Abstract

Ovarian hormones modulate women’s physical and psychological states periodically. Although the olfactory function is increasingly recognized as a reflection of physical and mental health conditions in the clinic, the role of olfaction in emotional and cognitive functions for healthy individuals has yet to be elucidated, especially when taking the menstrual cycle into account. We carried out a comprehensive investigation to explore whether the menstrual cycle could modulate women’s olfactory function and whether healthy women’s emotional symptoms and behavioral impulsivity could be characterized by their olfactory abilities at a specific menstrual cycle stage. Twenty-nine healthy young women were evaluated repeatedly using a standard olfactory test battery during the late follicular and mid-luteal phases. Their emotional symptoms and behavioral impulsivity were separately quantified via psychometric scales and a stop-signal task. We observed enhanced olfactory discrimination performance during the mid-luteal phase than the late follicular phase. We also found that women’s better olfactory discrimination and worse olfactory threshold in the mid-luteal phase predicted fewer individual emotional symptoms and lower behavioral impulsivity, respectively. These relationships were nonetheless absent in the late follicular phase. Our data extend previous clinical observations of the coexistence of olfactory deficits and neuropsychiatric disorders, providing new insights into the significance of olfaction and ovarian hormones for emotional and cognitive functions.

Highlights

  • The amygdala and orbitofrontal cortex are olfactory processing regions and emotion and cognition regulatory structures, thereby potentially drawing connections between olfactory function, emotion regulation, and cognitive control (Heimer et al, 2007; Kohli et al, 2016)

  • We investigated whether the menstrual cycle could modulate female olfactory function and whether olfaction was indicative of emotional and cognitive functions among healthy female adults in a stage-specific manner, for emotional symptoms and behavioral impulsivity

  • We examined the role of the menstrual cycle on women’s olfactory function in the current study

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Summary

Introduction

The amygdala and orbitofrontal cortex are olfactory processing regions and emotion and cognition regulatory structures, thereby potentially drawing connections between olfactory function, emotion regulation, and cognitive control (Heimer et al, 2007; Kohli et al, 2016). Studies on patients with psychiatric (e.g., schizophrenia and depression) and neurodegenerative (e.g., Parkinson’s disease and Alzheimer’s disease) disorders have discovered that hyposmia often accompanies emotional symptoms (Martzke et al, 1997; Croy et al, 2014; Kohli et al, 2016; Croy and Hummel, 2017) and cognitive decline (Masala et al, 2018; Sanna et al, 2021). Olfactory identification and recognition performances were reported to be comparable between patients with mild or moderate depressive disorder and healthy controls (Zucco and Bollini, 2011), decreased odor discrimination ability was associated with a more impulsive tendency even within. Recent studies further reveal the indicative role of olfaction in humans. Based on the above findings, we intended to shed some light on the role of olfaction in emotional and cognitive functions among healthy individuals

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