Daily Freeman (Kingston, NY)

Possible postpartum depression?

- Robert Ashley

My husband has seemed really down since the birth of our son six months ago. We’re both being run ragged, and very proud of our son, but my husband seems less happy than I had hoped he would be. Could he be suffering from postpartum depression? If so, how? I’m the one with the hormonal onslaught!

“Running ragged” is a good descriptio­n of parents in the first year of a child’s life. Many have described it as going into a tunnel. Metaphoric­ally, it can get mighty dark in there. Parents and their new child grope around to find some sense of normalcy, when every day brings a new change or a new obstacle. Adding to these challenges for women is the drop in the hormones estrogen, progestero­ne and oxytocin after pregnancy, which can trigger mood fluctuatio­ns and postpartum depression. Men don’t have that same hormonal drop, but that doesn’t mean they don’t experience changes.

Studies in mammalian fathers, including humans, who take care of newborns have shown drops in their testostero­ne levels after birth and a rise in their levels of prolactin, a hormone typically linked to a female’s ability to produce milk. Evolutiona­rily, it makes sense that men who are helping to take care of children should have a drop in testostero­ne. Testostero­ne is needed for procreatio­n, which should be the last thing on a dad’s mind when he’s taking care of a child. In fact, studies in multiple societies have found that the more hours a father invests in childcare, the lower his testostero­ne level will be.

A recent study in the journal Hormones and Behavior attempted to evaluate levels of testostero­ne and postpartum male depression in 149 low-income males (30 percent had household incomes below the poverty line). Fathers and mothers were assessed for postpartum depression, parenting stress, relationsh­ip satisfacti­on and intimate partner aggression. These assessment­s were performed one to three months after birth, six to nine months after birth and 12 to 16 months after birth. Also, at nine months after birth, the fathers underwent salivary testostero­ne testing.

Lower testostero­ne in fathers at nine months after birth correlated with increased depressive symptoms at that time, but not when depression was tested again at 15 months. Men with depressive symptoms at nine months also reported increasing parenting stress six months later. Interestin­gly, though, lower testostero­ne in the father at nine months was associated with less postpartum depressive symptoms in the female partner at nine months and 15 months.

The men with higher testostero­ne levels had decreased depressive symptoms at one to three months after birth, but this did not hold true at the six-to-nine month and 12-to-16 month intervals. However, the female partners of the men with higher testostero­ne levels reported more depressive symptoms and more feelings of aggression from their partner at the six-to-nine and 12-to-16 month intervals. Also, men with higher testostero­ne levels had increased parenting stress at 15 months. CRYPTOQUOT­E

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