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Gonadal Hormones, Reproductive Age, and Women With Depression
Arch Gen Psychiatry. 2000;57:1163-1164.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 2-FOLD higher risk for depression among women compared with men has been consistently documented worldwide.1-5 The epidemiological findings that the sex differences are manifested during reproductive age and actually disappear during the menopausal stage4 suggest an important involvement of reproduction-related processes, especially the hypothalamo-pituitary-gonadal axis in the pathobiology of depression in women. The focus of the search for the culprit has been on peripheral levels of the gonadal hormonesespecially estrogen. A more comprehensive approach includes plasma levels of the pituitary hormones follicle-stimulating hormone and luteinizing hormone and their pulsatility, reflecting the hypothalamus' effect on the system and indicating the system's integrity.
As Young and colleagues conclude in this issue of the ARCHIVES, "Our study found generally normal reproductive function in women with depression in both the follicular and luteal phase compared with control women matched by age and menstrual cycle day." Their data are in accord with previous reports.6-10 . . . [Full Text of this Article]
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