Is Estrogen an Antidepressant?
n Potential mechanism: 5HT modulation
n Clinical data:
n Werner et al 1934:  estrogen injection > placebo for
depression.
n Improvement in depressive symptoms in
postmenopausal women without MDD.
n Variable results across several studies of estrogen in
perimenopausal/postmenopausal women with
MDD.
Women and Bipolar Disorder