Menstrual Cycle in Schizophrenic Patients: Review with a Case

İpek Sönmez, Ferdi Köşger
In: Noro Psikiyatri Arsivi · 2015 · vol. 52(4) , pp. 417–419 · doi:10.5152/npa.2015.7660 · PMID:28360750 · W2312319086
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-12 ⓘ

This review and case study highlights the limited research on menstrual cycle influences on schizophrenia and suggests treatment adjustments like SSRIs or antipsychotic dose increases for symptom exacerbation.

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Abstract

There are not enough studies about the relationship between menstrual psychosis and schizophrenia exacerbation during the menstrual cycle. In patients diagnosed with schizophrenia, it is important to examine the psychotic symptoms and depression and anxiety symptoms during the menstrual cycle and to adjust the treatment according to these symptoms. If depression and anxiety symptoms are present, selective serotonin reuptake inhibitors can be used. In patients with exacerbated psychotic symptoms, it may be effective to increase the dose of an antipsychotic drug, which has no effect on prolactin release, 3-5 days prior to menstruation. In addition, hormonal therapy or menstrual cycle suppression is an alternative option. In this article, a case of a schizophrenic patient whose psychotic symptoms exacerbated with the menstrual cycle is presented.

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last seen: 2026-06-10T17:14:06.276822+00:00
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