OCD in Menopausal / perimenopausal women: Prevalence, Risk & Key Differences

Key things to know What the evidence shows
How common is it? Not established population prevalence
Is it more common among menopausal / perimenopausal women? Some existing OCD worsens around menopause
Are menopausal / perimenopausal women at higher risk? #N/A
How much higher is the risk? 27.2% of women with OCD reported worsening with menopause onset; 4.6% reported onset coinciding with menopause
How often can it be missed? Moderate–high
Does it show up differently among menopausal / perimenopausal women? Somewhat
How might it look different? Existing OCD may worsen or occasionally improve as reproductive hormones change
What commonly occurs alongside it? Depression; anxiety
What can it be confused with? GAD; depression; menopausal sleep/cognitive symptoms
Common screening tool OCI-R
Separate screening tool for menopausal / perimenopausal women None
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