Menstrual psychosis

2019 ◽  
pp. 1-3
Author(s):  
E. Ahern ◽  
D. Cohen ◽  
C. Prior ◽  
E. Raji
Keyword(s):  
Menstrual Cycle ◽  
Potential Role ◽  
Psychotic Disorders ◽  
Menstrual Period ◽  
Psychotic Symptoms ◽  
Adolescent Female ◽  
Review Of The Literature ◽  
Menstrual Phase ◽  
Menstrual Psychosis

In this report, we explore a case of symptoms consistent with menstrual psychosis. In order to do this, a review of the literature relating to this topic was conducted and a report was written. This is a case of a previously well adolescent female who experienced psychotic symptoms in the pre-menstrual phase of her cycle and became well soon after her menstrual period began. These episodes were prevented by aripiprazole, but recurred once medication was withdrawn. We conclude that psychosis in some women may have a relationship with the menstrual cycle. In women presenting with psychosis, it may be appropriate to note menstrual variation in symptoms. This could have a potential role in individualisation of treatment for women with psychotic disorders.

scholarly journals Exacerbation of Psychosis During the Perimenstrual Phase of the Menstrual Cycle: Systematic Review and Meta-analysis

2019 ◽  
Vol 46 (1) ◽  
pp. 78-90 ◽  
Author(s):  
Thomas J Reilly ◽  
Vanessa C Sagnay de la Bastida ◽  
Dan W Joyce ◽  
Alexis E Cullen ◽  
Philip McGuire
Keyword(s):  
Systematic Review ◽  
Menstrual Cycle ◽  
Random Effects ◽  
Psychotic Disorders ◽  
Meta Analysis ◽  
Psychotic Symptoms ◽  
Cycle Phase ◽  
Menstrual Cycle Phase ◽  
Psychiatric Admission ◽  
Admission Rates

Abstract Psychotic disorders can be exacerbated by the hormonal changes associated with childbirth, but the extent to which exacerbations occur with the menstrual cycle is unclear. We addressed this issue by conducting a systematic review. Embase, Medline, and PsychINFO databases were searched for studies that measured exacerbations of psychotic disorders in relation to the menstrual cycle. We extracted exacerbation measure, definition of menstrual cycle phase, and measurement of menstrual cycle phase. Standard incidence ratios were calculated for the perimenstrual phase based on the observed admissions during this phase divided by the expected number of admissions if the menstrual cycle had no effect. Random effects models were used to examine pooled rates of psychiatric admission in the perimenstrual phase. Nineteen studies, comprising 1193 participants were eligible for inclusion. Eleven studies examined psychiatric admission rates, 5 examined symptoms scores, 2 examined self-reported exacerbation, and 1 examined both admission rates and symptom scores. A random effects model demonstrated the rate of admissions during the perimenstrual phase was 1.48 times higher than expected (95% CI: 1.31–1.67), with no significant heterogeneity detected. Four of six symptom score studies reported perimenstrual worsening, but lack of consistency in timepoints precluded meta-analysis. Two studies examining self-reported menstrual exacerbations reported prevalences ranging from 20% to 32.4%. Psychiatric admission rates are significantly higher than expected during the perimenstrual phase. There is some evidence that a worsening of psychotic symptoms also occurs during this phase, but further research with more precise measurement of the menstrual cycle and symptomatology is required.

scholarly journals Psychiatric, Cognitive Functioning and Socio-cultural Views of Menstrual Psychosis in Oman: An Idiographic Approach

2020 ◽  
Author(s):  
Nasser Al-Sibani ◽  
Mandhar Al-Maqbali ◽  
Sangeetha Mahadevan ◽  
Salim Al-Huseni ◽  
Muna Al-Muzeni ◽  
...  
Keyword(s):  
Psychotic Disorders ◽  
Neuropsychological Functioning ◽  
Spirit Possession ◽  
Tertiary Care ◽  
Case Series ◽  
Idioms Of Distress ◽  
Psychotic Symptoms ◽  
Menstrual Psychosis ◽  
First Case ◽  
Idiographic Approach

Abstract Background: Most documented cases of menstrual psychosis have been from Euro-American populations with reports from cross-cultural populations being only a few in number. Objective: To determine whether the cyclical/episodic nature of menstrual psychosis among case series observed at a tertiary care unit in Oman fulfills the diagnostic criteria of the International Classification of Diseases (ICD-10) and diverge into Brockington’s sub-types (World Psychiatry. 2005;4(1):9-17). Related aims were to solicit measures of psychometric functioning of those with menstrual psychosis and narrated idioms of distress. Results: The spectrum of distress among people with menstrual psychosis does not fit existing psychiatric nosology. Evaluations revealed that a majority of the participants displayed something akin to morbid phenomena relating to manic and psychotic symptoms. In the parlance of traditional Omani society, this would be termed “spirit possession”. In terms of classification by timing within the menstrual cycle as expounded by Brockington, the present case series in Oman fulfilled the definition of catamenial psychosis and paramenstrual psychosis. With regard to psychometric function, all participants performed adequately on indices of intellectual functioning but appeared to have impairments in neuropsychological functioning, including the dimensions of processing speed, episodic memory, and executive functioning. Within the given society, the periodicity of mind alteration has been attributed to spirit possession. Conclusions: This is one of the first case series of its kind in the country elucidating whether the manifestation of menstrual psychosis among individuals in Oman fulfills the subtypes postulated by Brockington. The present case series suggests that menstrual psychosis is marked with neuropsychological impairments that were previously observed in other phasic manic episodes or brief psychotic disorders.

scholarly journals Psychiatric, Cognitive Functioning and the Socio-cultural View of Menstrual Psychosis in Oman

2019 ◽  
Author(s):  
Nasser Al-Sibani ◽  
Mandhar Al-Maqbali ◽  
Sangeetha Mahadevan ◽  
Salim Al-Huseni ◽  
Muna Al-Muzeni ◽  
...  
Keyword(s):  
Psychotic Disorders ◽  
Neuropsychological Functioning ◽  
Spirit Possession ◽  
Tertiary Care ◽  
Case Series ◽  
International Classification Of Diseases ◽  
Idioms Of Distress ◽  
Psychotic Symptoms ◽  
Menstrual Psychosis ◽  
First Case

Abstract Background: Most documented cases of menstrual psychosis have been from Euro-American populations with reports from cross-cultural populations being only few in number. Objective: To determine whether the cyclical/episodic nature of menstrual psychosis among case series observed at a tertiary care unit in Oman fulfills the diagnosis criteria of the International Classification of Diseases (ICD-10) and diverge into Brockington’s sub-types (World Psychiatry. 2005;4(1):9-17.). Related aims were to solicit measures of psychometric functioning of those with menstrual psychosis and narrated idioms of distress. Results: The spectrum of distress menstrual psychosis covers does fit into existing psychiatric nosology. Evaluations revealed that a majority of the participants displayed something akin to morbid phenomenon related manic and psychotic symptoms or, in parlance of Omani society, spirit possession. In terms of classification by timing within the menstrual cycle as expounded by Brockington, the present case series in Oman fulfilled the definition of catamenial psychosis and paramenstrual psychosis. With regard to psychometric function, all participants performed adequately on indices of intellectual functioning but appeared to have impairments in neuropsychological functioning, including dimensions of processing speed, episodic memory, and executive functioning. Within the given society, the periodicity of mind alteration has been attributed to spirit possession. Conclusions: This is one of the first case series of its kind in the country elucidating whether the manifestation of menstrual psychosis among individuals in Oman fulfills the subtypes postulated by Brockington. The present case series suggests that menstrual psychosis is marked with neuropsychological impairments that were previously observed in other phasic manic episodes or brief psychotic disorders.

scholarly journals Effect of Stress on Menstrual Cycle in Young Adolescent Female During COVID - 19 Lockdown in India

2020 ◽  
Author(s):  
Vandana Singh Malik ◽  
Krishan Kumar ◽  
Arun Kumar ◽  
Rakesh Kumar Behamani
Keyword(s):  
Menstrual Cycle ◽  
Perceived Stress ◽  
Stress Level ◽  
Online Survey ◽  
Young Adolescent ◽  
Menstrual Period ◽  
Adolescent Female ◽  
Large Sample Size ◽  
Eating Pattern ◽  
Pattern Change

Background: Stress play an important role in causing irregular menstrual periods. When level of stress is high, there is chance that menstrual cycle will irregular. The current study aim is (i) The stress impact on menstruation among young adolescent females during COVID-19 lockdown. (ii) Correlation between lockdown perceived stress and menstruation among young adolescent female in India. Methods: Conducted online survey by google form named “Menstruation/Period and Lockdown Perceived Stress” total 18 questions in this survey. On this survey we use self-report inventory related to menstruation and perceived Stress.510 young adolescent female filled questions related to menstruation and perceived stress keeping in mind the menstrual period of the previous two months (April and May,2020). Findings: On this online survey 36.86% young adolescent female reported that her menstrual cycle is irregular, 22.94% young adolescent female suffering more abdominal pain, 47.26% young adolescent female reported that there sleeping pattern change, 45.49% female’s eating pattern change, 37.05% female’s blood flow change. 29.8% young adolescent female menstrual cycle days changed. 38.82% young adolescent female says menstrual period was painful during lockdown. 17.65% young adolescent female falls in low perceived stress level, 71.37% in moderate stress level and 10.98% in high stress level. Interpretation: Stress is more affected menstrual cycle pattern. Positive correlation between lockdown stress and menstruation, as stress level increase, menstrual pattern changes and temporarily relapse.Recommendation: Stress affected menstrual cycle pattern and health. Conduct workshop session to reduce stress level among female. large sample size use for future study.

scholarly journals Cyclical Premenstrual Psychosis - Sometimes It Is Your Hormones

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A779-A779
Author(s):  
Malika Rawal ◽  
Lisal J Folsom
Keyword(s):  
Mental Health ◽  
Menstrual Cycle ◽  
Ethinyl Estradiol ◽  
Hormonal Contraception ◽  
Auditory Hallucinations ◽  
Psychotic Symptoms ◽  
Oral Contraceptive Pills ◽  
Extreme Stress ◽  
Menstrual Psychosis ◽  
Estrogen Withdrawal

Abstract Background: Menstrual psychosis is a broad term used to describe a number of disorders characterized by the acute onset of psychotic symptoms with brief duration, complete resolution of symptoms between episodes, with timing related to menses. This entity was first described in the 18th century, with only 27 confirmed cases using strict diagnostic criteria. While research into causation is limited, estrogen withdrawal is thought to precipitate psychotic symptoms. We describe a case of premenstrual psychosis successfully treated with use of transdermal hormonal contraception and extended menstrual cycling. Clinical Case: A 25-year-old non-binary biologic female (they/them/theirs) with bipolar disorder, anxiety, and psychogenic non-epileptiform seizures was referred to endocrinology for evaluation of recurrent psychotic symptoms associated with menses. They endorsed stable mental health symptoms on aripiprazole except during the seven days prior to their menstrual cycle. During this time they reported persistent auditory hallucinations along with dysmenorrhea, with symptoms resolving at the onset of menses. Timing of menarche was uncertain, however they reported oligomenorrhea until beginning oral contraceptives at age nineteen, after which they developed regular monthly cycles accompanied by psychotic symptoms. Pituitary and ovarian hormone levels were unable to be assessed due to hormonal contraception. Prolactin was 8.3 ng/mL (3-30 ng/mL). In order to limit hormonal fluctuations from daily oral contraceptive pills and monthly withdrawal, the decision was made to transition to transdermal norelgestromin and ethinyl estradiol patches changed weekly, with extended cycling to allow one menstrual cycle every three months. At follow-up visit nine months later they reported resolution of auditory hallucinations on this regimen, with symptoms recurring only during extreme stress. Conclusions: While the etiology of menstrual psychosis is unclear, described treatments include a combination of neuroleptics and hormonal therapy, including estrogen, progesterone, and GnRH agonists. As symptoms did not resolve until suppression of monthly menstrual cycles, this case supports the estrogen withdrawal hypothesis. Our case adds to the literature both in that transdermal, rather than oral or injectable therapy was used, and treatment was successful in alleviating the patient’s psychotic symptoms, improving their mental health and quality of life. References: (1) Brockington, I. Menstrual Psychosis. World Psychiatry 2005;4(1):9-17. (2) Reilly, T.J., Sagnay de la Bastida, V.C., Joyce, D.W., Cullen, A.E., McGuire, P. Exacerbation of Psychosis During the Perimenstrual Phase of the Menstrual Cycle: Systematic Review and Meta-analysis. Schizophrenia Bulletin 2020;46(1):78-90.

scholarly journals Psychiatric, Cognitive Functioning and Socio-cultural Views of Menstrual Psychosis in Oman: An Idiographic Approach

2020 ◽  
Author(s):  
Nasser Al-Sibani ◽  
Mandhar Al-Maqbali ◽  
Sangeetha Mahadevan ◽  
Salim Al-Huseni ◽  
Muna Al-Muzeni ◽  
...  
Keyword(s):  
Psychotic Disorders ◽  
Neuropsychological Functioning ◽  
Spirit Possession ◽  
Tertiary Care ◽  
Case Series ◽  
Idioms Of Distress ◽  
Psychotic Symptoms ◽  
Menstrual Psychosis ◽  
First Case ◽  
Idiographic Approach

Abstract Background : Most documented cases of menstrual psychosis have been from Euro-American populations with reports from cross-cultural populations being only a few. Objective : To determine whether the cyclical/episodic nature of menstrual psychosis among case series observed at a tertiary care unit in Oman fulfills the diagnosis criteria of the International Classification of Diseases (ICD-10) and diverge into Brockington’s sub-types (World Psychiatry. 2005;4(1):9-17). Related aims were to solicit measures of psychometric functioning of those with menstrual psychosis and narrated idioms of distress . Results : The spectrum of distress in people with menstrual psychosis does not fit into existing psychiatric nosology. Evaluations revealed that a majority of the participants displayed something akin to morbid phenomenon related to manic and psychotic symptoms or, in the parlance of Omani society, spirit possession. In terms of classification by timing within the menstrual cycle as expounded by Brockington, the present case series in Oman fulfilled the definition of catamenial psychosis and paramenstrual psychosis. With regard to psychometric function, all participants performed adequately on indices of intellectual functioning but appeared to have impairments in neuropsychological functioning, including dimensions of processing speed, episodic memory, and executive functioning. Within the given society, the periodicity of mind alteration has been attributed to spirit possession. Conclusions : This is one of the first case series of its kind in the country elucidating whether the manifestation of menstrual psychosis among individuals in Oman fulfills the subtypes postulated by Brockington. The present case series suggests that menstrual psychosis is marked with neuropsychological impairments that were previously observed in other phasic manic episodes or brief psychotic disorders.

Variations Across the Menstrual Cycle in EEG Activity During Thinking and Mental Relaxation

1999 ◽  
Vol 13 (3) ◽  
pp. 163-172 ◽  
Author(s):  
R. Krug ◽  
M. Mölle ◽  
H.L. Fehm ◽  
J. Born
Keyword(s):  
Menstrual Cycle ◽  
Divergent Thinking ◽  
Spectral Power ◽  
Plasma Concentrations ◽  
Task Demands ◽  
Menstrual Phase ◽  
Convergent Thinking ◽  
Eeg Activity ◽  
Dimensional Complexity ◽  
Mental Relaxation

Abstract Previous studies have indicated: (1) peak performance on tests of divergent creative thinking during the ovulatory phase of the menstrual cycle; (2) compared to convergent analytical thinking, divergent thinking was found to be associated with a distinctly increased dimensional complexity of ongoing EEG activity. Based on these findings, we hypothesized that cortical information processing during the ovulatory phase is characterized by an increased EEG dimensionality. Each of 16 women was tested on 3 occasions: during the ovulatory phase, the luteal phase, and menses. Presence of the phases was confirmed by determination of plasma concentrations of estradiol, progesterone, and luteinizing hormone. The EEG was recorded while the women performed: (1) tasks of divergent thinking; (2) tasks of convergent thinking; and (3) during mental relaxation. In addition to EEG dimensional complexity, conventional spectral power analysis was performed. Behavioral data confirmed enhanced creative performance during the ovulatory phase while convergent thinking did not vary across cycle phases. EEG complexity was higher during divergent than convergent thought, but this difference remained unaffected by the menstrual phase. Influences of the menstrual phase on EEG activity were most obvious during mental relaxation. In this condition, women during the ovulatory phase displayed highest EEG dimensionality as compared with the other cycle phases, with this effect being most prominent over the central and parietal cortex. Concurrently, power within the alpha frequency band as well as theta power at frontal and parietal leads were lower during the luteal than ovulatory phase. EEG results indicate that task demands of thinking overrode effects of menstrual cycle. However, with a less demanding situation, an ovulatory increase in EEG dimensionality became prominent suggesting a loosening of associative habits during this phase.

EVALUATION OF CHANGES IN CARDIORESPIRATORY FUNCTIONS DURING DIFFERENT PHASES OF THE MENSTRUAL CYCLE IN YOUNG WOMEN

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Shehnaz Shaikh
Keyword(s):  
Menstrual Cycle ◽  
Sample Size ◽  
Young Women ◽  
Luteal Phase ◽  
Uterine Wall ◽  
Normal Weight ◽  
Follicular Phase ◽  
Menstrual Phase ◽  
Granulose Cells ◽  
Efficiency Test

Introduction: Menstrual cycle or menstruation involved discharge of sanguinous fluid and a sloughing of uterine wall. In women menstruation occurs at regular intervals on an average of 28 days, although most women gave a history of regular intervals of 28 to 30 days. About 10% -15% of women showed cycle at the precise 28 ± 2 days intervals when menstrual calendar was utilized. Normally in young women in different phases of ovarian cycles the plasma levels of estrogen vary. Ovulation occurs in the first 12-13th day of menstrual cycle, which is termed estrogen surge and second occurs in mid-luteal phase. During mid cycle or follicular phase of menstrual cycle the plasma concentration of progesterone is very low about 0.9 ng/mL. its level starts rising owing to secretion from the granulose cells. During luteal phase progesterone level reaches its peak value of 18 ng/mL and its level fall to a minimum value toward the end of the cycle. Estrogen affects local and systemic vasodilation. The menstrual cycle envelops two fundamental stages, the follicular stage (FP) and the luteal stage (LP). The follicular stage can part advance into two substages; the early FP, which is characterised with moo concentrations of both the key hormones estrogen and progesterone; and the mid FP where estrogen is tall autonomously from progesterone. The LP is epitomized by tall concentration of both estrogen and progesterone. These two fundamental stages are isolated by a soak surge in luteinizing hormone activating ovulation. These recurrent changes are said to be frequency unsurprising while long time. Aim: The main aim of this study is to evaluate the Cardiorespiratory functions changes during different Phases of Menstrual Cycle.   Material and methods: In this study, 20 with normal weight, 20 with obese and 20 with overage were included and taken them as a sample size. In this study all the young women those were recruited as a sample size are unmarried, undergraduate female student with the between the age group of 18-22years, having regular 28+6 days menstrual cycle for at least last 6months prior to this study. For the collection of data all the participants were instructed to attend the physiology lab department during each of three different phases. Day-2 during menstrual phase, Day-7, during follicular phase and Day-22 during luteal phase and the following parameters were recorded as Anthropometric measurements, measuring of pulse rate and blood pressure and cardiac efficiency test. Result: In general, work out proficiency changed essentially amid the distinctive stages of the menstrual cycle with the most elevated amid luteal stage and least amid menstrualo stage. There was no critical contrast in impact test amid menstrual stage, follicular stage and luteal stage of menstrual cycle among three bunches of people. Conclusion: We have watched noteworthy increment in cardiac and respiratory proficiency within the luteal stage of the menstrual cycle in ordinary weight people. Lower wellness levels were watched in overweight and stout females. In this manner hone of customary work out and admissions of solid slim down which offer assistance in lessening the weight and in turn the BMI will offer assistance in improving the physical wellness of the people. Keywords: Cardiorespiratory, Menstrual cycle, expiratory blast test

Mantle Cell Lymphoma Presenting with Unusual Morphology in an Adolescent Female: A Case Report and Review of the Literature

2006 ◽  
Vol preprint (2007) ◽  
pp. 1
Author(s):  
Kristi Smock ◽  
Hassan Yaish ◽  
Mitchell Cairo ◽  
Mark Lones ◽  
Carlynn Willmore-Payne ◽  
...  
Keyword(s):  
Case Report ◽  
Mantle Cell Lymphoma ◽  
Cell Lymphoma ◽  
Adolescent Female ◽  
Review Of The Literature ◽  
Mantle Cell

scholarly journals A preliminary study exploring the change in ankle joint laxity and general joint laxity during the menstrual cycle in cis women

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Tomomi Yamazaki ◽  
Sae Maruyama ◽  
Yuki Sato ◽  
Yukako Suzuki ◽  
Sohei Shimizu ◽  
...  
Keyword(s):  
Menstrual Cycle ◽  
Ankle Joint ◽  
Length Change ◽  
Joint Laxity ◽  
Anterior Talofibular Ligament ◽  
Menstrual Phase ◽  
Anterior Drawer ◽  
Linear Distance ◽  
Significant Difference ◽  
Early Follicular Phase

Abstract Background The purpose of the present study was to examine the relationship between ankle joint laxity and general joint laxity (GJL) in relation to the menstrual cycle, which was divided into four phases based on basal body temperature and ovulation, assessed using an ovulation kit. Methods Participants were 14 female college students (21–22 years) with normal menstrual cycles (cis gender). Anterior drawer stress to a magnitude of 120 N was applied for all participants. Anterior talofibular ligament (ATFL) length was measured as the linear distance (mm) between its points of attachment on the lateral malleolus and talus using ultrasonography. Data on ATFL length from each subject were used to calculate each subject’s normalized length change with anterior drawer stress (AD%). The University of Tokyo method was used for evaluation of GJL. AD% and GJL were measured once in each menstrual phase. Results There was no statistically significant difference between AD% in each phase. GJL score was significantly higher in the ovulation and luteal phases compared with the early follicular phase. AD% and GJL showed a positive correlation with each other in the ovulation phase. Conclusions Although it is unclear whether estrogen receptors are present in the ATFL, the present study suggests that women with high GJL scores might be more sensitive to the effects of estrogen, resulting in ATFL length change in the ovulation phase.

Sign in / Sign up

Export Citation Format

Share Document