Premenstrual dysphoric disorder

Symptoms of PMDD are similar to symptoms of PMS. But they tend to be more serious and debilitating. They also contain at least one symptom associated with feelings. Symptoms occur one week before menstrual bleeding. They usually get better in a few days after the start of this time.

There is no physical examination or clinical examination to diagnose PMDD. Medical history, physical examination (including pelvis examination), thyroid examination and psychiatric assessment should be completed to exclude other conditions

Calendars and diaries that record symptoms help women identify the most troublesome symptoms and possible times. This information will help the healthcare provider to diagnose PMDD and determine the best treatment.

Eat healthy foods, sugar, alcohol, caffeine with little or no whole grain, vegetables, fruits, salt, or no salt

The first option is usually an antidepressant called selective serotonin reuptake inhibitor (SSRI). You can use the SSRI in the second part of the cycle until the cycle begins. I can spend a month. Contact provider

Cognitive Behavior Therapy (CBT) can be used with antidepressants or in place of antidepressants. During CBT, you will have about 10 visits with mental health experts in a few weeks.

Contraceptives usually help to alleviate the symptoms of PMS. Especially those containing hormones called drospirenone, the continuous administration type is most effective

Analgesics such as aspirin and ibuprofen can be used to treat headache, backache, menstrual pain, chest pain.

Most studies have shown that dietary supplements like vitamin B6, calcium and magnesium do not help relieve symptoms

Symptoms of PMDD may be severe enough to interfere with the daily living of women. Women with depression may have more severe symptoms later in the cycle and may need to change medication.

Some PMDD women have suicidal ideas. Suicide in depression women is likely to occur in the second half of the menstrual cycle

Dog's TL. Premenstrual syndrome. In: Rakel D editor Integrated Chinese Medicine and Western medicine third edition Philadelphia, PA: Elsevier Saunders; 2012: Chapter 53

Gumbon JC. Diseases affected by the menstrual cycle. at: Hacker N, Gambone JC, Hobel CJ, editor. Obstetrics and gynecology points of hackers and Moore 6th edition Philadelphia, Pennsylvania State: Elsevier, 2016: Chapter 36

Mendiratta V. Primary and secondary dysmenorrhea, premenstrual syndrome and premenstrual anxiety disorder: etiology, diagnosis, management. In: Lobo RA, Gershenson DM, Lentz GM, Valea FA, editor. General Gynecology Department 7th Edition Philadelphia, Pennsylvania State: Elsevier, 2017: Chapter 37

Premenstrual anxiety disorder is another manifestation of depression, which is severe and sometimes prolonged in premenstrual syndrome (PMS). Physical and emotional symptoms are present in both conventional PMS and premenstrual anxiety disorder (PMDD), but the mood changes in PMDD are much more serious, and social, occupational and other important functional areas There is a possibility of confusion. In PMDD and PMS, symptoms usually begin 7 to 10 days before the beginning of menstruation and last until the first few days of the period. PMDD and PMS can also cause tenderness, bloating, fatigue, changes in sleep and diet of the breast. PMDD is characterized by more serious emotional and behavioral symptoms such as sadness and despair, anxiety and nervousness, extreme emotions, irritability and anger

People with severe premenstrual symptoms (symptoms that interfere with daily living) may be diagnosed as premenstrual anxiety disorder (PMDD) (1-3). Unlike other psychiatric disorders such as generalized anxiety disorder, PMDD is directly related to fluctuation of reproductive hormones, and diagnosis usually requires that you experience these symptoms mainly in the late luteal phase (1 -3). PMDD treatment options are limited to drugs that alter hormone release, such as ovulation inhibitors, or to treat symptoms such as antidepressants (2, 3). In general, PMDD is related to reproductive hormone susceptibility, but it is unknown why this susceptibility exists and whether it is the underlying cause of PMDD (2, 3).