The menstrual cycle: an overlooked vital sign in psychiatry?

We argue that psychiatry has overlooked a significant modifiable risk factor for mental illness in female patients: cyclical symptoms associated with the menstrual cycle. Premenstrual dysphoric disorder has recently been included in the International Classification of Diseases-11, while there is gro...

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Main Authors: Ellen Golightly, Stephanie Allan, Thomas J Reilly, Katie FM Marwick
Format: Article
Language:English
Published: BMJ Publishing Group 2025-03-01
Series:BMJ Mental Health
Online Access:https://mentalhealth.bmj.com/content/28/1/e301463.full
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author Ellen Golightly
Stephanie Allan
Thomas J Reilly
Katie FM Marwick
author_facet Ellen Golightly
Stephanie Allan
Thomas J Reilly
Katie FM Marwick
author_sort Ellen Golightly
collection DOAJ
description We argue that psychiatry has overlooked a significant modifiable risk factor for mental illness in female patients: cyclical symptoms associated with the menstrual cycle. Premenstrual dysphoric disorder has recently been included in the International Classification of Diseases-11, while there is growing evidence that menstrual cycle stage can impact mental health symptoms transdiagnostically and influence important outcomes such as suicide or admission to hospital. Intervention is possible using existing widely available hormonal treatments. Asking patients about the relationship between their menstrual cycle and mental health is an opportunity to improve diagnosis and treatment that should no longer be neglected.
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issn 2755-9734
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publishDate 2025-03-01
publisher BMJ Publishing Group
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series BMJ Mental Health
spelling doaj-art-28908e809e174fe596b3c91c77abe0f82025-08-20T03:00:18ZengBMJ Publishing GroupBMJ Mental Health2755-97342025-03-0128110.1136/bmjment-2024-301463The menstrual cycle: an overlooked vital sign in psychiatry?Ellen Golightly0Stephanie Allan1Thomas J Reilly2Katie FM Marwick3Chalmers Centre for Sexual and Reproductive Health, NHS Lothian, Edinburgh, UKSchool of Health and Wellbeing, University of Glasgow, Glasgow, UKDepartment of Psychiatry, University of Oxford, Oxford, UKDivision of Psychiatry, The University of Edinburgh, Edinburgh, UKWe argue that psychiatry has overlooked a significant modifiable risk factor for mental illness in female patients: cyclical symptoms associated with the menstrual cycle. Premenstrual dysphoric disorder has recently been included in the International Classification of Diseases-11, while there is growing evidence that menstrual cycle stage can impact mental health symptoms transdiagnostically and influence important outcomes such as suicide or admission to hospital. Intervention is possible using existing widely available hormonal treatments. Asking patients about the relationship between their menstrual cycle and mental health is an opportunity to improve diagnosis and treatment that should no longer be neglected.https://mentalhealth.bmj.com/content/28/1/e301463.full
spellingShingle Ellen Golightly
Stephanie Allan
Thomas J Reilly
Katie FM Marwick
The menstrual cycle: an overlooked vital sign in psychiatry?
BMJ Mental Health
title The menstrual cycle: an overlooked vital sign in psychiatry?
title_full The menstrual cycle: an overlooked vital sign in psychiatry?
title_fullStr The menstrual cycle: an overlooked vital sign in psychiatry?
title_full_unstemmed The menstrual cycle: an overlooked vital sign in psychiatry?
title_short The menstrual cycle: an overlooked vital sign in psychiatry?
title_sort menstrual cycle an overlooked vital sign in psychiatry
url https://mentalhealth.bmj.com/content/28/1/e301463.full
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AT katiefmmarwick themenstrualcycleanoverlookedvitalsigninpsychiatry
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