What is PMDD? Premenstrual dysphoric disorder (PMDD) has many of the same symptoms as PMS, but it is more severe. If you have PMDD, you may struggle to do your job or get along with family and friends the week before your period. You may feel very depressed, angry, or irritable during this time.
Do I have PMS or PMDD? You may have some of the symptoms described above. If these symptoms happen before your period most months and are severe enough to bother you, tell your doctor. There are many causes of PMDD including genetics, environment, and hormonal differences. PMS and PMDD can adversely affect one's daily life and can lead to mental disorders or even suicide. Understanding the signs of PMDD can help with early identification and treatment.
CONNECT WITH YOUR CYCLE
What causes PMS or PMDD? The cause of PMS and PMDD is still not fully understood. It is thought to be triggered by fluctuations in female hormones resulting in an abnormal response including a steroid-induced change in the opioid system. Other causes of PMDD that are currently being investigated are vitamin deficiencies including vitamin E, vitamin B6, vitamin A, and magnesium. The changes in opioid response and vitamin deficiency can affect the way body works and feels.HARMONIZE WITH YOUR BODY
What exercises can be useful for PMS or PMDD? Since pathogenesis of the disease is still unknown, treatment principles focus on lifestyle measures. For mild symptoms, lifestyle changes such as nutritional support and increase aerobic exercise and relaxation techniques can be effective in reducing symptoms. For moderate to severe symptoms, traditionally a pharmacological approach with selective serotonin reuptake inhibitors (SSRIs) is considered. If SSRIs are not successful, oral contraceptives and alprazolam may be effective. In highly severe cases that are refractory to treatment, surgery to remove the ovaries and uterus is often given as an option.INTEGRATIVE APPROACHES TO PMDD
Osteopathic Manipulative Therapy (OMT) can be a very effective in treating the musculoskeletal dysfunctions that occur with PMDD. Physical symptoms of dysmenorrhea and abdominal bloating can be relieved with several techniques focused on relieving pelvic and lymphatic congestion. OMT may be helpful in treating affective symptoms such as depression and mood swings as well.
If you are experiencing some of the symptoms of PMDD, take measures to focus on exercise and relaxation techniques. Find a method you enjoy, and try to add it into your daily life. If symptoms of PMDD are affecting your daily life, seek help from a healthcare provider. OMT and other integrative healthcare modalities can provide you with symptom relief, and may help treat PMDD.