---
title: Do oral contraceptives help psychotic symptoms that start before menstruation?
description: In one adolescent with psychosis starting just before her period, symptoms improved after her period ended and after she started taking oral contraceptives an
url: https://niyora.com/research/papers/premenstrual-psychosis-in-an-adolescent-a-case-report-2018/
---

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- Do oral contraceptives help psychotic symptoms that start before menstruation?

Case report, 2018

# Do oral contraceptives help psychotic symptoms that start before menstruation?

In one adolescent with psychosis starting just before her period, symptoms improved after her period ended and after she started taking oral contraceptives and olanzapine. We can't know from this single case whether the contraceptives, the medication, or the natural end of menstruation helped most.

 Early or limited evidence

One adolescent with psychosis linked to menstruation

## What they did

A case report of one adolescent who developed a new episode of psychosis shortly before her period started. She was treated with combined oral contraceptives and olanzapine, an antipsychotic medication.

## What they found

Her psychotic symptoms got better after her period ended and after she started the contraceptives and medication together.

## What it means for you

A very small number of adolescents may develop psychosis linked to their menstrual cycle, possibly related to estrogen changes. We don't know from this one case whether the contraceptives, the medication, or the natural end of the period helped the most. This is one adolescent, so we can't say how common this is or how well it works for others.

1

adolescent

before period

when psychosis began

after period

symptom improvement

## About the study

Original title Premenstrual Psychosis in an Adolescent: A Case Report Authors Fatica JP, Jiwani S, Salman R et al. Journal Clinical schizophrenia & related psychoses Year 2018 Study design Case report What was tested Combined oral contraceptives and olanzapine Read the paper [doi.org/10.3371/csrp.faji.061518](https://doi.org/10.3371/csrp.faji.061518)

## Topics

[Menstrual psychosis](https://niyora.com/research/topics/condition-menstrual-psychosis/)[Oral contraceptives and drospirenone](https://niyora.com/research/topics/treatment-hormonal-contraceptives/)[Schizophrenia and psychosis](https://niyora.com/research/topics/comorbidity-psychosis/)[Adolescents and young people](https://niyora.com/research/topics/life-area-adolescents/)

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