Eating disorders in premenstrual dysphoric disorder: a neuroendocrinological pathway to the pathogenesis and treatment of binge eating
Abstract Background This case report details the presentation, treatment and post-operative outcome of an adult female with co-occurring binge eating disorder and premenstrual dysphoric disorder (PMDD). Case presentation The patient, self-presenting for treatment, reported having struggled with seve...
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| Format: | Article |
| Language: | English |
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BMC
2018-10-01
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| Series: | Journal of Eating Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40337-018-0222-2 |
| _version_ | 1797708275716718592 |
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| author | Camilla Lindvall Dahlgren Erik Qvigstad |
| author_facet | Camilla Lindvall Dahlgren Erik Qvigstad |
| author_sort | Camilla Lindvall Dahlgren |
| collection | DOAJ |
| description | Abstract Background This case report details the presentation, treatment and post-operative outcome of an adult female with co-occurring binge eating disorder and premenstrual dysphoric disorder (PMDD). Case presentation The patient, self-presenting for treatment, reported having struggled with severe, debilitating physical and psychological PMDD symptoms for nearly a decade. After having taken part in a number of unsuccessful first- and second line treatments in primary and secondary care, the patient was referred to tertiary care at the Department of Gynecology at Oslo University Hospital in Norway. Chemical menopause using a gonadotropin-releasing hormone (GnRH) agonist was induced, predicting the desired response (i.e. resolution of PMDD symptoms) to bilateral salpingo-oophorectomy (BSO). At three- and six months post BSO follow-up, the patient reported complete resolution of all reported PMDD symptoms including marked increase in appetite (i.e. hyperphagia), specific food cravings and auxiliary binge eating. Conclusions To our knowledge, this is the first case documenting the recovery from an eating disorder following surgical ovarian suppression. Our findings lend supports to existing studies linking binge eating to hormonal changes in the mid-luteal phase of the menstrual cycle, and may help advance new treatment options for a selected, severely impaired group of females struggling with excessive appetite and binge eating due to fluctuations in ovarian activity. |
| first_indexed | 2024-03-12T06:18:56Z |
| format | Article |
| id | doaj.art-987d95aeee174a04b8985127bc51fa27 |
| institution | Directory Open Access Journal |
| issn | 2050-2974 |
| language | English |
| last_indexed | 2024-03-12T06:18:56Z |
| publishDate | 2018-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Eating Disorders |
| spelling | doaj.art-987d95aeee174a04b8985127bc51fa272023-09-03T02:21:56ZengBMCJournal of Eating Disorders2050-29742018-10-01611610.1186/s40337-018-0222-2Eating disorders in premenstrual dysphoric disorder: a neuroendocrinological pathway to the pathogenesis and treatment of binge eatingCamilla Lindvall Dahlgren0Erik Qvigstad1Regional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, Ullevål HospitalDepartment of Gynecology, Oslo University Hospital, Ullevål HospitalAbstract Background This case report details the presentation, treatment and post-operative outcome of an adult female with co-occurring binge eating disorder and premenstrual dysphoric disorder (PMDD). Case presentation The patient, self-presenting for treatment, reported having struggled with severe, debilitating physical and psychological PMDD symptoms for nearly a decade. After having taken part in a number of unsuccessful first- and second line treatments in primary and secondary care, the patient was referred to tertiary care at the Department of Gynecology at Oslo University Hospital in Norway. Chemical menopause using a gonadotropin-releasing hormone (GnRH) agonist was induced, predicting the desired response (i.e. resolution of PMDD symptoms) to bilateral salpingo-oophorectomy (BSO). At three- and six months post BSO follow-up, the patient reported complete resolution of all reported PMDD symptoms including marked increase in appetite (i.e. hyperphagia), specific food cravings and auxiliary binge eating. Conclusions To our knowledge, this is the first case documenting the recovery from an eating disorder following surgical ovarian suppression. Our findings lend supports to existing studies linking binge eating to hormonal changes in the mid-luteal phase of the menstrual cycle, and may help advance new treatment options for a selected, severely impaired group of females struggling with excessive appetite and binge eating due to fluctuations in ovarian activity.http://link.springer.com/article/10.1186/s40337-018-0222-2Binge eatingTreatmentPremenstrual dysphoric disorderGnRHBilateral salpingo-oophorectomy |
| spellingShingle | Camilla Lindvall Dahlgren Erik Qvigstad Eating disorders in premenstrual dysphoric disorder: a neuroendocrinological pathway to the pathogenesis and treatment of binge eating Journal of Eating Disorders Binge eating Treatment Premenstrual dysphoric disorder GnRH Bilateral salpingo-oophorectomy |
| title | Eating disorders in premenstrual dysphoric disorder: a neuroendocrinological pathway to the pathogenesis and treatment of binge eating |
| title_full | Eating disorders in premenstrual dysphoric disorder: a neuroendocrinological pathway to the pathogenesis and treatment of binge eating |
| title_fullStr | Eating disorders in premenstrual dysphoric disorder: a neuroendocrinological pathway to the pathogenesis and treatment of binge eating |
| title_full_unstemmed | Eating disorders in premenstrual dysphoric disorder: a neuroendocrinological pathway to the pathogenesis and treatment of binge eating |
| title_short | Eating disorders in premenstrual dysphoric disorder: a neuroendocrinological pathway to the pathogenesis and treatment of binge eating |
| title_sort | eating disorders in premenstrual dysphoric disorder a neuroendocrinological pathway to the pathogenesis and treatment of binge eating |
| topic | Binge eating Treatment Premenstrual dysphoric disorder GnRH Bilateral salpingo-oophorectomy |
| url | http://link.springer.com/article/10.1186/s40337-018-0222-2 |
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