Significant Increase in Depression in Women With Primary Dysmenorrhea Original paper

Researched by:

  • Divine Aleru ID
    Divine Aleru

    User avatarI am a biochemist with a deep curiosity for the human microbiome and how it shapes human health, and I enjoy making microbiome science more accessible through research and writing. With 2 years experience in microbiome research, I have curated microbiome studies, analyzed microbial signatures, and now focus on interventions as a Microbiome Signatures and Interventions Research Coordinator.

    Read More

July 25, 2025

  • Women’s Health
    Women’s Health

    Women’s health, a vital aspect of medical science, encompasses various conditions unique to women’s physiological makeup. Historically, women were often excluded from clinical research, leading to a gap in understanding the intricacies of women’s health needs. However, recent advancements have highlighted the significant role that the microbiome plays in these conditions, offering new insights and potential therapies. MicrobiomeSignatures.com is at the forefront of exploring the microbiome signature of each of these conditions to unravel the etiology of these diseases and develop targeted microbiome therapies.

  • Primary Dysmenorrhea
    Primary Dysmenorrhea

    Primary dysmenorrhea (PD) is painful menstrual cramps without underlying pelvic pathology, predominantly caused by elevated prostaglandins inducing uterine contractions and ischemia. Managing primary dysmenorrhea (PD) requires understanding its complex mechanisms involving prostaglandins, oxidative stress, and inflammation. Treatments include NSAIDs, hormonal therapies, and promising complementary options like probiotics, vitamins, omega-3 fatty acids, exercise, yoga, acupuncture, and massage, significantly improving women's quality of life.

Researched by:

  • Divine Aleru ID
    Divine Aleru

    User avatarI am a biochemist with a deep curiosity for the human microbiome and how it shapes human health, and I enjoy making microbiome science more accessible through research and writing. With 2 years experience in microbiome research, I have curated microbiome studies, analyzed microbial signatures, and now focus on interventions as a Microbiome Signatures and Interventions Research Coordinator.

    Read More

Last Updated: 2025-07-25

Microbiome Signatures identifies and validates condition-specific microbiome shifts and interventions to accelerate clinical translation. Our multidisciplinary team supports clinicians, researchers, and innovators in turning microbiome science into actionable medicine.

Divine Aleru

I am a biochemist with a deep curiosity for the human microbiome and how it shapes human health, and I enjoy making microbiome science more accessible through research and writing. With 2 years experience in microbiome research, I have curated microbiome studies, analyzed microbial signatures, and now focus on interventions as a Microbiome Signatures and Interventions Research Coordinator.

What was studied?

This systematic review and meta-analysis aimed to evaluate the relationship between primary dysmenorrhea and depression in women. The studies included in this analysis focused on the prevalence of depressive symptoms in women suffering from primary dysmenorrhea compared to those without dysmenorrhea. The pooled data demonstrated a significant 1.72-fold increased risk of depressive symptoms among women with dysmenorrhea, as well as significantly higher Beck Depression Inventory (BDI) scores. The study also considered the effects of various sociodemographic factors, pain severity, and the interplay between menstrual pain and mental health.

Who was studied?

The study involved a diverse group of women of reproductive age, with a focus on individuals diagnosed with primary dysmenorrhea. The participants were primarily from observational studies, including cross-sectional and case-control trials. The meta-analysis included data from over 3,000 women, with a specific comparison between those suffering from dysmenorrhea and a healthy control group of women without menstrual pain. The studies also varied by geographical location, age, and other sociodemographic factors that may influence both dysmenorrhea and depression, highlighting the heterogeneity in the results.

Most important findings

The analysis confirmed a significant association between primary dysmenorrhea and depression. Women with dysmenorrhea were found to have a much higher prevalence of depression, with 25.2% of dysmenorrhea sufferers reporting depressive symptoms, compared to 12.3% of the control group. Additionally, the BDI scores for women with dysmenorrhea were significantly higher, further supporting the link between menstrual pain and depression. However, some studies included in the meta-analysis did not find this association, indicating potential variability in individual responses or methodological differences.

Key implications

The findings suggest that primary dysmenorrhea is not just a physical condition but also significantly affects mental health, increasing the risk of depression. Clinicians should be aware of the potential for depressive symptoms in women with dysmenorrhea and consider integrating mental health assessments into the management of menstrual pain. Interventions targeting dysmenorrhea might reduce both physical and mental health burdens for affected women, improving their overall quality of life. Additionally, understanding the bidirectional relationship between chronic pain and mental health can help guide treatment strategies, such as addressing pain management alongside psychological support.

Primary Dysmenorrhea

Primary dysmenorrhea (PD) is painful menstrual cramps without underlying pelvic pathology, predominantly caused by elevated prostaglandins inducing uterine contractions and ischemia. Managing primary dysmenorrhea (PD) requires understanding its complex mechanisms involving prostaglandins, oxidative stress, and inflammation. Treatments include NSAIDs, hormonal therapies, and promising complementary options like probiotics, vitamins, omega-3 fatty acids, exercise, yoga, acupuncture, and massage, significantly improving women's quality of life.

Join the Roundtable

Contribute to published consensus reports, connect with top clinicians and researchers, and receive exclusive invitations to roundtable conferences.