Premenstrual Dysphoric Disorder

What Is It?

Premenstrual dysphoric disorder (PMDD) is a condition in which a woman has severe depression symptoms, irritation, and tension prior to menstruation. The symptoms of PMDD are more severe than those seen with premenstrual syndrome (PMS).

PMS describes a vast array of physical or emotional symptoms that generally happen about 5 to 11 days before a lady begins her monthly menstruation. The symptoms usually stop when, or quickly after, her period starts.

Causes of Premenstrual Dysphoric Disorder

The causes of PMS and PMDD have actually not been found.

Hormonal agent modifications that happen during a female’s menstrual cycle might contribute.

PMDD impacts a small number of women during the years when they are having menstrual durations.

Many women with this condition have:

Other aspects that may play a role include:

  • Alcohol or drug abuse.
  • Thyroid disorders.
  • Being obese.
  • Having a mother with a history of the disorder.
  • Absence of workout.

Symptoms of Severe PMS

The symptoms of PMDD resemble those of PMS. Nevertheless, they are typically more severe and incapacitating and include at least one mood-related symptom. Symptoms happen during the week prior to menstrual bleeding and usually improve within a few days after the duration begins.

Here is a list of common PMDD symptoms:

  • Lack of interest in day-to-day activities and relationships.
  • Fatigue or low energy.
  • Sadness or despondence, potentially thoughts of suicide.
  • Stress and anxiety.
  • Out of control sensation.
  • Food yearnings or binge consuming.
  • Mood swings with bouts of weeping.
  • Anxiety attack.
  • Irritability or anger that affects other individuals.
  • Bloating, breast tenderness, headaches, and joint or muscle pain.
  • Problems sleeping.
  • Trouble concentrating.


No physical exam or laboratory tests can identify PMDD. A total history, health examination (consisting of a pelvic examination), thyroid screening, and psychiatric examination ought to be done to dismiss other conditions.

Keeping a calendar or diary of symptoms can assist women identify the most bothersome symptoms and the times when they are likely to occur. This information might assist your health care service provider identify PMDD and figure out the best treatment.

If you are diagnosed with severe premenstrual syndrome or premenstrual dyphoric condition, you may take advantage of a few of the sophisticated treatments noted below. These treatments are implied to be temporary, an individual might go through a treatment anywhere from five months to a couple of years.

PMDD Treatment

A healthy lifestyle is the initial step to managing PMDD.

  • Eat healthy foods with entire grains, veggies, fruit, and little or no salt, sugar, alcohol, and caffeine.
  • Get routine aerobic exercise throughout the month to decrease the severity of PMS symptoms.
  • If you have issues sleeping, attempt altering your sleep routines before taking medicines for sleeping disorders.

Keep a diary or calendar to record:

  • The kind of symptoms you are having.
  • How severe they are.
  • For how long they last.

Antidepressants may be valuable.

The first alternative is generally an antidepressant called a selective serotonin-reuptake inhibitor (SSRI). You can take SSRIs in the 2nd part of your cycle up until your duration begins, or for the whole month. Ask your healthcare service provider.

Cognitive behavioral therapy (CBT) may be used either with or rather of antidepressants. During CBT, you have about 10 sees with a mental health professional over several weeks.

Other treatments that might help include:

  • Diuretics might work for women who have considerable short-term weight gain from fluid retention.
  • Other medications (such as Depo-Lupron) reduce the ovaries and ovulation.
  • Pain relievers such as aspirin or ibuprofen may be recommended for headache, backache, menstrual cramps, and breast inflammation.

Most research studies have actually revealed that nutritional supplements, such as vitamin B6, calcium, and magnesium are not helpful in relieving symptoms.

Outlook (Prognosis)

After appropriate medical diagnosis and treatment, many women with PMDD discover that their symptoms go away or drop to bearable levels.

Possible Complications

PMDD symptoms may be severe enough to interfere with a woman’s every day life. Women with anxiety might have worse symptoms during the second half of their cycle and might need changes in their medication.

Some women with PMDD have suicidal thoughts. Suicide in women with anxiety is more likely to happen during the second half of their menstrual cycle.

PMDD might be associated with consuming disorders and smoking.

When to Contact a Medical Professional

Call 911 or a regional crisis line right now if you are having thoughts of suicide.

Call for a visit with your health care provider if:

  • Symptoms do not enhance with self-treatment.
  • Symptoms interfere with your daily life.


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