What is PMDD (Pre menstrual dysphoric disorder)?

Verified by Dr. Vaishali Sakpal Rane (MBBS, DGO Obstetrics and Gynaecology, DNB Obstetrics and Gynaecology)

Women suffering from premenstrual dysphoric disorder (PMDD) experience PMS symptoms (bloating, headaches, and breast tenderness) in the weeks leading up to their period. However, PMDD can also cause severe anxiety, depression, and mood swings. PMDD (premenstrual dysphoric disorder) is a form of premenstrual syndrome that is more severe (PMS). Bloating, headaches, and breast tenderness occur a week or two before your period. These symptoms usually go away within a few days of your period starting, but they can be severe enough to disrupt your life.

Experts are baffled as to why some women develop PMDD. Low oestrogen and progesterone levels after ovulation even before menstruation may cause symptoms. 

PMDD symptoms may appear a week or two prior to menstruation and disappear within a few days of the start of your period. You may experience the following symptoms in addition to PMS:

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• Intense rage and conflict with others 
• You're uninterested in your usual pastimes. 
• bloating and cramps 
• Muscle or body aches 
• Headaches 
• Changes in your mood 
• Feelings of despondency or hopelessness 
• Anxiety, tension, and irritability

The doctor will administer some tests to determine how you are emotionally and mentally. Before diagnosing you with premenstrual dysphoric disorder, your doctor will make sure that you don't have any emotional issues, such as depression or panic disorder, that are causing your symptoms. They will also rule out other medical or gynaecological conditions such as endometriosis, fibroids, menopause, and hormonal imbalances. 

Some of the same things you do to handle your PMS symptoms can also help with your PMDD symptoms. 

Typical treatments include:

• Antidepressants 
• Hormone therapy counselling (like birth control pills) 
• Changes in your diet 
• Regular physical activity 
• Stress control 
• Supplemental vitamins 
• Anti-inflammatory drugs

Speaking with a therapist may also assist you in discovering new ways to manage your PMDD. Stress relief therapy, meditation, reflexology, and yoga may also help.