Questionnaire studies have found that parkinsonism worsens in women during
the premenstrual period, when estrogen and progesterone levels are presumab
ly at their nadir. To assess this patient-based observation and correlate m
otor signs with hormonal levels, the authors prospectively studied 10 menst
ruating women with PD in their "off" state, on 5 successive weeks. Although
PD severity fluctuated during the study period, there was no significant c
orrelation between the objective or subjective measures of parkinsonism and
estrogen and progesterone levels.