Menstrual psychosis and treatment: A case report and brief review
Mental health disorders are a significant public health concern, and the dysregulation of menstrual cycles plays a role in the development of such disorders. Menstrual psychosis is a rare and generally self-limiting mental illness. The literature on menstrual psychosis is sparse and based mainly on case reports, retrospective studies, and reports from relatives, or prospective studies lacking adequate evidence regarding the menstruation timeline. Many case reports have emerged, providing additional information to clinicians about this disorder, since the phenomenon was first described and classified as menstrual psychosis by Krafft-Ebing in his monograph “Psychosis Menstrualis.” This case report contributes to the current literature on menstrual psychosis and highlights the potential of contraceptive medication for treatment.
- Brockington I. Menstrual psychosis. World Psychiatry. 2005;4(1):9-17.
- Gilmore A, Cottrell TJ, Chen SE. Challenges in diagnosis, treatment and coordination of care of menstrual psychosis. BMJ Case Rep. 2023;16(4):e251555. doi: 10.1136/bcr-2022-251555
- Handy AB, Greenfield SF, Yonkers KA, Payne LA. Psychiatric symptoms across the menstrual cycle in adult women: A comprehensive review. Harv Rev Psychiatry. 2022;30(2):100-117. doi: 10.1097/HRP.0000000000000329
- Mihm M, Gangooly S, Muttukrishna S. The normal menstrual cycle in women. Anim Reprod Sci. 2011;124:229-236. doi: 10.1016/j.anireprosci.2010.08.030
- Hitzig JE. Mord in einem durch Eintreten des Monatsflusses herbeigeführten unfreien Zustande. Hitzig’s Ztschr Kriminalrechtspflege (Murder in a State of incapacity induced by the onset of menstruation). 1827;6:237-330. Article in German.
- Owens SA, Eisenlohr-Moul TA, Prinstein MJ. Understanding when and why some adolescent girls attempt suicide: An emerging framework integrating menstrual cycle fluctuations in risk. Child Dev Perspect. 2020;14(2):116-123. doi: 10.1111/cdep.12367
- Laessle RG, Tuschl RJ, Schweiger U, Pirke KM. Mood changes and physical complaints during the normal menstrual cycle in healthy young women. Psychoneuroendocrinology. 1990;15(2):131-138. doi: 10.1016/0306-4530(90)90021-z
- Mishra S, Elliott H, Marwaha R. Premenstrual dysphoric disorder. In: StatPearls. Treasure Island, FL: StatPearls Publishing; 2024. Available from: https://www.ncbi.nlm.nih. gov/books/NBK532307 [Last accessed on 2024 Sep 01].
- Reilly TJ, Sagnay de la Bastida VC, Joyce DW, Cullen AE, McGuire P. Exacerbation of psychosis during the perimenstrual phase of the menstrual cycle: Systematic review and meta-analysis. Schizophr Bull. 2020;46(1):78-90. doi: 10.1093/schbul/sbz030
- Shah AB, Vahia VN, Yadav R, Sonavane SS. Menstrual psychosis: A case report. Indian J Psychiatry. 2003;45(2): 61-62.
- Thippaiah SM, Nagaraja S, Birur B, Cohen AW. An interesting presentation about cyclical menstrual psychosis with an updated review of literature. Psychopharmacol Bull. 2018;48:16-21.
- Ray R, Paul I. Menstrual psychosis: A not so forgotten reality. Indian J Psychiatry. 2020;62(5):585-587. doi: 10.4103/psychiatry.IndianJPsychiatry_883_20
- Turkan S, Kara E, İlhan RS, Yalcın Sahiner S, Saka MC. Menstrual psychosis with premenstrual onset: A case presentation. Eur Psychiatry. 2024;67(S1):S742-S743. doi: 10.1192/j.eurpsy.2024.1544
- Adão C, Donas-Boto I, Velosa A, Trindade P, Caetano R. Menstrual psychosis diagnosis: Does it still hold? Eur Psychiatry. 2022;65:S195-S195. doi: 10.1192/j.eurpsy.2022.512