Maybe It’s Not “Just PMS”
Snapping at your partner over little things? Wanting to stay in bed all day but struggling to sleep at night? Feeling so down that you miss work or school? Then your period starts, and you think, Oh, that explains it—I was just PMS-ing.
But what if it’s more than just PMS? What if it’s a serious medical condition called premenstrual dysphoric disorder (PMDD)?
What Is PMDD?
PMDD is a severe form of premenstrual syndrome (PMS) that causes intense emotional, psychological, and physical symptoms in the week or two before menstruation. Unlike PMS, which can be uncomfortable but manageable, PMDD significantly disrupts daily life—affecting work, relationships, and overall well-being.
PMDD is officially recognized in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) as a depressive disorder, highlighting its serious impact on mental health.
Symptoms of PMDD
PMDD symptoms typically appear during the luteal phase (the 1-2 weeks before a period) and disappear shortly after menstruation begins. Symptoms can include:
Emotional & Psychological Symptoms:
Severe mood swings
Intense irritability or anger
Anxiety or panic attacks
Depression, hopelessness, or suicidal thoughts
Feeling overwhelmed or out of control
Physical Symptoms:
Extreme fatigue and low energy
Insomnia or excessive sleep
Severe bloating, headaches, or joint pain
Breast tenderness
Appetite changes or food cravings
What Causes PMDD?
The exact cause of PMDD isn’t fully understood, but research suggests it is linked to an abnormal sensitivity to normal hormonal changes during the menstrual cycle. This sensitivity can impact serotonin levels, a key brain chemical involved in mood regulation. As a result, individuals with PMDD experience more intense emotional and physical reactions to hormonal fluctuations.
How Is PMDD Treated?
PMDD is treatable, and there are several effective options, including:
💊 Medication: SSRIs (antidepressants) can help regulate mood, and hormonal birth control may stabilize hormone fluctuations.
🌿 Lifestyle Changes: A balanced diet, regular exercise, and stress management techniques can help reduce symptoms.
🩺 Medical Support: Working with a healthcare provider to track symptoms and explore treatment options is key to managing PMDD.
When to Seek Help
If your symptoms are severe enough to impact your daily life, work, or relationships—or if you experience suicidal thoughts—it’s important to seek medical support. PMDD is treatable.
In my practice, I have treated many women with PMDD and have seen firsthand how the right treatment can be life-changing. If this resonates with you, please don’t hesitate to reach out to a healthcare provider.
