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Lab study, 2005

When progesterone drops during the menstrual cycle, do brain changes occur that could explain anxiety in PMDD?

Yes, according to this rat study. When progesterone was withdrawn, a specific type of brain receptor involved in anxiety control increased dramatically in numbers in key brain regions.

Early or limited evidence Adult female Wistar rats

What they did

Laboratory study in adult female rats. Three groups were compared: rats given progesterone continuously for 7 days, rats that received progesterone for 6 days then were withdrawn from it for 24 hours, and control rats. Brain tissue was examined to count changes in receptors in the brain region controlling panic and anxiety.

What they found

Rats going through progesterone withdrawal had significantly higher numbers of GABA(A) receptors (the alpha4-beta1-delta type) compared to rats on progesterone or controls. The increase was most pronounced in one specific brain area involved in panic responses. The parallel increase in all three receptor components suggests they work together as a unit when progesterone falls.

What it means for you

When progesterone drops during your cycle, your brain's chemistry changes in ways that might increase anxiety and panic. This could help explain why women with PMDD have worse anxiety during the premenstrual phase. However, this finding is from rats, not yet proven in people. More research is needed to determine if this mechanism applies to women.

6 days

Duration of progesterone treatment

24 hours

Withdrawal period

7 days

Continuous progesterone duration

About the study

Original title
Withdrawal from progesterone increases expression of alpha4, beta1, and delta GABA(A) receptor subunits in neurons in the periaqueductal gray matter in female Wistar rats
Authors
Griffiths J, Lovick T
Journal
The Journal of comparative neurology
Year
2005
Study design
Lab study
What was tested
Progesterone withdrawal

Topics