Premenstrual dysphoric disorder (PMDD) is similar to premenstrual syndrome (PMS), but with more severe and additional symptoms. People who have this condition start feeling symptoms at least a week before their period starts. Along with typical symptoms like painful cramps and bloating, people with PMDD experience extreme irritability, depression or anxiety. PMDD has a significant impact on a person’s life, but there are treatments and lifestyle changes that can help.
Many people who seek treatment for PMDD are dismissed by care providers because these symptoms are often mistaken for typical PMS or considered too mild to warrant care. It may take some persistence and self-advocacy to find a provider who understands that what you’re experiencing is not typical PMS. At ReKlame Health, we understand that receiving effective treatment for PMDD makes a big difference in a person’s quality of life. We’ll listen carefully and take the time to address your concerns. We also start with frequent medication management sessions so we can communicate as you try different treatments and find out what works for you.
This article offers a comprehensive guide to treatment, support and long-term care for PMDD.
Understanding premenstrual dysphoric disorder
PMDD involves a combination of mood and physical symptoms that cause enough pain and distress to significantly affect a person’s life. It’s considered a type of depressive disorder. Symptoms begin a week or two before menstruation and go away within a few days of your period starting. Each person’s presentation of symptoms is unique to them.
It’s unclear why some people get PMDD. Changing levels of estrogen and progesterone seem to play an important role. It also likely affects serotonin levels. This is why regulation of hormones and serotonin with medication is a first-line treatment.
Some potential symptoms of PMDD include:
- Cramping
- Bloating
- Mood swings
- Fatigue and low energy
- Anger or irritability
- Feeling on edge, overwhelmed or tense
- Anxiety and panic attacks
- Depression and suicidal thoughts
- Difficulty concentrating
- Changes in appetite or food cravings
- Headaches
- Insomnia
The importance of diagnosis
Receiving an accurate diagnosis with PMDD is important because symptoms are so disruptive. Treatment helps improve your quality of life, and it helps you avoid complications like chronic depression and suicidal thoughts. When your care providers understand your condition, they can work with you to create an effective treatment plan. In addition to finding the right combination of treatments, the dosage and timing of your medication regimen is a key factor.
Tracking your symptoms and your menstrual cycle will help you communicate with your provider. To receive a diagnosis of PMDD, you must have five or more symptoms in the week before your period, and they must stop within a few days after your period starts. If this happens during most cycles throughout the year, and if it affects multiple areas of life, you may have PMDD.
Treatment options for PMDD
A comprehensive care plan for PMDD targets your specific symptoms and accommodates your lifestyle. Your plan may involve a combination of medications, therapies and lifestyle modifications.
Because PMDD can affect both your mental and physical health, you may work with multiple providers, including gynecologists, primary care doctors and mental health specialists. Keeping everyone informed helps ensure the best care. Maintaining ongoing relationships ensures that you can adjust your plan as things change.
The following are some treatment options that may help with PMDD:
- Medication — Different medication options can help with mood stabilization, hormone regulation and pain. Your provider may recommend antidepressants or other prescription and over-the-counter medications.Discuss potential birth control options with your OB/GYN, such as a combined oral contraceptive.
- Psychotherapy — Cognitive behavioral therapy (CBT) and other forms of therapy can help you manage the moods and emotions related to PMDD. Support groups can also help you connect with other people who understand what you’re going through.
- Supplements and alternative therapies — Nutritional deficiencies can contribute to PMDD symptoms. Calcium, magnesium and vitamin B6 are especially important for mental and physical relief. You may also benefit from alternative therapies such as acupuncture and herbal remedies.
- Lifestyle changes — Taking care of your physical health helps ensure that your body has what it needs to keep you feeling your best. Your provider can help you create a plan to eat a balanced diet, get enough exercise and manage your stress level.
Long-term PMDD symptom management and outlook
Some people have PMDD symptoms until the time they begin menopause. With proper treatment, you can find relief and function well enough to live a satisfying, well-rounded life. Staying aware of your symptoms can help you take a proactive approach and ask for help when needed. Along with your care providers, family, friends, partners, advocates at work or school, and support groups may all play different roles in your support system.
There are several challenges that can make it difficult to receive the treatment you need. First and foremost is the emotional toll of PMDD. There’s also the stigma and misconceptions about PMDD. People in your life and even medical professionals may try to downplay your symptoms or not understand their severity.
When you do find a care provider who’s compassionate and who gets you, it can take some trial and error to find the most effective treatments. Holding out hope and being your own best advocate is tough, but when you start to feel relief, it’s all worth it.
Start the conversation about PMDD with your ReKlame provider
PMDD is a complex condition that can affect sleep, energy and daily routines. It requires a holistic and personalized approach to care. Medication and psychotherapy are usually needed. Healthy habits like eating balanced meals, exercising and getting enough sleep can also make a difference.
It takes some determination to find the care you need, but you don’t have to do it alone. At ReKlame, we pair members with experienced psychiatric nurse practitioners who understand their condition. You’ll also work with a care navigator who can help you find other resources and coordinate with other members of your care team.
Are you looking for a partner who can help with medication management for PMDD? Let’s talk about your options. Check your eligibility for free online or book an initial appointment online.
