What is PMDD?

Premenstrual dysphoric disorder is a more severe form of premenstrual syndrome. PMDD usually affects women of child-bearing age — in effect, any woman who has reached puberty. It is regarded as a chronic medical condition that needs attention and treatment from a medical practitioner. The exact cause of PMDD is not known, although some studies suggest it may be an abnormal reaction to the hormone changes that occur with every menstrual cycle. Risk factors include a family history of premenstrual issues, or a personal history of anxiety and depression.

Symptoms of PMDD

Symptoms appear during the week before menstruation, and usually end within a few days after the period starts. Symptoms include:

• Feeling unwell and unhappy, without being able to put your finger on what's wrong.
• Mood swings manifesting as anxiety and depression, and sometimes also as unusual euphoria — all of which may interfere with your work or daily life.
• A temporary lack of interest in activities you'd usually enjoy.
• Breast tenderness, and feeling bloated in the pelvic area.
• Food cravings and increased appetite.
• Irritability, and anger with the people around you.
• Concentration issues.
• Issues of low libido.

Sometimes the symptoms of PMDD may be confused with other conditions, such as thyroid trouble or general anxiety. A thorough physical examination by a doctor is needed for an accurate diagnosis. If left untreated, and you're in a relationship, there is potential for your partnership to suffer.

Treatments for PMDD

This is a chronic condition that does need treatment. Several of the following approaches have been shown to help relieve or decrease the severity of PMDD symptoms.

• Plan a new diet that reduces sugar, salt, caffeine, and alcohol.
• Include protein and healthy carbohydrates such as whole grains and leafy green vegetables in your diet — not the unhealthy carbs found in refined flour items such as white bread, rolls, and cakes. Lean cuts of meat and chicken provide good protein.
• Regular exercise is beneficial, as is a plan to avoid stressful situations and reduce anxiety.
• Anti-inflammatory medications.
• Vitamin supplements like vitamin B6, B12, calcium, and magnesium are important.

It's important to note that not all women have the same symptoms, or the same level of severity. Studies have shown that positive responses to treatment options also differ, with most women finding a good response to at least one of the options available.

We can help

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