The dietary technique of acute tryptophan depletion was used to suppre
ss brain serotonin synthesis in 16 women with documented premenstrual
syndrome. Each subject was tested at distinct phases of each of two me
nstrual cycles. Baseline amino acid levels did not vary across the men
strual cycle, except for tyrosine which showed a significant premenstr
ual decrement. Compared to a sham procedure, actual tryptophan depleti
on caused a significant aggravation of premenstrual symptoms, particul
arly irritability. Symptom magnitude was correlated with diminution of
tryptophan relative to other amino acids. This result supports other
evidence implicating serotonin in premenstrual syndrome.