Performance in a test demanding prefrontal functions is favored by early luteal phase progesterone: an electroencephalographic study.

There are some psychological studies showing changes in intellectual efficiency before and during menstruation. Many women report that they experience a feeling of difficulty to initiate activities, confront challenging situations and lack of concentration suggesting transient changes in frontal lobe functions related with gonadal hormone levels. Therefore, performance of a task demanding prefrontal functions, the Wisconsin Card Sorting Test, with simultaneous recording of electroencephalographic (EEG) activity was assessed in 9 healthy women, in a repeated measure study, during ovulation (OVU), early luteal (EL), late luteal (LL) and menstrual (MEN) phases. Spectral power of base line and task EEG, and number of responses to reach successful and unsuccessful outcomes in the task were evaluated. Performance was impaired to a certain degree during the OVU phase and was associated with an attenuated alpha1 power and with an increase of the theta and beta2 power. Performance was better during EL phase, when progesterone level is at its highest, no significant changes were observed from BL to task. Performance was worse during LL phase when hormone levels are at its lowest and was associated with a decrease in beta1 and beta2 power together with a significant attenuation of alpha1 and alpha2 power. During MEN phase performance was also improved and was associated with a significant decrease of alpha1 and alpha2 power and no changes in beta power were observed. These findings show that performance of a task demanding internal attention and planning is modulated by physiological progesterone and estrogen levels during menstrual cycle and is associated with specific EEG profiles.