Premenstrual dysmorphic disorder (PMDD)

Premenstrual dysmorphic disorder (PMDD) is characterized by severe, cyclical mood changes prior to menstruation, typically the worst 3-4 days before to the first day of menstruation. The symptoms can last up to a week. Cognitive and physical symptoms are common along with mood changes.

PMDD affects millions of women. Symptoms include but are not limited to mood swings, irritability, crying spells, depressed mood, negative thinking, or anxiety. There may be a general loss of interest, low energy, changes in sleep and appetite. Physical symptoms include breast tenderness, bloating etc.

PMDD can negatively affect work, social life and relationships. It is thought that PMDD is associated with hormonal fluctuations among other things. There is ongoing research to determine the exact pathways through which hormones bring about these symptoms.

There are effective treatments available for PMDD including medications and psychotherapy. In some situations intermittent dosing of medications during the symptomatic days is sufficient to get relief.

You don’t have to suffer through PMDD, get professional help. Feel free to reach out.

Live well and stay healthy

Dr. Sayanti Bhattacharya MD, MS