One Woman's Battle With PMDD PMS Symptoms

A woman goes to her doctor thinking she has PMDD PMS symptoms because she recently heard a news story about this disorder, which is a menstrual ailment that causes women to become extremely emotional, irritable and depressed the week before they menstruate. She tells the doctor she has been feeling angry at her children for silly reasons or that she sometimes starts crying and accusing her husband of not loving her, even though she knows this is not true. Her coworkers have told her that she needs to get better concentration at work or she might get fired. There is special treatment for this woman. She needn't suffer with the life-altering effects of this menstrual disorder every month.

The woman visits her doctor and discusses what she feels are symptoms of PMDD (premenstrual dysphoric disorder). She explains the physical symptoms of feeling bloated, exhaustion, headaches, breast pain and cramps. She also talks about her erratic behavior, like crying for no reason, angrily shouting at her loved ones, binge eating in the night and her excessive sleeping during the day. She tells the doctor she's been feeling like she's worthless, unattractive and unlovable. She normally loves riding her bike, painting, going out for coffee with friends -- but not this week. The doctor confirms that these are, indeed, PMDD symptoms and asks her to keep a diary of her moods for a few consecutive months.

Next the doctor must rule out other conditions that appear similar to PMDD PMS symptoms. He may ask the woman about her family history of depression as he assesses her P.M.S. diary to see that her symptoms only appear the week before her menstrual period. He may also ask about her eating habits to rule out binging, anorexia or other eating disorders. He may ask her to give a small blood sample to see if she tests positive for thyroid disorders, which also cause women to have insomnia and anxiety. To be considered PMDD, doctors usually look to see that the emotional outbursts truly disrupt a woman's life, making it difficult for her to get through the days prior to menstruation.

To treat the woman's PMDD PMS symptoms, the doctor may prescribe mood stabilizing drugs like fluoxetine (Prozac/Sarafem), fluvoxamine (Luvox), citalopram (Celexa), paroxetine (Paxil) or sertraline (Zoloft). However, it was recently discovered that nearly half the patients taking Zoloft saw their PMDD symptoms return within six to eight months of stopping their medication. These medications work by preventing the reuptake of seratonin -- the "happy" chemical in the body -- and enabling women to experience more natural joy. Some women find that taking oral contraceptives like Yaz or Estrostep FE also diminishes their symptoms, while also lessening menstrual cramping, as well as the length and duration of their periods.

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