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PMS and PMDD

Premenstrual Syndrome or PMS occurs with many women after they ovulate and until they start their menstrual flow. The symptoms and changes that occur prior to menstruation vary from woman to woman and rarely disrupt normal activity.

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PMS Symptoms

There are many different documented symptoms of PMS, but it is highly unlikely that one woman would suffer from all of them. The most common complaints associated with PMS are bloating, fatigue, irritability and headaches. Doctors have not been able to find an exact cause for PMS, but many believe PMS is related to the fluctuations in hormones that take place during and after ovulation.

For many women, the discomfort and emotional “swings” that take place just prior to menstruation stop once their periods begin. For others, the discomfort continues throughout the menstrual period.

PMS Relief

PMS may aggravate current conditions that you may already have, more specifically, depression or other mood disorders. There is no test or “cure” for PMS. Many doctors will take into account your symptoms and possibly run some tests to rule out other disorders.

Some women find that a few simple lifestyle changes help alleviate some of their symptoms. Keep track of your menstrual cycle every month. This will help you prepare for when your symptoms will present. Make sure you are drinking plenty of water every day. Make it a point to stay away from excess salty foods just prior to your period. Both salty food and snacks will add to fluid retention and bloating. Increase your activity, as exercise helps boost mood and energy levels. Consuming caffeine and alcohol just before and during your period can make PMS symptoms worse.

Over the counter pain relievers such as ibuprofen and acetaminophen can help with headaches and body aches. If you use aspirin for pain relief, take note, one side effect of aspirin is blood thinning. Taking aspirin during your period could cause your “flow” to become heavier.

If you’ve taken several steps to help manage your PMS and you find it’s not helping, speak with your doctor.

PMDD or Premenstrual Dysphoric Disorder

For some women, PMS becomes so severe that it can actually become debilitating. In other words, the symptoms associated with a woman’s period can actually make it almost impossible for her to function. Women suffering with this type of PMS are said to have PMDD or Premenstrual Dysphoric Disorder.

PMDD is similar to PMS, as the symptoms seem to revolve around the menstrual cycle. What sets it apart from PMS is the severity of symptoms.

Much like PMS, the exact cause of PMDD is unclear. Women with a history of depression and/or postpartum depression are at a higher risk for PMDD. PMDD is diagnosed after all other possible disorders or conditions are ruled out. If a woman has symptoms of PMDD but they occur most of the time and do not seem to get better during menstruation, chances are, it’s something other than PMDD.

PMDD Treatments

Treatment for PMDD depends on the individual woman. Many doctors like to try the same approach to PMDD as they do with PMS. Women are encouraged to partake in routine exercise, rest and good nutrition.

For some women, doctors prescribe medications. In the U.S., there are currently four medications approved by the FDA to treat PMDD. These medications include: Sarafen, Paxil CR, Zoloft and the birth control pill Yaz. Medication regimens, again, depend solely on the individual woman. Some doctors prescribe the medications listed to be taken just during the PMDD period while others will advise to take the medication daily.

Many women are not aware that PMDD is an actual diagnosis or that treatment is available. Other women are reluctant to seek help out of fear or shame that they will be labeled “weak” or “crazy.” Treatment is available; you just have to seek it out. PMDD is a serious condition and should not just be brushed off as “part of the menstrual process.”


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