Severe PMS: premenstrual dysphoric disorder

Severe PMS symptoms are rare. A small percentage of women who have severe symptoms have premenstrual dysphoric disorder (PMDD). PMDD affects between 3 to 8 percent of women.

The symptoms of PMDD may include:

depression

thoughts of suicide

panic attacks

extreme anxiety

anger with severe mood swings

crying spells

a lack of interest in daily activities

.insomnia

trouble thinking or focusing

binge eating

painful cramping

bloating

The symptoms of PMDD may occur due to changes in your estrogen and progesterone levels. A connection between low serotonin levels and PMDD also exists.

Your doctor may do the following to rule out other medical problems:

a physical exam

a gynecological exam

a complete blood count

Your doctor may also recommend a psychiatric evaluation. A personal or family history of major depression, substance abuse, trauma, or stress can trigger or worsen PMDD symptoms.

Treatment for PMDD varies. Your doctor may recommend:

daily exercise

vitamin supplements, such as calcium, magnesiun and vitamin B-6

a caffeine-free diet

individual counseling

stress management classes

drospirenone and ethinyl estradiol tablet , which is a only birth control pill is also helpfull to treat PMDD symptoms


If your PMDD symptoms still do not improve, your doctor may give you a selective serotonin reuptake inhibitor (SSRI) antidepressant. This medication increases serotonin levels in your brain and has many roles in regulating brain chemistry that are not limited to depression.

You can’t prevent PMS or PMDD, but the treatments outlined above can help reduce the severity and duration of your symptoms.


To be continued...... Dr nandini





Aug 7th, 2020 10:37 AM

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