Compared with men, women have a greater lifetime risk of delusions of infes
tation, with the risk appearing to increase around the menopause, when the
blood levels of reproductive hormones are decreasing. Women also have a gre
ater lifetime risk of depression and an increased incidence of depressive s
ymptoms post partum, when the blood levels of these hormones are decreasing
as well. The first case Of a delusion of infestation with post-partum onse
t is described, and possible associations with reproductive function in wom
en are discussed.