The aggressive behavior displayed by some (but not all) female Wistar rats when an unfamiliar rat is being introduced into their home cage (the resident intruder paradigm) was found to be higher in non-receptive phases (metestrus, diestrus) than in the receptive phases (proestrus, estrus) Premenstrual dysphoric disorder (PMDD) is characterized by a constellation of symptoms appearing regularly in the luteal phase of the cycle, and disappearing within a few days after the onset of menstruation (American Psychiatric Association 1994). Most researchers in the field regard irritability and anger as the cardinal symptoms of PMDD, but sadness, affect lability, and tension also are common complaints (see Steiner 1997;Freeman and Halbreich 1998;Eriksson 1999).The hypothesis that ovarian steroids are of importance for the pathophysiology of PMDD gains support not only from the fact that the onset and disappearance of symptoms are linked to the reproductive cycle, but also from the findings that premenstrual complaints may be reduced by surgical ovariectomy and by druginduced inhibition of ovulation (see Backstrom and Hammarback 1991;Schmidt et al. 1998). Several observations suggest that PMDD subjects do not differ from controls with respect to serum levels of sex steroids, but with respect to how the brain reacts to these hormones. First, most studies suggest that replacing endogenous sex steroid secretion with exogenous hormones in the form of oral contraceptives is usually not an effective treatment for PMDD (Bancroft and Rennie 1993). Second, treatment with progesterone and/or estrogen after administration of an ovulation inhibitor has been shown to elicit PMDD-like symptoms in women with a history From the Department of Pharmacology, Göteborg University, Göteborg, Sweden.Address correspondence to: Hoi-Por Ho, Department of Pharmacology, Göteborg University, POB 431, SE 405 30 Göteborg, Sweden.Received April 25, 2000; revised October 6, 2000; accepted October 18, 2000. N EUROPSYCHOPHARMACOLOGY 2001 -VOL . 24 , NO . 5 Animal Model of Premenstrual Dysphoria? 503 of PMDD, but not in controls . Third, women with a history of PMDD more often than other women experience PMDD-like symptoms when given gestagen intermittently during menopause as part of a hormonal replacement therapy (Bjorn et al. 1999). Animal experiments suggest that the brain neurotransmitter serotonin exerts an inhibitory influence on irritability and aggression (see Eriksson and Humble 1990), and also that brain serotonergic neurotransmission is influenced by sex steroids . The hypothesis that serotonin may be involved in the regulation of premenstrual irritability lends strong support from studies showing that serotonin reuptake inhibitors very effectively reduce the symptoms of PMDD (Sundblad et al. 1992;Eriksson et al. 1995;Steiner et al. 1995;Yonkers et al. 1997;Wikander et al. 1998); moreover, whereas the serotonin precursor tryptophan has been shown to be superior to placebo for the treatment of PMDD (Steinberg et al. 1999), a reduction i...