Depressed mood, quick temper, sleep problems, anxiety, feeling detached and barely able to cope with everyday life – women with premenstrual dysphoric disorder (PMDD), a condition that causes great suffering for those affected, are familiar with all of these symptoms. It is known that the symptoms occur between ovulation and menstruation, but the cause is still largely unclear. Now, in a recent study, researchers led by Julia Sacher and Kim Carina Hoffmann from the Max Planck Institute for Human Cognitive and Brain Sciences and the Department of Cognitive Neurology at the University of Leipzig Medical Center have shown that patients with PMDD have a blunted morning stress hormone response around the time of ovulation, in contrast to healthy women. In collaboration with colleagues at the Clinic and Polyclinic for Nuclear Medicine at University of Leipzig Medical Center and the Institute for Psychosocial Medicine, Psychotherapy, and Psycho-Oncology at Jena University Hospital, they further demonstrated that lower cortisol peaks towards the end of the cycle are associated with more depressive symptoms and increased serotonin transporter binding in the midbrain.
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