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It's Not Just PMS: Recognising and Understanding PMDD

Updated: Nov 30, 2023

PMDD, or premenstrual dysphoric disorder, is a severe form of premenstrual syndrome (PMS) that affects a small percentage of women.


Are you feeling more than just a little moody and uncomfortable before your monthly cycle? Is it affecting your lifestyle, relationships or work? You may be dealing with something more than Premenstrual Syndrome (PMS); it could very well be Premenstrual Dysphoric Disorder (PMDD).


A woman experience PMDD discomfort

PMDD affects between 3% - 8% of women and those assigned female at birth. It's not just heavy PMS; it can severely impact a person's quality of life.

When its Not Just PMS: Recognising PMDD and How it Affects Women


PMDD, or Premenstrual Dysphoric Disorder, is a severe form of Premenstrual Syndrome (PMS) that affects approximately 3-8% of menstruating women. It's classified as a separate health condition due to the significant emotional and physical symptoms it causes.


Where women with PMS might experience some irritability, mood swings and physical discomfort, those with PMDD often find these symptoms amplified to an unbearable level. The emotional symptoms, in particular, can be so severe that they interfere with a woman's ability to function in her daily life.


The exact cause of PMDD is unknown, but hormonal changes and brain chemistry are believed to play a role. PMDD symptoms typically occur in the week or two before menstruation and improve within a few days after the start of the menstrual period.

Key Symptoms of PMDD

The severity and type of PMDD symptoms can vary significantly between women, and not all women who suffer from PMS will develop PMDD. According to research, some women may be more sensitive to changes in hormone levels, which could make them more susceptible to PMDD. Additionally, certain lifestyle factors such as stress, diet, and physical activity can also influence the occurrence and severity of PMDD symptoms.


These include:

  • Emotional changes: Severe mood swings, feelings of anger or depression, intense irritability, and even thoughts of suicide.

  • Physical discomfort: Significant fatigue, joint or muscle pain, headache, and a sensation of "bloating" or weight gain.

  • Behavioural issues: Difficulty concentrating, changes in appetite or sleep patterns, and a decreased interest in daily activities.

Don't dismiss your symptoms as just PMS. Educate yourself about PMDD and seek appropriate help.

When to See Your Doctor


You know your body best. It is important to see a doctor if you suspect you may have PMDD. While many women experience some mood changes and physical discomfort during their menstrual cycle, PMDD symptoms are more severe and can significantly impact daily life. If you are experiencing intense mood swings, irritability, depression, anxiety, or other severe symptoms that interfere with your ability to function, it is a good idea to seek medical advice.


A doctor can diagnose PMDD by evaluating your symptoms and ruling out other possible causes. They may ask you to record your symptoms for a few months to track patterns. It can be helpful to note your symptoms' timing, duration, and severity. This information will assist your doctor in making an accurate diagnosis.


Additionally, it is essential to rule out other medical conditions that may have similar symptoms to PMDD. Conditions such as depression, anxiety disorders, thyroid disorders, and certain hormonal imbalances can cause similar symptoms. Your doctor may order blood tests or other diagnostic tests to rule out these conditions and ensure an accurate diagnosis.


If you have a family history of PMDD or a personal history of other mental health conditions, it is especially important to seek medical attention. Your doctor can provide appropriate treatment options and help you manage your symptoms effectively. Remember, early diagnosis and treatment can significantly improve your quality of life.


PMDD is a real and debilitating disorder that deserves recognition and proper management.

Managing PMDD Symptoms


While there is no cure for PMDD, symptoms can often be managed with medical treatments and by making changes to your lifestyle that can support hormonal balance. Regular exercise, good nutrition, adequate sleep, and stress management can be pretty effective in dampening the symptoms of PMDD. A long-term commitment to healthy living assists in managing the symptoms and enhances overall health and well-being.


Here are some strategies to mitigate the impact of PMDD:

  1. Regular exercise can help alleviate symptoms of PMDD by lowering stress levels and improving physical discomfort.

  2. Mindfulness and stress-reducing activities like meditation or yoga can help manage mood swings and irritability.

  3. Eating a balanced diet can influence hormonal balance and help lessen the severity of physical symptoms.

  4. Professional help, including therapy or medication, may be needed in severe cases. Always consult a health professional before starting any new treatment.

PMDD Treatments: More Options Than You Think


There's more to treating PMDD than hormone therapies and antidepressants. Holistic and alternative treatment options can be effective in managing PMDD symptoms as well.


These may include:

  • Cognitive-behavioural therapy (CBT)

  • Nutritional supplements

  • Physical exercise

  • Mindfulness and relaxation techniques

  • Acupuncture


It's important to remember that everybody is unique, and there's no one-size-fits-all solution. You should thoroughly discuss all treatment options with your doctor.


Living with PMDD is challenging, but understanding the condition and the options available can help manage symptoms and improve quality of life. If you believe you're experiencing symptoms of PMDD, it's essential to speak to a healthcare provider as soon as possible.


Remember, you're not alone, and help is available. If you really want to feel heard, try talking to one of our Gynaecologists at Crestcare.

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