Psychiatry Clin Neurosci. 2007 Feb;61(1):120-3.

Unusual manifestations of premenstrual syndrome.

Hsiao MC1, Liu CY.

• 1Women's Mental Health Program, Department of Psychiatry, Chang Gung Memorial Hospital, Tao-Yuan, Taiwan.

Abstract

The authors have identified six unusual manifestations of premenstrual syndrome:

(i) typical premenstrual dysphoric disorder symptoms during ovulation;
(ii) upper airway infection in the premenstrual phase that remits after onset of menstruation;
(iii) recurrent perimenstrual erythematous and edematous skin plaques;
(iv) hypomanic or manic state 2-3 days before onset of menstruation;
(v) auditory hallucinations and delusion of reference, present only premenstrually; and
(vi) remitted bipolar disorder presenting with premenstrual psychotic features.

Psychiatrists should be aware of menstrual cycle-related changes in mental illness, physical illness, or both in women of reproductive age, if cyclic trends are suspected.

PMID:

17239049