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Menstrual Disturbances During Electroconvulsive Therapy: the Forgotten Adverse Effect: Case Report and Review of the Literature.
MedLine Citation:
PMID:  23052152     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: A transient but robust increase in prolactin levels during and after electroconvulsive therapy (ECT) has been shown repeatedly. Reports on menstrual disturbances during a course of ECT are scarce. METHODS: The case of a woman treated with ECT for depression that developed menstrual disturbances early in the course of the treatment is presented. We conducted a PubMed literature search, supplemented with an Internet (Google) search using the same strategy, and a hand search of the indexes of textbooks on ECT. RESULTS: Publications on the emergence of menstrual disturbances during ECT are virtually nonexistent, although some textbooks mention amenorrhea as a possible adverse effect of ECT. The mechanism of ECT-related amenorrhea is unknown but is supposed to be related to the transient hyperprolactinemia. CONCLUSION: Electroconvulsive therapy can cause menstrual disturbances. These adverse effects are benign and transient. The exact mechanism remains unknown. More research could help to clarify the possible role of a transient but robust hyperprolactinemia.
Authors:
Pascal A Sienaert; Ineke Geeraerts
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-9
Journal Detail:
Title:  The journal of ECT     Volume:  -     ISSN:  1533-4112     ISO Abbreviation:  J ECT     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9808943     Medline TA:  J ECT     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
From the *Department of Mood Disorders and †ECT Department, University Psychiatric Center, Catholic University Leuven, Campus Kortenberg, Kortenberg, Belgium.
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