{"id":22266,"date":"2025-02-13T08:00:00","date_gmt":"2025-02-13T14:00:00","guid":{"rendered":"https:\/\/naturalwomanhood.org\/?p=22266"},"modified":"2025-04-08T13:30:42","modified_gmt":"2025-04-08T18:30:42","slug":"ocd-ciclo-menstrual","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/es\/ocd-menstrual-cycle\/","title":{"rendered":"El TOC y el ciclo menstrual: \u00bfEmpeoran los s\u00edntomas del TOC antes de la menstruaci\u00f3n?"},"content":{"rendered":"\n

Intrusive thoughts, those pesky, uninvited negative ideas crowding up our minds. We all struggle with them from time to time. But have you ever wondered why they might seem worse during different times of the month? Some women notice an increase in intrusive thoughts during the luteal phase<\/a> of the cycle, coinciding with other premenstrual syndrome (PMS) symptoms [1]. Obsessive compulsive disorder (OCD) is very different from occasional intrusive thoughts and a very serious, diagnosable illness. However, women who experience OCD are also influenced by the changes in their cycle. Here is how. \u00a0<\/p>\n\n\n\n

What is OCD?<\/span><\/h2>\n\n\n\n

For the approximately 2% of the population diagnosed with OCD, recurring, intensely disturbing thoughts can be a daily event. OCD<\/a> is characterized by persistent, unwanted, distressing thoughts (obsessions) that are out of sync with one\u2019s character or moral code. While everyone periodically has intrusive thoughts, most people are able to automatically dismiss them as unimportant or not real. For OCD sufferers, the intrusive thoughts get \u201cstuck,\u201d and they feel unable to let go of them.\u00a0<\/p>\n\n\n\n

Compulsions are repetitive physical or mental responses sufferers engage in to alleviate the mental pain and anxiety caused by the thought of one\u2019s obsessions potentially coming true. While compulsions initially<\/em> reduce anxiety, in the long run they worsen<\/em> it to such an extent that significant mental and\/or physical energy is expended every single day trying to escape the obsession-compulsion cycle. <\/p>\n\n\n\n

OCD symptoms may worsen during big hormonal shifts<\/span><\/h2>\n\n\n\n

Major changes in reproductive life<\/a>, such as menarche (a girl\u2019s first period), pregnancy, postpartum<\/a>, and menopause, are known to impact OCD symptoms [2]. About 3-5% of new mothers may experience postpartum OCD, according<\/a> to the Anxiety and Depression Association of America (ADAA). Due to hormonal fluctuations throughout the menstrual cycle<\/a>, women with OCD may also experience increased intrusive thoughts (and stronger tendencies to respond compulsively, or more difficulty resisting compulsive responses) at certain times of the month.\u00a0<\/p>\n\n\n\n

What’s the relationship between OCD and the menstrual cycle, specifically?<\/span><\/h2>\n\n\n\n

We\u2019ve previously written<\/a> about the effects female reproductive hormones can have on mental health, in particular, anxiety and depression. Rises in estrogen<\/a>, such as the one that occurs during the follicular phase of the menstrual cycle, have been shown to decrease negative mental health symptoms [1]. Meanwhile, an increase in mental health symptoms may accompany the drop in progesterone and estrogen levels at the end of the luteal phase before menstruation [1].<\/p>\n\n\n\n

Remember how I wrote earlier that everyone has intrusive thoughts, though most people are able to let them go? According to a 2019 study published in Psychoneuroendocrinology<\/em><\/a>, 49% of healthy young women experienced an increase in checking behaviors (\u201cinspection of one\u2019s own behaviors to reduce anxiety about potential adverse outcomes\u201d) during the mid-luteal phase [1]. <\/p>\n\n\n\n

A 2013 study<\/a> suggests that in women with OCD, a subset (49.3% of study participants) experience a worsening of sexual\/religious obsessions, anxiety, depression, and suicidality, during the premenstrual phase [3]. Recall that the premenstrual phase, the few days before your period starts, is a time of major hormonal withdrawal as both<\/em> estrogen and progesterone levels decrease. <\/p>\n\n\n\n

Can OCD symptoms be alleviated?<\/span><\/h2>\n\n\n\n

If you experience OCD and find the few days before your \u201ctime of the month\u201d to be particularly difficult, you\u2019re likely wondering, is there treatment available for OCD symptoms<\/em>? The answer, thankfully, is a resounding yes. <\/p>\n\n\n\n

Exposure and response prevention therapy (ERP)<\/span><\/h3>\n\n\n\n

According to NOCD<\/a>, Exposure and Response Prevention (ERP) therapy is the gold-standard (and usually affordable!) treatment for individuals with OCD. <\/p>\n\n\n\n

This therapy involves gradual exposure to one\u2019s OCD triggers to help them develop fear habituation (desensitization) without<\/em> performing compulsive mental or physical behaviors. NOCD helpfully explains, \u201cOver time, this allows them to tolerate anxiety without relying on compulsions or avoidance to feel better, and their intrusive thoughts cause less distress in the long run.\u201d <\/p>\n\n\n\n

Acceptance and commitment therapy<\/span><\/h3>\n\n\n\n

OCD sufferers may also benefit from Acceptance and Commitment Therapy (ACT)<\/a> in tandem with ERP. ACT teaches people with OCD to distinguish the difference between thoughts or feelings (you cannot control) versus actions (you can control). ACT helps individuals see their thoughts as just thoughts, not as dangers. A 2018 study found that ERP + ACT and ERP alone \u201cwere both highly effective treatments for OCD\u201d [4]. The full text of the study, including a review of research on the role of medications and traditional cognitive behavioral therapy (CBT) in treating OCD, is here<\/a>. <\/p>\n\n\n\n

Progesterone supplementation<\/span><\/h3>\n\n\n\n

An article<\/a> on the ADAA website observes, \u201cStudies have shown that women with OCD are likely to have abnormal hormone levels and that these hormones play a role in triggering or worsening the condition.\u201d The article continues, \u201cThere are also treatments that can help with hormone levels to alleviate OCD symptoms. Women who have elevated levels of estrogen may consider progesterone therapy<\/a> to balance high estrogen levels<\/a>.\u201d The idea of progesterone support is far from a surprise for those familiar with restorative reproductive medicine supplementation protocols for women suffering from premenstrual syndrome<\/a> (PMS), premenstrual dysphoric disorder<\/a> (PMDD), or postpartum depressio<\/a>n (PPD). <\/p>\n\n\n\n

The article further stipulates, \u201cGrowth hormone and pregnenolone (a steroid hormone involved in the sex hormones) can also play a role\u201d in treating OCD patients with hormonal imbalances. Pregnenolone is a precursor<\/a> to cortisol, testosterone, estrogen, and progesterone. A pregnenolone metabolite, allopregnanolone, is the active ingredient in the only FDA-approved medications (an IV option<\/a> and an oral option<\/a> exist) to treat postpartum depression.<\/p>\n\n\n\n

Women with OCD and PMS should learn to chart their menstrual cycles<\/span><\/h2>\n\n\n\n

For some women with OCD, intrusive thoughts will worsen during a certain part of the menstrual cycle. Because of the role progesterone supplementation may play in alleviating premenstrual symptoms, and the role hormonal support can play in resolving hormonal disorders generally, fertility awareness charting is especially important for women with OCD and PMS. While fertility awareness charting is beneficial for any woman, it can help these women in particular gain an understanding of why they\u2019re feeling the way they feel, so that they can respond more mindfully and engage more purposefully in ERP and possibly ACT. <\/p>\n\n\n\n

Furthermore, fertility awareness can help reproductive medicine-trained professionals identify hormonal disorders, resolve imbalances, and hopefully in doing so, also improve the effectiveness of their patient\u2019s other therapies. <\/p>\n\n\n\n

References:<\/span><\/h4>\n\n\n\n[1] Mulligan EM, Hajcak G, Klawohn J, Nelson B, Meyer A. Effects of menstrual cycle phase on associations between the error-related negativity and checking symptoms in women. Psychoneuroendocrinology. 2019 May;103:233-240. doi: 10.1016\/j.psyneuen.2019.01.027. Epub 2019 Jan 29. PMID: 30721837; PMCID: PMC6450738.<\/p>\n\n\n\n[2] Labad J, Mench\u00f3n JM, Alonso P, Segal\u00e0s C, Jim\u00e9nez S, Vallejo J. Female reproductive cycle and obsessive-compulsive disorder. J Clin Psychiatry. 2005 Apr;66(4):428-35; quiz 546. doi: 10.4088\/jcp.v66n0404. PMID: 15816784.<\/p>\n\n\n\n[3] Moreira L, Bins H, Toressan R, Ferro C, Harttmann T, Petrib\u00fa K, Juruena MF, do Ros\u00e1rio MC, Ferr\u00e3o YA. An exploratory dimensional approach to premenstrual manifestation of obsessive-compulsive disorder symptoms: a multicentre study. J Psychosom Res. 2013 Apr;74(4):313-9. doi: 10.1016\/j.jpsychores.2012.12.004. Epub 2012 Dec 29. PMID: 23497833.<\/p>\n\n\n\n[4] Twohig MP, Abramowitz JS, Smith BM, Fabricant LE, Jacoby RJ, Morrison KL, Bluett EJ, Reuman L, Blakey SM, Ledermann T. Adding acceptance and commitment therapy to exposure and response prevention for obsessive-compulsive disorder: A randomized controlled trial. Behav Res Ther. 2018 Sep;108:1-9. doi: 10.1016\/j.brat.2018.06.005. Epub 2018 Jun 22. PMID: 29966992.<\/p>\n","protected":false},"excerpt":{"rendered":"Y qu\u00e9 hacer al respecto","protected":false},"author":132,"featured_media":22267,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":true,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[1],"tags":[6305,4568,6445],"class_list":{"0":"post-22266","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-uncategorized","8":"tag-benefits-of-cycle-charting","9":"tag-menstrual-cycle","10":"tag-obsessive-compulsive-disorder","11":"cs-entry","12":"cs-video-wrap"},"acf":[],"yoast_head":"\nOCD and the menstrual cycle- Natural Womanhood<\/title>\n<meta name=\"description\" content=\"Is there a relationship between OCD symptoms and the menstrual cycle? 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