Hormonal Contraceptives and Risk for Depression and Suicide
Many women have concerns about the side effects of hormonal contraceptives, including oral contraceptives, depot preparations, and hormonal IUDs and vaginal rings. Â Potential side effects include bloating, breast tenderness, and weight gain. In addition, some women may experience depression or mood swings, side effects that may be particularly concerning to women with histories of depression. Â Despite the prevalence of hormonal contraceptive usage, few studies have explored the association between hormonal contraceptive [...]
Weekly Roundup for March 9, 2018: Recent Publications in Women’s Mental Health
The first publication on the list, from Letourneau and colleagues, is a thorough review of interventions for antenatal and postpartum depression, many of them leading to improvements in parenting and child development. Â Ruta Nonacs, MD PhD The effect of perinatal depression treatment for mothers on parenting and child development: A systematic review. Letourneau NL, Dennis CL, Cosic N, Linder J. Â Depress Anxiety. 2017 Oct;34(10):928-966. Thirty-six trials met criteria for review. [...]
In Brief: Carbs in Your Diet Do Not Increase Your Risk for PMS
 It is recommended that women with premenstrual symptoms (PMS) switch to a diet including more complex carbohydrates and less sugar in order to alleviate their symptoms.  While these dietary modifications may be helpful, a recent study indicates that carbohydrates in the diet is not associated with a woman's risk of developing PMS symptoms.  In this study, researchers examined data from a large long-term study of female nurses between the ages of [...]
Are Mood and Anxiety Disorders More Common in Women with Polycystic Ovarian Syndrome?
Polycystic ovary syndrome (PCOS) is a common hormonal disorder, affecting about 10% of reproductive aged women. It is also the most common cause of infertility in younger women; however, many women are unaware they have PCOS until they experience problems with fertility. Â In our clinic, where we see women with mood and anxiety disorders, many women, probably more than the 10% observed in the general population, carry a diagnosis of PCOS. [...]
Perinatal Suicide: Highest Risk Occurs at 9 to 12 Months Postpartum
Even as perinatal mood and anxiety disorders have garnered more attention over the past several years, the most feared consequence of these disorders, suicide, remains a phenomenon that requires greater understanding. While suicide is a leading cause of death in perinatal women, suicide during pregnancy or the postpartum period is often underreported and under-researched. As a result, providers are still learning how to best identify and treat those women at greatest [...]
Worse Pregnancy Outcomes in Women with More Chronic Depressive Symptoms
Over the last decade we have seen multiple studies which have demonstrated an association between the use of antidepressants during pregnancy and increased risk of certain adverse outcomes, including preterm birth and low birth weight. But we have also seen quite a few studies which suggest that untreated maternal depression or anxiety may contribute to worse outcomes. Attempting to better understand the impact of maternal stress and depression on infant outcomes, [...]