Premenstrual dysphoric disorder (PMDD), or severe premenstrual syndrome (PMS) comprises physical and emotional symptoms occurring in the second half (late luteal phase) of the menstrual cycle and remitting within the first day or two following menstruation. At WCWCW, in Bethesda, Maryland, treatment involves careful diagnostic evaluation, generally by prospective documentation of daily symptoms over a two-month interval. PMDD is frequently diagnosed provisionally and treatment commences while prospective daily ratings are in progress. Mild premenstrual symptoms may be responsive to non pharmacological interventions, while more intense symptoms are well-managed with medications that are generally well-tolerated. Call our office or book an appointment online today.
All Services > Our Specialties > Reproductive Psychiatry > Women's Psychiatry > Mood Disorders > Premenstrual Dysphoric Disorder (PMDD)
The exact cause of Premenstrual Dysphoric Disorder (PMDD) is not known. It may be an abnormal reaction to normal hormone changes that happen with each menstrual cycle. The hormone changes can cause a serotonin deficiency. Serotonin is a substance found naturally in the brain and intestines that narrows blood vessels and can affect mood and cause physical symptoms.
Symptoms of PMDD appear during the week before menstruation and end within a few days after your period starts. These symptoms disrupt daily living tasks. Symptoms of PMDD are so severe that women have trouble functioning at home, at work, and in relationships during this time. This is markedly different than other times during the month.
The following are the most common symptoms of PMDD:
The most common symptoms may or may not co-exist with physical symptoms. They include the following:
The symptoms of PMDD may look like other conditions or medical problems, such as a thyroid condition, depression, or an anxiety disorder. WCWCW can help. Call our office or book an appointment online today.
Over the course of a year, during most menstrual cycles, 5 or more of the following symptoms must be present:
WCWCW can help. Call our office or book an appointment online today.
PMDD is a serious, chronic condition that does need treatment.
Several of the following treatment approaches may help relieve or decrease the severity of PMDD symptoms:
For some women, the severity of symptoms increases over time and lasts until menopause. For this reason, a woman may need treatment for an extended time. Medicine dosage may change throughout the course of treatment.
To find out more about PMDD and how you can escape from its grip, call WCWCW today or request an appointment online. We provide the same high-quality service via telehealth for patients living in Maryland, DC, Virginia, Michigan, and Florida.