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Is there a connection between menstruation and mental health?

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Published At May 3, 2024
Reviewed AtMay 3, 2024

Patient's Query

Hello doctor,

I am a 40-year-old female. I have noticed some irregularities in my menstrual cycle lately, and it is been a bit concerning. Can you explain how menstrual cycles are typically assessed, and what factors might contribute to irregularities? I have been experiencing changes in my mood during my menstrual cycle, and it is impacting my daily life. Can you help me understand the connection between menstruation and mental health, and what options are available for managing mood-related symptoms? I have read that there could be a link between suicidal thoughts and menstruation. Can you elaborate on the assessment of suicide risk with the menstrual cycle, and what signs should I be aware of?

Thank you.

Hello,

Welcome to icliniq.com.

I can understand your concern. Irregularities in menstrual cycles can be concerning, but there are various factors to consider. To assess menstrual cycles, we typically evaluate cycle length, regularity, flow, and associated symptoms like pain or mood changes. Factors contributing to irregularities can include hormonal imbalances, stress, changes in weight, thyroid disorders, polycystic ovary syndrome (PCOS), perimenopause, and more. Regarding the connection between menstruation and mental health, fluctuating hormone levels during the menstrual cycle can impact neurotransmitters like serotonin and GABA (Gamma-aminobutyric acid), affecting mood. This can lead to premenstrual syndrome (PMS) or more severe premenstrual dysphoric disorder (PMDD), causing mood swings, irritability, anxiety, or depression.

Options for managing mood-related symptoms include lifestyle changes (stress management, regular exercise, adequate sleep), dietary adjustments, hormonal contraceptives, and medications like antidepressants or hormonal therapies. Regarding suicidal thoughts, while there is some evidence suggesting a link between menstruation and increased suicide risk, it is complex and not fully understood. Assessing suicide risk involves evaluating mood changes, previous mental health history, the presence of depression or other psychiatric disorders, and current stressors. Signs to be aware of include persistent sadness, hopelessness, social withdrawal, reckless behavior, and talking about death or suicide. If you have suicidal thoughts then you must consult a psychiatrist for evaluation and treatment.

I hope that you get your answer.

Please let me know if you need some help.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vishal Anilkumar Gandhi
Dr. Vishal Anilkumar Gandhi

Psychiatry

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