Understanding PMDD
When PMS becomes debilitating — PMDD is real and treatable.
What Is PMDD?
Premenstrual Dysphoric Disorder is a severe form of PMS that causes significant emotional and physical symptoms in the week or two before your period.
It affects 3-8% of menstruating people and can be debilitating — this is not 'just PMS'.
Symptoms
Severe mood swings, sadness, or irritability.
Intense anxiety or feeling on edge.
Feelings of hopelessness or being out of control.
Difficulty concentrating.
Fatigue and changes in sleep patterns.
Physical symptoms like bloating, breast tenderness, headaches.
Symptoms significantly improve within a few days of your period starting.
Treatment Options
Track your symptoms for at least 2 months to confirm the pattern.
SSRIs (antidepressants) can be taken continuously or only during the luteal phase.
Hormonal treatments including certain contraceptive pills.
Lifestyle changes: regular exercise, reducing caffeine and alcohol.
Calcium and vitamin B6 supplements may help.
CBT for managing emotional symptoms.
Speak to your GP — PMDD is increasingly well recognised and treatable.