Disorderly Combination: Obsessive-Compulsive Disorder and Premenstrual Syndrome

Disordered Combinations: Obsessive-Compulsive Disorder and Premenstrual Syndrome

In a fascinating case study, an individual with severe Obsessive-Compulsive Disorder (OCD) and possibly mood disorder symptoms experienced a significant change in their condition when switching between different forms of birth control.

The individual's OCD symptoms seemed to worsen during the premenstruum, a phase leading up to menstruation. This exacerbation could be related to reproductive events, particularly the premenstruum. The emotional and physical discomforts of Premenstrual Syndrome (PMS) may have compounded the individual's OCD symptoms, adding an extra layer of challenge.

Interestingly, about half of those with both a womb and OCD may experience a worsening of their OCD symptoms during their menstrual cycle. This suggests a potential link between menstruation and OCD symptoms that warrants further investigation.

The individual's gynecologist noticed an association between the individual's anxiety and physical symptoms and the premenstruum. Recognising the potential impact of menstruation on the individual's mental health, they plan to discuss the link with their psychiatrist.

The individual sought therapy for their OCD symptoms and, after starting a long-term birth control prescription, experienced a remission of symptoms. The hormone substances mentioned in relation to worsening OCD symptoms during menstruation are ovarian hormones, specifically estradiol and progesterone. Suppression of these hormones using a gonadotropin-releasing hormone (GnRH) agonist like leuprolide (Lupron) can alleviate symptoms. However, the exact duration without placebo use is not specified in the cited sources.

It's important to note that menstruation and OCD can have a profound impact on each other. The phrase "Blessed with both a womb and OCD" is used sarcastically to express the challenges of dealing with both menstruation and OCD. Similarly, the phrase "Sheer joy of menstruation" is used sarcastically to express the negative feelings associated with menstruation.

While some individuals with OCD may see an improvement in their symptoms during pregnancy, the emotional and physical discomforts of PMS and menstruation can have a negative impact on mental illnesses, including OCD.

In conclusion, this case study highlights the complex relationship between menstruation and OCD. Further research is needed to fully understand this connection and to develop effective strategies for managing OCD symptoms during the menstrual cycle.