I was listening to the simultaneous translation. You asked about risk factors for mental health across a woman's life, and whether they change over menstruation, pregnancy, postpartum and menopause.
I think it is true that having a history of depression, a family history of depression or a mother or a sister who struggled with reproductive life events is a risk factor. Some women's brains are more sensitive to the hormonal shift. It's not necessarily a high or a low level of hormones but something about the shifting that some women's brains are more sensitive to, so that's a risk factor. Other risk factors are some of the things that I talked about. For example, early childhood trauma—physical, sexual or emotional abuse—is a major risk factor, and then there are other psychological and social risk factors, such as losses and transitions.
Related to the menstrual cycle, sometimes if people are in more stressful months, that will actually impact the premenstrual mood. We talked about the perinatal period. The biggest risk factor for perinatal depression is a lack of emotional and practical social support. Then, when you think about perimenopause, you're talking about transitions there as well—people are getting closer to ending careers, children are leaving the home—so there are really very similar risk factors and, I would argue, women-specific risk factors.