Perimenstrual psychosis among female adolescents: two case reports and an update of the literature.

Abstract:

OBJECTIVES AND METHODS:Perimenstrual psychosis is an uncommon disorder, not included under the accepted classifications of functional psychoses. Our aim was to describe two Israeli female adolescents who fit this diagnosis. RESULTS:Both youngsters developed an acute psychosis a few days before menstruation, which subsided several days after bleeding, only to reappear in the same form in subsequent cycles. An extensive medical work-up did not show any significant disturbances, with the exception of anovulatory cycles in one youngster. Psychotropic treatment had no effect on the course of the psychosis. Treatment with a combined progesterone/estrogen contraceptive agent in one patient resulted in full recovery within several cycles. The second patient showed a spontaneous remission within four cycles. Follow-up for two to three years indicated a complete remission, with no need to reintroduce any psychotropic agent. CONCLUSIONS:Perimenstrual psychosis may represent a cycloid disorder or an atypical affective disorder, associated with anovulation. The use of psychotropic treatment is considered inconclusive, whereas hormonal agents may prove effective.

journal_name

Int J Psychiatry Med

authors

Stein D,Blumensohn R,Witztum E

doi

10.2190/6E0C-52XC-GGWQ-DPU4

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

169-79

issue

2

eissn

0091-2174

issn

1541-3527

journal_volume

33

pub_type

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