Sympathetic skin response in premenstrual syndrome

Özışık, Handan Işın; Kamışlı, Özden; Karlidağ, Rıfat; Kızkın, Sibel; Özcan, Cemal

doi:10.1007/s10286-005-0281-8

Cited by 6 publications

(4 citation statements)

References 27 publications

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“…The absence of any influence of the phase of the cycle on the reflex vascular responses, although unexpected in terms of the hormonal changes, is broadly in agreement with the findings of others, who observed no effect of phase of the menstrual cycle on the responses to lower body suction [21,28,38], to quiet standing [24] or to other physiological stimuli [2,5,34]. However, it is suggested that there are alterations in orthostatic tolerance associated with the menstrual cycle when additional vasodilator stress is applied, such as whole body heating [28].…”

Section: Discussionsupporting

confidence: 91%

Phase of the menstrual cycle does not affect orthostatic tolerance in healthy women

2006

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Women of child-bearing age have a lower orthostatic tolerance (OT) than older women or men, and women suffering from frequent syncopal episodes often comment that their symptoms occur at certain times of the menstrual cycle. However, it is not known whether, in asymptomatic women, OT varies at different phases of the menstrual cycle. We studied 8 healthy asymptomatic women aged 26.8 +/- 3.4 years. We determined OT using a test of combined head-up tilting and lower body suction. We continuously monitored beat-to-beat blood pressure (Finapres), heart rate (ECG), and cerebral and forearm blood flow velocities (Doppler ultrasound). On each test day we assessed carotid baroreceptor sensitivity from suction/pressure applied to a neck chamber. We also determined estradiol and progesterone levels from a venous blood sample. Tests were performed in early follicular and late luteal phases, and during ovulation. Serum concentrations of estradiol (pmol x l(-1)) and progesterone (nmol x l(-1)) were in follicular phase 464.1 +/- 63 and 6.3 +/- 2.8; ovulation 941.6 +/- 298 and 5.8 +/- 1.2; luteal phase 698 +/- 188 and 32.3 +/- 9.6. Progesterone levels were significantly higher in the luteal phase (p < 0.001). OT was not different on any test day: follicular 31.9 +/- 1.6 min, ovulation 31.3 +/- 0.7 min; luteal 31.1 +/- 2.2 min. Supine and tilted heart rates and blood pressures, the maximum heart rate, and the cerebral autoregulatory and forearm vascular resistance responses to the orthostatic stress were similar during all studies. Both cardiac and vascular resistance carotid baroreceptor sensitivities were also similar on all test days. These results suggest that there is no difference in either OT or cardiovascular control at the tested phases of the menstrual cycle in healthy women.

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Section: Discussionsupporting

confidence: 91%

Phase of the menstrual cycle does not affect orthostatic tolerance in healthy women

2006

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“…Our results are consistent with results obtained by Ozisik HI (2005) who concluded that the sympathetic skin response was similar during the late luteal and follicular phases of both PMS subjects and non PMS subjects. (18) This study identified irritability as the most common symptom where 94% of the PMS subjects suffered from irritability.…”

supporting

confidence: 93%

“…(18) This study identified irritability as the most common symptom where 94% of the PMS subjects suffered from irritability. The next common symptoms were depression and emotional liability with 79% of the PMS subjects.…”

mentioning

confidence: 92%

Electrocardiogram Pattern in Females Suffering From Premenstrual Syndrome.

Bashraheel¹,

Saba²,

Kirmani³

2017

IJAR

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Background: Premenstrual syndrome (PMS) is a common but ill understood condition and has significant impact on the quality of life of the females. In attempted to increase the understanding of this condition. The aim of the work was to find out whether there is an identifiable ECG pattern during the premenstrual period in females suffering from PMS. Methods: 44 female in the reproductive age were selected. A twelve lead ECG (ELI 100) was used to make recordings for each subject twice for one month, once before the menstrual bleeding started and the other after the menstrual bleeding stopped. Height and Weight also was obtained, fill a questioner that included personal information such as: age, age of menarche, date of the last menstrual bleeding. According to symptoms the forty four students were subdivided into two main groups. The first group was the PMS group (34 subjects) and the second group was the control group (10 subjects). Results: Findings showed a statistically non significant difference in the mean heart rate in the pre-menstrual phase between the two groups. Irritability was the most common symptom of PMS, found in 94% of the subjects, depression and emotional liability in 79%, bloating in 50%, headache and decreased ability to concentrate in 38%, constipation in 32% and finally edema in 15% of the subjects. In conclusion there was no significant change in the heart rate as recorded on the ECG during the premenstrual period among subjects with PMS. There is no specific ECG pattern which can be identified during the PMS.

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“…Ozisik et al, observed no statistical difference in the sympathetic response during the luteal phase between the PMS patients and the control group. 20 Assoc and Magos investigated that the patient's premenstrual distress appeared to arise mainly from chronically high autonomic activity. 4 Koeske found a premenstrual increase in skin conductance, a test to measure the sympathetic axis.…”

Section: Discussionmentioning

confidence: 99%

Assessment of cardiovascular sympathetic function tests in premenstrual syndrome patients visiting tertiary care hospital: A case–control study

Kulshreshtha

Gaur²,

Gupta³

et al. 2021

Asian J Med Sci

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Background: Premenstrual syndrome (PMS) is a stress-induced disorder and is showing a rising prevalence but its etiopathogenesis is not yet understood. Stress disturbs the balance of the sympathetic and parasympathetic nervous system. Alteration in heart rate and blood pressure is the most important physiological response following stress-induced sympathetic changes. Aims and Objectives: The present study was designed to test the hypothesis of an association between sympathetic functions and PMS and to observe the degree of changes (if any) in these sympathetic functions. The study also aims to provide timely interventions to prevent the development of cardiovascular complications and improve lifestyle. Materials and Methods: A Menstrual Distress Questionnaire was used to evaluate physical, emotional, and behavioral symptoms accompanying the menstrual cycle of the subjects who fulfilled the inclusion criteria. Based on the scores obtained by their questionnaire, subjects with the higher scores formed the PMS group, while the age-matched females with low score served as controls. Cardiovascular sympathetic functions were assessed by standardized, simple, non-invasive tests which included Handgrip test and orthostatic hypotension test. Unpaired Student’s t-test was used for statistical analysis. Results: The results revealed that the sympathetic reactivity is insignificantly higher in PMS group during the follicular phase. During the luteal phase, sympathetic activity is significantly increased. Conclusion: PMS involves psychoneuroendocrinal turmoil, thus early screening of high-risk groups and interventions such as relaxation techniques and lifestyle modification can prevent further cardiovascular complications in patients of high sympathetic responses.

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Sympathetic skin response in premenstrual syndrome

Cited by 6 publications

References 27 publications

Phase of the menstrual cycle does not affect orthostatic tolerance in healthy women

Phase of the menstrual cycle does not affect orthostatic tolerance in healthy women

Electrocardiogram Pattern in Females Suffering From Premenstrual Syndrome.

Assessment of cardiovascular sympathetic function tests in premenstrual syndrome patients visiting tertiary care hospital: A case–control study

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