Functional MRI evidence of brain alterations in premenstrual dysphoric disorder: a systematic review - Takeaways - MDSpire

Functional MRI evidence of brain alterations in premenstrual dysphoric disorder: a systematic review

  • By

  • Kornelia Bartoszewicz

  • Edyta Szurowska

  • June 4, 2026

  • 0 min

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  • 1

    Premenstrual Dysphoric Disorder (PMDD) affects approximately 1.6% of women of reproductive age and significantly impacts their quality of life.

  • 2

    First-line treatment for PMDD typically involves selective serotonin reuptake inhibitors (SSRIs), with about 40% of women not responding to these medications.

  • 3

    Functional magnetic resonance imaging (fMRI) studies indicate alterations in brain networks associated with PMDD, including decreased activation in specific cortical areas.

  • 4

    The findings suggest that PMDD involves widespread neural circuits rather than a single localized dysfunction, highlighting its complexity.

  • 5

    Current treatment options for PMDD include antidepressants, hormonal therapies, and psychotherapy, but gaps remain in understanding its pathophysiology.

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