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To what extent do sexual hormones influence bipolar disorder?

Published online by Cambridge University Press:  13 August 2021

F. Gonçalves Viegas ,
F. Ferreira ,
I. Figueiredo  and
A. Lourenço
F. Gonçalves Viegas*
Affiliation:
Departamento De Saúde Mental, Hospital Prof Dr Fernando Fonseca, Amadora, Portugal
F. Ferreira
Affiliation:
Departamento De Saúde Mental, Hospital Prof Dr Fernando Fonseca, Amadora, Portugal
I. Figueiredo
Affiliation:
Departamento De Saúde Mental, Hospital Prof Dr Fernando Fonseca, Amadora, Portugal
A. Lourenço
Affiliation:
Departamento De Saúde Mental, Hospital Prof Dr Fernando Fonseca, Amadora, Portugal
*
*Corresponding author.

Abstract

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Introduction

It is known that female reproductive events and hormonal treatments can impact the course of bipolar disorder (BD) in women, some of whom are more vulnerable to the development of mood instability under periods of hormonal fluctuation. The mechanisms involved are, however, largely unknown. The aim of this work is to review the impact of sexual hormones on the course of BD, regarding a clinical case.

Objectives

To explore the role of sexual hormones in BD.

Methods

Literature review using Medline database.

Results

This is a case of a 36-year-old woman with type 1 BD who develops a manic episode after starting oral contraception (OC). This episode remitted with suspension of the pill. Estrogen and progesterone are involved in various aspects of brain function, such as brain development, synaptic plasticity, and modulation of neurotransmitter systems. Studies indicate that there is a relationship between ovarian hormones and intracellular signaling systems involved in the pathophysiology of BD. However, research on OC use in patients with mood disorders is limited. Recent studies state that OC aren’t associated with a worse clinical course and don’t negatively influence BD, while other studies show there is a subgroup of bipolar women that improve with hormonal stability, while others get worse.

Conclusions

Further studies are needed to determine possible relationships between sexual hormones and BD, and it is essential to identify patients vulnerable to these risks by measuring baseline hormone levels, assessing hormone sensitivity through a history of mood changes during menstrual cycle and a history of previous mental health problems.

Disclosure

No significant relationships.

Keywords

sexual hormonesoral contraceptionmood instabilitybipolar disorder
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S621
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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