While GnRH agonists may help reduce symptoms PMS or PMDD, doctors only prescribe them in the most extreme cases. In fact, many doctors never prescribe GnRH agonists for PMS or PMDD. This is because of the frequently severe, side effects of GnRH agonists which mimic that of menopause including hot flashes and night sweats, as well as the fact that treatment with these drugs is limited to six months. Other treatments for PMS and PMDD are effective without the horrible side effects that GnRH agonists cause.
Some women should never use GnRH agonists. This includes women who have mild continuous depression that gets worse during PMS, or those who have severe PMDD. Because GnRH agonists raise your risk for osteoporosis, your doctor may want to monitor your bone mass through bone density testing.
Source:
Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD); UpToDate; http://www.uptodate.com/patients/content/topic.do?topicKey=endocrin/10662&title=PMDD+(Premenstrual+syndrome); accessed 07/24/08.
