Climacteric : the journal of the International Menopause Society
Year
2015
Study design
Study
What was tested
Hormonal treatments including transdermal estrogens, GnRH analogs, testosterone, and surgical options

Topics