Premenstrual Dysphoric Disorder

(PMDD)

Definition

Premenstrual dysphoric disorder (PMDD) occurs just prior to menstruation and is characterized by significant:
  • Depression
  • Irritability
  • Tension
PMDD is much more severe and less common than premenstrual syndrome (PMS).

Causes

The exact cause is not known.

Risk Factors

Factors that may increase your chance of PMDD include:
  • Hormonal changes
  • Family history of PMDD
  • Extra stress or a traumatic life event
  • Depression or another mental health condition
Microscopic View of Hormone Receptor
molecule and receptor
Menstruation causes many hormonal changes, which may play a role in PMDD.
Copyright © Nucleus Medical Media, Inc.

Symptoms

PMDD may cause:
  • Extreme sadness
  • Frequent crying
  • Irritability
  • Anxiety
  • Unusually strong cravings for certain foods
  • Difficulty concentrating or paying attention
  • Insomnia
  • Panic attacks
  • Mood swings
  • Fatigue or lack of energy
  • Physical symptoms, such as sore breasts, headaches, joint or muscle pain, swelling, or bloating
Symptoms typically begin 10-14 days prior to the start of menstruation.

Diagnosis

Your doctor will diagnose PMDD based on your symptoms. You may be asked to keep a record of when your symptoms occur and how severe they are.Your doctor may also order:
  • Blood tests
  • Tests to check hormone levels

Treatment

Talk with your doctor about the best treatment plan for you. Treatment options include:

Lifestyle Changes

These steps can help manage symptoms of PMDD:
  • Exercise throughout the week.
  • Get plenty of rest.
  • Eat a balanced diet with plenty of fruits, vegetables, and whole grains.
  • Avoid alcohol, tobacco, and caffeine.
  • Learn stress management techniques.
  • Improve your sleep habits.

Medications

PMDD may be treated with:
  • Antidepressants
  • Oral contraceptives
  • Nutritional supplements

Advertisement

Prevention

To help reduce your chance of PMDD, take these steps:
  • Get plenty of exercise and rest
  • Eat a well-balanced diet
  • Manage stress

RESOURCES

American Congress of Obstetricians and Gynecologists
http://www.acog.org

Office on Women's Health
http://www.womenshealth.gov

CANADIAN RESOURCES

Health Canada
http://www.hc-sc.gc.ca

The Society of Obstetricians and Gynaecologists of Canada
http://www.sogc.org

References

PMS and PMDD. MGH Center for Women's Health website. Available at: http://womensmentalhealth.org/specialty-clinics/pms-and-pmdd. Accessed September 25, 2014.

Premenstrual dysphoric disorder (PMDD). American Academy of Family Physicians Family Doctor website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/premenstrual-dysphoric-disorder.html. Updated April 2014. Accessed September 25, 2014.

Premenstrual syndrome. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated July 8, 2014. Accessed September 25, 2014.

Revision Information

leave comments
0
Did you like this? Share with your family and friends.
Related Topics:
Current Research From Top Journals


Early Peanut Consumption Associated with Lower Risk of Peanut Allergy in High Risk Children
March 2015

Many medical groups felt that early exposure to certain foods like peanuts increased a child's risk of developing food allergies. However, newer research including this trial suggest that early exposure may actually decrease the risk of developing food allergies.

dot separator
previous editions

Breastfeeding May Decrease the Risk of Childhood Obesity
February 2015

Tonsillectomy May Reduce Number of Sore Throat Days in Children
February 2015

Research Review Finds Little Support for Nearly Half of Medical Talk Show Recommendations
January 2015

dashed separator

Advertisement

Our Free Newsletter
click here to see all of our uplifting newsletters »

 

Advertisement

Advertisement

DiggDeliciousNewsvineRedditStumbleTechnoratiFacebook