The Marion Gluck Clinic

Premenstrual Dysphoric Disorder (PMDD)

Premenstrual dysphoric disorder (PMDD) is a severe form of premenstrual syndrome (PMS) and is often misunderstood. Like PMS, PMDD follows a predictable, cyclical pattern. Symptoms begin in the second half of the menstrual cycle (after ovulation) and end shortly after menstruation begins.

Sufferers of PMDD may become very distressed as the emotional symptoms can be extreme and volatile; mood swings may change from one day to the next, causing severe anxiety to the patient and confusion to the family, friends or colleagues around her.

In addition to these volatile emotions, symptoms can include:

  • Feelings of sadness or despair, or even thoughts of suicide
  • Feelings of tension or anxiety
  • Panic attacks
  • Mood swings or frequent crying
  • Lasting irritability or anger that affects other people
  • Lack of interest in daily activities and relationships
  • Trouble thinking or focusing
  • Tiredness or low energy
  • Food cravings or binge eating
  • Trouble sleeping
  • Feeling out of control
  • Physical symptoms such as bloating, breast tenderness, headaches and joint or muscle pain.

How do we treat PMDD?

At the Marion Gluck Clinic we review the whole picture, taking all the symptoms and their severity into account. A comprehensive medical and menstrual history is taken, in conjunction with thorough blood tests which are taken during an episode of the cyclical symptoms. This helps us to understand what is happening to hormone levels when symptoms are most evident. If a hormone deficiency is diagnosed, treatment will be prescribed to help correct the imbalance using naturally occurring bio-identical hormones

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