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Case report, 1986

Can hormone implants help severe premenstrual depression when antidepressants don't work?

Yes. One woman with a 5-year history of frequently returning depression that didn't improve with usual antidepressants improved completely after receiving estradiol and testosterone implants every 4 months, and her cortisol level (a stress hormone) returned to normal.

Early or limited evidence 1 woman with 5-year history of frequently recurrent premenstrual depression

What they did

Case report of one woman with severe premenstrual depression lasting 5 years that didn't respond to standard antidepressants. She had a raised cortisol level and worsened with progesterone or ACTH (a hormone that raises cortisol). She received estradiol and testosterone implants every 4 months.

What they found

The hormone implants removed all her symptoms for at least 8 years. Her cortisol level returned to normal.

What it means for you

Estradiol and testosterone implants may help severe premenstrual depression linked to high cortisol when other treatments don't work. This is based on one case followed over 8 years.

5 years

history of recurrent depression

8 years

duration of symptom relief

4 months

implant frequency

About the study

Original title
Premenstrual depression, cortisol and oestradiol treatment
Authors
Crammer JL
Journal
Psychological medicine
Year
1986
Study design
Case report
What was tested
Estradiol and testosterone implant every 4 months

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