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September 2, 2026Journal of Psychosexual HealthOpen Access

Premenstrual Hypersexuality and its Psychological Implications: A Case Series

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Authors

ASAkanksha SharmaAJAbdul Qadir JilaniABAditi Bhatia

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Overview

Case series reveals psychological interventions reduce distress from premenstrual hypersexuality in reproductive-age women, highlighting the value of symptom recognition and therapy.

Key Points

  • To describe the clinical presentation, diagnostic evaluation, and psychological management of premenstrual hypersexuality, a condition characterized by cyclical surges in sexual desire during the luteal phase.
  • Evaluated a case series of 3 reproductive-age women experiencing recurrent intrusive sexual thoughts, heightened desire, and hypersexual behaviors occurring 7–10 days before menses with spontaneous postmenstrual resolution.
  • Performed comprehensive gynecological, hormonal, and psychiatric evaluations to rule out underlying endocrine conditions and primary psychiatric disorders.
  • Implemented individualized psychotherapy comprising psychoeducation, cognitive restructuring, harm reduction, and supportive counseling, evaluating outcomes across 3 consecutive menstrual cycles via the Female Sexual Distress Scale-Revised (FSDS-R).
  • All patients exhibited a consistent temporal link between symptom onset and the luteal phase, while endocrine profiles, pelvic imaging, and psychiatric evaluations were unremarkable.
  • Individualized psychotherapy improved daily functioning and reduced sexual distress, with FSDS-R scores improving by approximately 10–15 points in each case despite the continued presence of cyclical desire increases.

Cite This Study

Sharma et al. (2026) studied this question.

synapsesocial.com/papers/6a97e249c562ede874ec6638https://doi.org/10.1177/26318318261475028
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Navigating Unique Diagnostic and Therapeutic Challenges in Premenstrual Dysphoric Disorder: A Case Report2024
  2. 2Gold‐standard evidence and best practice guidance for menstrual cycle‐informed clinical care: An overview for clinicians2026 · 1 citations
  3. 3Mental health approach to premenstrual dysphoric syndrome: case series2025
  4. 4Depression, Anxiety, Emotional Regulation, and Psychological Resilience in Women with Premenstrual Dysphoric Disorder During the Late Luteal Phase2026
  5. 5Statistical insights into premenstrual syndrome and dysphoric disorder: understanding menstrual health challenges in pre-university students2026