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Sleep and Premenstrual Syndrome.

Shazia Jehan1, Evan Auguste1, Mahjabeen Hussain1

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|February 28, 2017
PubMed
Summary

Hormonal fluctuations during the luteal phase may cause sleep disturbances and decreased melatonin in women with premenstrual dysphoric disorder (PMDD). Sleep deprivation can improve mood symptoms, suggesting a link between sleep, melatonin, and PMDD.

Keywords:
FollicularHormoneInsomniaLutealMenstrual cycleOvulationPMDDPMSSleepWomen

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Area of Science:

  • Reproductive Endocrinology
  • Sleep Medicine
  • Psychiatry

Background:

  • Premenstrual syndrome (PMS) affects women of childbearing age, with symptoms remitting at menstruation.
  • The etiology of PMS, particularly premenstrual dysphoric disorder (PMDD), remains unclear.
  • Menstrual phase influences sleep patterns (Stage 2 and REM) in women.

Purpose of the Study:

  • To investigate the relationship between hormonal fluctuations, melatonin secretion, sleep disturbances, and mood symptoms in women with PMDD.
  • To explore potential mechanisms underlying sleep complaints in PMDD during the luteal phase.

Main Methods:

  • The study likely involved comparing melatonin response and sleep patterns between the luteal and follicular phases in women with PMDD.
  • Assessment of mood symptoms and their correlation with sleep parameters and melatonin levels.

Main Results:

  • Women with PMDD exhibited a reduced melatonin response during the luteal phase compared to the follicular phase.
  • Melatonin timing or duration did not correlate with mood.
  • Sleep deprivation demonstrated an improvement in mood-related symptoms of PMDD.

Conclusions:

  • Hormonal fluctuations during the luteal phase may lead to decreased melatonin secretion and subsequent sleep disturbances in PMDD.
  • Sleep disturbances, rather than melatonin timing, appear to be more closely linked to mood symptom improvement in PMDD.