Unusual manifestations of premenstrual syndrome

Mei Chun Hsiao, Chai Yih Liu*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

16 Scopus citations


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.

Original languageEnglish
Pages (from-to)120-123
Number of pages4
JournalPsychiatry and Clinical Neurosciences
Issue number1
StatePublished - 02 2007


  • Bipolar disorder
  • Premenstrual dysphoric disorder
  • Premenstrual syndrome
  • Recurrent brief psychotic disorder


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