Premenstrual Dysphoric Disorder (PMDD)–
For some, the physical pain and emotional stress are severe enough to affect their daily lives. Regardless of symptom severity, the signs and symptoms generally disappear within four days after the start of the menstrual period for most women.
But a small number of women with premenstrual syndrome have disabling symptoms every month. This form of PMS is called premenstrual dysphoric disorder (PMDD).
PMDD signs and symptoms include depression, mood swings, anger, anxiety, feeling overwhelmed, difficulty concentrating, irritability, tension, and sometimes may become suicidal.
- Exercise- Engage in at least 30 minutes of brisk walking, cycling, swimming, or other aerobic activity most days of the week. Regular daily exercise can help improve your overall health and alleviate certain symptoms, such as fatigue and a depressed mood.
- Reduce stress.
- Get plenty of sleep.
- Practice progressive muscle relaxation or deep-breathing exercises to help reduce headaches, anxiety or trouble sleeping (insomnia).
- Try yoga or massage to relax and relieve stress.
- Avoid caffeine and alcohol.
- Nonsteroidal anti-inflammatory drugs (NSAIDs). Taken before or at the onset of your period, NSAIDs such as ibuprofen or naproxen sodium can ease cramping and breast discomfort.
- Diuretics- When exercise and limiting salt intake aren’t enough to reduce the weight gain, swelling, and bloating of PMS, taking water pills (diuretics) can help your body shed excess fluid through your kidneys. Spironolactone (Aldactone) is a diuretic that can help ease some of the symptoms of PMS.
- Hormonal contraceptives. These prescription medications stop ovulation, which may bring relief from PMS symptoms.
- Antidepressants- In PMDD your doctor may prescribe antidepressants to reduce stress, anxiety, and depression.
