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Exploratory study of premenstrual symptoms and serotonin variability

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Summary

Premenstrual symptoms can pose significant problems for a large number of women; this small exploratory study was designed to investigate biological markers that may provide etiological clues. Using an algorithm based on daily symptom charting for two months, 15 participants were assigned to one of three study groups: non-symptomatic (n = 9), probable PMS (n = 3) and probable PMDD (n = 3). During two overnight admissions, one prior to and one following the onset of menses, participants had blood drawn to assess the level of available serotonin via one of its metabolites, 5-HIAA. The three groups exhibited potentially significant differences in several biological markers. This study‘s results are consistent with a hypothesis implicating serotonin in the generation of premenstrual symptomology.

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References

  • American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, revised 4th edn. American Psychiatric Association, Washington, DC.

  • I Blum L Nessiel A David et al. (1992) ArticleTitlePlasma neurotransmitter profile during different phases of the ovulatory cycle. J Clin Endocrinol Metab 75 924–929 Occurrence Handle10.1210/jc.75.3.924 Occurrence Handle1:CAS:528:DyaK38XmtVGlt7g%3D Occurrence Handle1517387

    Article  CAS  PubMed  Google Scholar 

  • RF Casper MT Hearn (1990) ArticleTitleThe effect of hysterectomy and bilateral oophorectomy in women with severe premenstrual syndrome. Am J Obstet Gynecol 162 109

    Google Scholar 

  • RI Cone GA Davis RW Goy (1981) ArticleTitleEffects of ovarian steroids on serotonin metabolism within grossly dissected and micro dissected brain regions of the ovariectomized rat. Brain Res Bull 7 639–644 Occurrence Handle10.1016/0361-9230(81)90111-8 Occurrence Handle1:CAS:528:DyaL38XhtlKisbc%3D Occurrence Handle7326580

    Article  CAS  PubMed  Google Scholar 

  • J Endicott (1993) ArticleTitleThe menstrual cycle and mood disorders. J Affect Disord 29 193–200 Occurrence Handle10.1016/0165-0327(93)90033-G Occurrence Handle1:STN:280:DyaK2c7jt1CntA%3D%3D Occurrence Handle8300978

    Article  CAS  PubMed  Google Scholar 

  • J Endicott J Nee J Cohen et al. (1986) ArticleTitlePremenstrual changes: patterns and correlates of daily ratings. J Affect Disord 10 127 Occurrence Handle10.1016/0165-0327(86)90035-2 Occurrence Handle1:STN:280:DyaL283ltFyjtA%3D%3D Occurrence Handle2941469

    Article  CAS  PubMed  Google Scholar 

  • RT Frank (1931) ArticleTitleThe hormonal causes of premenstrual tension. Arch Neurol Psychiatry 26 1053

    Google Scholar 

  • E Freeman K Rickels SJ Sondheimer et al. (1990) ArticleTitleIneffectiveness of progesterone suppository treatment for premenstrual syndrome. JAMA 263 340–353

    Google Scholar 

  • U Halbreich J Endicott S Schacht et al. (1982) ArticleTitleThe diversity of premenstrual changes as reflected in the premenstrual assessment form. Acta Psychiatr Scand 65 46 Occurrence Handle1:STN:280:DyaL2c%2FkvVGmsg%3D%3D Occurrence Handle6892280

    CAS  PubMed  Google Scholar 

  • I Hindberg O Naesh (1992) ArticleTitleSerotonin concentrations in plasma and variations during the menstrual cycle. Clin Chem 38 2087–2089 Occurrence Handle1:CAS:528:DyaK3sXht1Oq Occurrence Handle1394995

    CAS  PubMed  Google Scholar 

  • DS Janowsky WE Fann JM Davis (1971) ArticleTitleMonoamines and ovarian hormone-linked sexual and emotional changes: a review. Arch Sex Behav 1 IssueID3 205–218 Occurrence Handle10.1007/BF01541683 Occurrence Handle1:CAS:528:DyaE38Xls1Sgs7g%3D

    Article  CAS  Google Scholar 

  • LL Lewis EM Greenblatt CA Rittenhouse et al. (1995) ArticleTitlePulsatile release patterns of luteinizing hormone and progesterone in relation to symptom onset in women with premenstrual syndrome. Fertil Steril 64 IssueID2 288–292 Occurrence Handle1:STN:280:DyaK2MzktVSjsw%3D%3D Occurrence Handle7615105

    CAS  PubMed  Google Scholar 

  • J Lin DS Thompson (2001) ArticleTitleTreating premenstrual dysphoric disorder using serotonin agents. J Womens Health Gend Based Med 10 IssueID8 745–750 Occurrence Handle10.1089/15246090152636497 Occurrence Handle1:STN:280:DC%2BD3MnltFOrsA%3D%3D Occurrence Handle11703886

    Article  CAS  PubMed  Google Scholar 

  • JJ Mann (1999) ArticleTitleRole of the serotonergic system in the pathogenesis of major depression and suicidal behaviour. Neuropsychopharmacology 21 IssueID[Suppl 2] 99S–105S Occurrence Handle1:CAS:528:DyaK1MXltVOntb4%3D Occurrence Handle10432495

    CAS  PubMed  Google Scholar 

  • Marshall J, Odell W (1989) The menstrual cycle-hormonal regulation, mechanisms of anovulation, and responses of the reproductive tract to steroid hormones. In: DeGroot L, Besser G, Marshall J et al (eds), Endocrinology, 2nd edn. Saunders, Philadelphia, 1940–1949. (Author: check the accuracy of this reference)

  • J Melke L Westberg M Landen C Sunblad O Eriksson R Baghei R Rosmond E Eriksson A Ekman (2003) ArticleTitleSerotonin transporter gene polymorphisms and platelet [3H] paroxetine binding in premenstrual dysphoria. Psychoneuroendocrinology 28 IssueID3 446–458 Occurrence Handle10.1016/S0306-4530(02)00033-1 Occurrence Handle1:CAS:528:DC%2BD3sXotlOlsQ%3D%3D Occurrence Handle12573307

    Article  CAS  PubMed  Google Scholar 

  • DR Mishell (1989) ArticleTitleContraception. N Engl J Med 320 777–787 Occurrence Handle2646540 Occurrence Handle10.1056/NEJM198903233201206

    Article  PubMed  Google Scholar 

  • JF Mortola L Girton L Beck et al. (1990) ArticleTitleDiagnosis of premenstrual syndrome by a simple, prospective and reliable instrument: the calendar of premenstrual experiences. Obstet Gynecol 76 302 Occurrence Handle1:STN:280:DyaK3czhvVKqtw%3D%3D Occurrence Handle2371035

    CAS  PubMed  Google Scholar 

  • TB Pearlstein E Frank A Rivera-Tovar et al. (1990) ArticleTitlePrevalence of axis I and axis II disorders in women with late luteal phase dysphoric disorder. J Affect Disord 20 129–134 Occurrence Handle10.1016/0165-0327(90)90126-S Occurrence Handle1:STN:280:DyaK3M%2FptlCqsg%3D%3D Occurrence Handle2148327

    Article  CAS  PubMed  Google Scholar 

  • T Pearlstein AB Stone (1998) ArticleTitlePremenstrual syndrome. Psychiatr Clin N Am 21 577–590 Occurrence Handle10.1016/S0193-953X(05)70024-1 Occurrence Handle1:STN:280:DyaK1cvksl2hsQ%3D%3D

    Article  CAS  Google Scholar 

  • M Pecins-Thompson NA Brown CL Bethea (1998) ArticleTitleRegulation of serotonin re-uptake transporter mRNA expression by ovarian steroids in rhesus macaques. Brain Res Mol Brain Res 53 IssueID1–2 120–129 Occurrence Handle1:CAS:528:DyaK1cXit1aktr4%3D Occurrence Handle9473622

    CAS  PubMed  Google Scholar 

  • AJ Rapkin E Edelmuth LC Chang et al. (1987) ArticleTitleWhole-blood serotonin in premenstrual syndrome. Obstet Gynecol 70 IssueID4 533–537 Occurrence Handle1:STN:280:DyaL2szhs1aguw%3D%3D Occurrence Handle3627623

    CAS  PubMed  Google Scholar 

  • AJ Rapkin M Morgan L Goldman DW Brann et al. (1997) ArticleTitleProgesterone metabolite allopregnanolone in women with premenstrual syndrome. Obstet Gynecol 90 709–714 Occurrence Handle10.1016/S0029-7844(97)00417-1 Occurrence Handle1:STN:280:DyaK1c%2Fht1Witg%3D%3D Occurrence Handle9351749

    Article  CAS  PubMed  Google Scholar 

  • E Redei EW Freeman (1995) ArticleTitleDaily plasma estradiol and progesterone levels over the menstrual cycle and their relation to premenstrual symptoms. Psychoneuroendocrinology 20 IssueID3 259–267 Occurrence Handle10.1016/0306-4530(94)00057-H Occurrence Handle1:CAS:528:DyaK2MXktlaqtbk%3D Occurrence Handle7777654

    Article  CAS  PubMed  Google Scholar 

  • CA Roca PJ Schmidt M Bloch et al. (1996) ArticleTitleImplications of endocrine studies of premenstrual syndrome. Psychiatr Ann 26 576–580

    Google Scholar 

  • DP Rose PW Adams (1972) ArticleTitleOral contraceptives and tryptophan metabolism: effects of oestrogen in low dose combined with a progestagen and of a low-dose progestagen (megestrol acetate) given alone. J Clin Pathol 25 252–258 Occurrence Handle1:CAS:528:DyaE38XksVelt74%3D Occurrence Handle5018716

    CAS  PubMed  Google Scholar 

  • LE Ross M Steiner (2003) ArticleTitleA biopsychosocial approach to premenstrual dysphoric disorder. Psychiatr Clin N Am 26 IssueID3 529–546 Occurrence Handle10.1016/S0193-953X(03)00035-2

    Article  Google Scholar 

  • DR Rubinow P Roy-Byrne C Hoban et al. (1984) ArticleTitleProspective assessment of menstrually related mood disorders. Am J Psychiatry 141 684 Occurrence Handle1:STN:280:DyaL2c7ns1amtg%3D%3D Occurrence Handle6538762

    CAS  PubMed  Google Scholar 

  • DR Rubinow PJ Schmidt (1995) ArticleTitleThe treatment of premenstrual syndrome – forward into the past. N Eng J Med 332 1574–1575 Occurrence Handle1:STN:280:DyaK2M3lvVWhtQ%3D%3D

    CAS  Google Scholar 

  • PJ Schmidt LK Nieman MA Danaceau et al. (1998) ArticleTitleDifferential behavioral effects of gonadal steroids in women with and those without premenstrual syndrome. N Engl J Med 338 209–216 Occurrence Handle10.1056/NEJM199801223380401 Occurrence Handle1:CAS:528:DyaK1cXosVeqsA%3D%3D Occurrence Handle9435325

    Article  CAS  PubMed  Google Scholar 

  • RN Smith JWW Studd D Zamblera et al. (1995) ArticleTitleA randomized comparison over 8 months of 100 micrograms and 200 micrograms twice weekly doses of transdermal oestradiol in the treatment of severe premenstrual syndrome. Br J Obstet Gynecol 70 37–43

    Google Scholar 

  • Spitzer RL, Williams JBW, Gibbon M et al (1990) Structured Clinical Interview for DSM-III-R–Non-Patient Edition (SCID-NP, Version 1.0). American Psychiatric Press, Washington.

  • M Steiner RF Haskett BJ Carroll (1980) ArticleTitlePremenstrual tension syndrome: the development of research diagnostic criteria and new rating scales. Acta Psychiatr Scand 62 177 Occurrence Handle1:STN:280:DyaL3M7jtVWmsA%3D%3D Occurrence Handle7193399

    CAS  PubMed  Google Scholar 

  • M Steiner DL Streiner S Steinberg et al. (1999) ArticleTitleThe measurement of premenstrual mood symptoms. J Affect Disord 53 IssueID3 269–273 Occurrence Handle10.1016/S0165-0327(98)00121-9 Occurrence Handle1:STN:280:DyaK1MzjtFGquw%3D%3D Occurrence Handle10404713

    Article  CAS  PubMed  Google Scholar 

  • DL Taylor RJ Mathew BT Ho et al. (1984) ArticleTitleSerotonin levels and platelet uptake during premenstrual tension. Neuropsychobiology 12 16–18 Occurrence Handle1:STN:280:DyaL2M%2Fos1OjtA%3D%3D Occurrence Handle6542630 Occurrence Handle10.1159/000118103

    Article  CAS  PubMed  Google Scholar 

  • ML Vitale SR Chicchio (1993) ArticleTitleSerotonin, a neurotransmitter involved in the regulation of luteinizing hormone release. Endocr Rev 14 IssueID4 480–493 Occurrence Handle10.1210/er.14.4.480 Occurrence Handle1:CAS:528:DyaK3sXlvFGku70%3D Occurrence Handle8223342

    Article  CAS  PubMed  Google Scholar 

  • LF Voigt NS Weiss Ji Chu (1991) ArticleTitleProgestogen supplementation of exogenous oestrogens and risk of endometrial cancer. Lancet 338 274–277 Occurrence Handle10.1016/0140-6736(91)90417-N Occurrence Handle1:STN:280:DyaK3MzgsVWqug%3D%3D Occurrence Handle1677110

    Article  CAS  PubMed  Google Scholar 

  • NR Watson JWW Studd M Savvas et al. (1989) ArticleTitleTreatment of severe premenstrual syndrome with oestradioal patches and cyclical oral norethisterone. Lancet ii 730–732

    Google Scholar 

  • JJ Wurtman (1993) ArticleTitleDepression and weight gain: the serotonin connection. J Affect Disord 29 183–192 Occurrence Handle10.1016/0165-0327(93)90032-F Occurrence Handle1:STN:280:DyaK2c7jt1Cntw%3D%3D Occurrence Handle8300977

    Article  CAS  PubMed  Google Scholar 

  • Wyatt KM, Dimmock PW, O‘Brien PMS (2002) Selective serotonin reuptake inhibitors for premenstrual syndrome (Cochrane Review). Cochrane Database Systematic Review 4. CD001396. Update Software, Oxford.

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Clayton, A., Keller, A., Leslie, C. et al. Exploratory study of premenstrual symptoms and serotonin variability. Arch Womens Ment Health 9, 51–57 (2006). https://doi.org/10.1007/s00737-005-0118-4

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