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Premenstrual Dysphoric Disorder (PMDD) Q&A

What is premenstrual dysphoric disorder (PMDD)?

Premenstrual dysphoric disorder (PMDD) is a severe form of premenstrual syndrome (PMS). It only affects a small percentage of menstruating women. However, unlike typical PMS, the condition significantly impairs your daily functioning and quality of life. 

It causes a combination of physical, emotional, and behavioral symptoms that typically occur a week or two before your menstruation begins.

What are the symptoms of premenstrual dysphoric disorder?

Symptoms of PMDD may include:

  • Severe mood swings, including feelings of sadness, hopelessness, or irritability
  • Anxiety, tension, or feeling on edge
  • Extreme fatigue or lack of energy
  • Difficulty concentrating or focusing
  • Changes in appetite or food cravings
  • Insomnia or hypersomnia (excessive sleeping)
  • Physical symptoms such as breast tenderness, joint or muscle pain, headaches, or bloating
  • Feelings of being overwhelmed or out of control
  • Suicidal thoughts or behaviors in severe cases

If you experience any of the above, call Marietta OB-GYN Affiliates for an assessment and effective treatment.

What causes premenstrual dysphoric disorder?

The cause of PMDD is believed to involve a combination of hormonal, genetic, and environmental factors. Fluctuations in hormone levels, particularly estrogen and progesterone, during your menstrual cycle seem to play a role in triggering symptoms. 

If you have a history of mood disorders, such as depression or anxiety, you may be at higher risk of developing PMDD, which suggests a potential genetic predisposition. 

In addition, environmental factors like stress, poor sleep, and an inadequate diet may also exacerbate symptoms.

How is premenstrual dysphoric disorder treated?

At Marietta OB-GYN Affiliates, treatment for PMDD may involve a combination of lifestyle modifications, medication, and therapy to help manage your symptoms.

Treatment options include:

Medications

Your provider may prescribe selective serotonin reuptake inhibitors (SSRIs) to help regulate your mood and reduce emotional symptoms.

Hormonal therapy

Birth control pills or other hormonal contraceptives can stabilize your hormone levels and alleviate symptoms.

Nutritional supplements

You may benefit from calcium, magnesium, or vitamin B6 supplements to help alleviate physical symptoms.

Lifestyle changes

Your provider may recommend regular exercise, stress management techniques, adequate sleep, and a healthy diet rich in fruits, vegetables, and whole grains to help reduce your symptoms.

Psychotherapy

Your provider may recommend cognitive-behavioral therapy (CBT) or other forms of talk therapy to help you develop coping strategies, improve problem-solving skills, and address underlying emotional issues.

If you have signs of PMDD, call Marietta OB-GYN Affiliates today or book an appointment online.