PMDD

Medically Reviewed By

Kristen Dale

If your cycle leaves you in dread every month, talk to a professional.

Everyone who has a period knows that time of the month is not a walk in the park. But for people who suffer from PMDD the symptoms leading up to menses are significant and can interrupt daily life. Premenstrual Dysphoric Disorder is a serious condition with painful physical and emotional symptoms. PMDD is different than other conditions like depression, or anxiety - though those struggling with PMDD may feel both of those things. The symptoms of PMDD can be tracked with a patient's cycle, following a somewhat predictable pattern as hormones fluctuate.

Signs and Symptoms

More than typical PMS.

Those struggling with PMDD may feel heightened anxiety leading up to menstruation knowing that every month come with many days in which daily living is difficult and painful. Others may have all of the symptoms of PMDD but have not yet realized that unlike other mental illnesses, theirs is cycle related.

If you are experiencing symptoms that heighten the week before your cycle and taper off after your period begins, you may want to talk to your healthcare provider.

Common signs and symptoms of PMDD include

  • Symptoms become worse the week before and then taper offer in the days after the onset of that month's period
  • Depressed mood, self-deprecating thoughts, or feelings of hopelessness
  • Heightened anxiety, tension, or feeling on edge
  • Irritability and anger
  • Easily moved to tears beyond typical for you, and heightened sensitivity
  • Fatigue
  • Changes in sleep
  • Physical discomfort such as muscle pain, breast tenderness, and bloating
  • Symptoms interfere with work, relationships, hobbies, and tasks of daily living

Treatment Options that May Help

Addressing the fluctuation in hormones as well as addressing the physical. mental, and emotional symptoms that comes with PMDD often requires a combination of treatments tailored to the individual. Those with PMDD may find relief of symptoms with medications such as SSRIs and some birth control medications. Your care team may also discuss supplementation, lifestyle changes for sleep and nutrition, and talking to a therapist.