Premenstrual Dysphoric Disorder (PMDD): Everything You Need To Know
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- čas přidán 16. 07. 2024
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Chapters
0:00 Introduction
0:05 Definition of Premenstrual Dysphoric Disorder
0:39 Causes of Premenstrual Dysphoric Disorder
1:17 Signs and symptoms of Premenstrual Dysphoric Disorder
1:38 Physical symptoms of Premenstrual Dysphoric Disorder
1:52 Diagnosis and treatment for Premenstrual Dysphoric Disorder
2:28 Treatment for Premenstrual Dysphoric Disorder
Premenstrual dysphoric disorder (PMDD) is a mood disorder characterized by emotional, cognitive, and physical symptoms that cause significant distress or impairment in menstruating women during the luteal phase of the menstrual cycle. The symptoms occur in the luteal phase, (between ovulation and menses), improve within a few days after the onset of menses, and are minimal or absent in the week after menses.[1] PMDD has a profound impact on a person's quality of life and dramatically increases the risk of suicidal ideation and even suicide attempts.[2] Many females of reproductive age experience discomfort or mild mood changes prior to menstruation. However, 5-8% experience severe premenstrual syndrome causing significant distress or functional impairment.[3] Within this population of reproductive age, some women will meet the criteria for PMDD. PMDD is most common from age 25-35, but can occur anytime during a woman's reproductive years.[4]
The exact cause of PMDD is currently unknown. However, because the symptoms are only present during ovulatory cycles and resolve after menses, it is believed to be caused by fluctuations in gonadal sex hormones or variations in sensitivity to sex hormones.[5]
In 2017, researchers at the National Institutes of Health discovered that women with PMDD have genetic changes that make their emotional regulatory pathways more sensitive to estrogen and progesterone, as well as their chemical derivatives. The researchers believe that this increased sensitivity may be responsible for PMDD symptoms.[6]
Some studies have suggested that those with PMDD are more at risk of developing postpartum depression after pregnancy, but other evidence has been found to suggest against that notion.[7] PMDD was added to the list of depressive disorders in the Diagnostic and Statistical Manual of Mental Disorders in 2013.[1] It has 11 main symptoms, and a woman has to exhibit at least five to be diagnosed with PMDD.[5] Roughly 20% of women have some symptoms of PMDD, but either have less than five or do not have functional impairment.[8]
First line treatment for PMDD is with selective serotonin reuptake inhibitors (SSRIs).[9] Hormonal therapy with oral contraceptives that contain drospirenone have demonstrated efficiency in reducing PMDD symptoms as well.[10] Cognitive behavioral therapy, whether in combination with SSRIs or alone, has shown to be effective in reducing impairment.[11] Dietary modifications and exercise may also be helpful, but studies investigating these treatments have not demonstrated efficacy in reducing PMDD symptoms.[9]
![The 11 Traits of PMDD [vs Depression] | MedCircle x Dr Ramani](http://i.ytimg.com/vi/2rG4DJLG_uA/mqdefault.jpg)
![The 11 Traits of PMDD [vs Depression] | MedCircle x Dr Ramani](/img/tr.png)
I experience uncontrolled violent rage. Anyone else?
I get very angry as well, idk if I would classify it as rage but it depends on the day 🤷🏻♀️
@@sophiaclark376 It’s a very sensitive line between anger and rage. I’ve had anger issues since I was little but the older I’ve gotten the more it becomes rage. I’m on a plethora of meds for keeping it in check but that week before my period it can be bad. It’s very hit or miss as it’s not ever month.
I get very angry too. Its between anger and crying.
Yes, I destroy things
I get extremely angry!!!!!
I don’t even feel angry or violent when i’m going through this. Just hopeless, on auto pilot, anxiety through the roof and sometimes suicidal thoughts too. I isolate myself and my work performance drops. It’s 10 days of hell and when I’m in the middle of it, I feel like I’ll never feel normal again
Daaaaamn real talk
Yeah and you just get so anxious about everything. You just feel so hopeless about everything and feel like there is no hope for you.
Yeah same 10/11 days of hell happens every symptoms of pmdd anger, irritation, cry, mental anguish sad depressed social insomnia, over sleep mental fog and can not function normally to normal task, muscles ache like hell and I'm actually in the middle of it feels like this will not end, you become so hopelessly helpless, tried anti depressant, hormone tablets now I'm thinking may be removing my ovaries and uterus, my heart goes out to you ladies who suffers pmdd please take care❤❤
I have had this for several years. Finally found treatment to work. I take Fluoxetine 2 weeks before my period and 2 days after My period. I am on Cymbalta for fibromyalgia and take flexiril as needed. I do exercise at least 3 to 4 days a week. Eat healthier, go to my chiropractor for back , neck adjustment, PT, and I get acupuncture 2 times a week. I also use, my at home infared sauna. Seems to alleviate my symptoms of PMDD. I also am a Christian, so I do prayer and go to church.
this comment is from 9 months ago, can I ask if things have changed for you? has anything helped it improve?
PMDD is the worst! Everything aggravates me, and I am hurting my love ones by my horrible behavior. I just want to cry, I get extremely sensitive. Need lots of prayers during this time because I can’t even recognize myself.
Sorry about the condition, Please stay strong.
I recently tried the cyclease pms medicine and it has helped me a lot. Usually I’m sensitive and get really frustrated and the pms medicine makes me feel normal within 30 mins
So relatable. I’m the same. I’m always so teary, sad, angry and hardly understand my self. I almost feel possessed and completely different from my normal self.
@@MedicalCentric Thank you! 🙏
@@tutummara20 Thank you for the recommendation. I will give it a try 🙏
This literally turns me into a monster the week before my period, it's insane
Sorry about the experiences.
Me too
same
I deal with this. As if the loneliness and sadness isn't bad enough.... The joint and muscle pain is an unbearable nightmare.
Sorry about the experiences.
You are definitely not alone, Im in pain 2 weeks of every month. I started doing yoga on youtube, it seems to help with lifting the mood. I do yoga with Adrien she is very good, 20 mins or so a day makes a world of difference. xxx
@@Danielle-fu5hwsame here, yoga helps alot!
I EXPERIENCED all of the symptoms except for the headache and suicidal thoughts that only once or twice I experienced it.. every month I suffer of this sh*t before menstruation come.. when the period comes, they all mixed together on my body,, and the cramps is so f*cking worse .. do I need to go to doctors appointment?
OMGEE SO ITS NOT JUST ME! Wtf
I think I have this. The last two cycles I thought I was having a nervous breakdown which stopped as my cycle started
I have manic episodes before my period and recently had a brief episode of psychosis before my period. It seems like it's getting worse every month. If I lessened up on the coffee it might help.
Do read English translation of The Holy Quran... Chapter 1...The Opening/ Surah Fatiha and Chapter 2... Surah Baqarah/The Cow.... It will truly help you find peace/piece of mind
I can send u a foto of the page...
anger,irritability all the time. I always make wrong decisions that affect my relationship with the people around me. as I get older, it gets worse.
It's been a mea culpa experience for me every month...
Same
anyone else have suicidal thoughts the whole week until their period?
Me! I’ve always struggled with a mood disorder…. I have a long list of mental health issues but the last few years (like 1-2 )years I’ve gotten better … less crying and panic attacks, less paranoia attacks BUT … I always start to get bad again , anxiety picks up I start feeling suicidal and like I’m starting to go crazy again… I look at my birth control pack and ahhh yes , behind I’m on that last week of the packet right before the period….
How are we supposed to cope with these feelings no s when we KNOW they will come every month no matter what?
Not suicidal thoughts for me. I believe the soul lives on after death. I just want to stop existing, but since my soul is going to continue to exist anyway, then I don't have a choice. If I have to exist, I'd rather exist in Heaven than in Hell. So, no suicide for me. Just sometimes praying "Why do I have to be here? Can't you just let me die? Why haven't you come back yet Jesus and fixed this broken world?" I know God has a plan, but the anguish is still felt.
@@sammig.8286 It's the same for me, I also believe in life after death. But yeah I also want to stop existing when PMDD hits
2 weeks before...i just feel like dying would help me n those around me
I think this is a mild description of PMDD. My experience during the luteal phase includes debilitating pain where I cannot function at all at times- even with proper nutrition & exercise. I would love to remove my ovaries but there are so many risk factors to that. Sending love to those affected by PMDD.
Try antihistamines, more specifically Claritin.
The only thing that’s actually helped me with PMDD is taking antihistamines 10 days before my period. I take one tiny generic Walmart Claritin in the morning and off I go about my day. I would say that my PMDD symptoms improved by 99%.
The other 1% is just me feeling slightly tired and very mildly off.
There is evidence that high histamines in the body is associated with PMDD.
Many women have seen great improvement with PMDD when they took Claritin.
I bought the generic version Claritin from my local Walmart, and it’s changed my life.
My extreme PMDD went down to very mild PMS. My biggest fear was the suicidal thoughts I was having.
My PMDD got worse after my 3rd child was born, and I remember thinking this is not me, I can’t recognize myself anymore. This person isn’t me. Something overtakes you during that darkness, it’s like you’re in a dark hole with no way out.
I knew that I was chemically off because I’m generally a very happy go luckily person until PMDD takes over.
So I did a lot of digging and came across a Reddit where women reported great results with taking antihistamines.
If I didn’t track my cycle, I wouldn’t have even know in was in the Luteal phase of my cycle.
If you take antihistamines and it helps you, please pass it along to other women. So many of us suffer is the most brutal ways and I want to help everyone.
Is it possible you could have endometriosis? Or both?
I got PMDD after getting a hormonal IUD. It was a nightmare. I felt possessed. Removed the IUD, PMDD went away. It was only for a few months; I can't imagine how hard it must be to have it for life.
I swore I did too my doctor told me it was from age I told her it was from that iud. But I still have pmdd my IUD was removed a year ago.
I got it after the microgynon pill.... Im not taking that stupid pill for months now and i still have it.
Im so pissed at myself that i took that pill :')
I didnt even want another thing. I wanted the implanon but the doctor told me it was better for me to go to the microgynon....
Worst decision ever....
I got it shortly after getting my first period. I thought it was normal bc in America you are told you would be moody. I thought being suicidal once a month was what they meant. I went on a medication by my pcp and it was wrong it did nothing. I was told I was being dramatic. I went to an OBGYN and got the correct birth control. Then I needed anti depressants. After having COVID my anti depressants needed to be upped but now I’m decently steady.
I've had depression and anxiety since around the time puberty hit. I got so annoyed when I talked to mom about how depressed I was and she would say, "Are you about to have your period." We didn't realize it was PMDD until I was in my 20s, but it's been pretty consistent, except when I was running regularly and fairly athletic in Jr. High and high school, then my mental health was much better. I think then I just had normal pms symptoms instead of the pmdd. When I got the Mirena IUD, after a few months I began bleeding every two weeks. I was constantly insanely on edge, even angry, and I ran every day just to try to survive. Often struggled sleeping at night because of the intense feeling in my body, wanted to slam my head into a wall. Raspberry leaf tea helped, but man I am never doing that kind of birth control again.
All I wanna do is cry and sleep and get my memory back as I’m soooo forgetful during that it’s embarrassing
Sorry about that, Please stay strong.
@@MedicalCentric Thank you. I have an appointment w/ the psych next week that I’m super excited about. Hopefully they can give me an antidepressant for just the 2 weeks prior as I’m perfectly fine the rest of the month.
It makes me not wanna be here. Scariest feeling ever. I never experienced such mental pain before.
Same. I told a friend that I wished I were a man so I wouldn't have this problem.
I tend to think about who would be affected if I weren’t here.
I've been thinking I had something really really wrong with my head. But it's just my hormones taking a nose dive?
I get it so severe I become suicidal and can't do anything but cry and sleep.
👏🏽 👏🏽 I couldn’t describe it better
Same here. It’s hormones if it last only a week and a half.
Sometimes I feel like I don’t wanna be here It’s the worst feeling
While I do understand, i don't necessarily personally support "treatments" that includes suppressing or removing our biology. Something about it feels so very, violent.
The only thing that has helped my own situation and experience in getting to know my own pmdd, is listening and honoring my body's voice.
Wishing everyone the very best of luck!
I've had it all my life and it makes all sense now. I also have ADHD! I'm already low on my serotonin anyway!
Do you uptake your adhd medication prior?
@@briannanichols1302 I've never been prescribed adhd medication! If I was I would of been able to focus more! 😭😭😭
I have PMDD and ADHD as well! My ADHD meds help a lot, but we ended up upping my dose as needed the two weeks before my period. better now, but im 6 days till blood and I can't wait, I look forward to it every month bc I feel so sane and level minded during my period.
I get aggressive during that time and I am autistic
lmao, not diagnosed, but i always get really fucking depressed roughly a week before my period. then i researched on why, and its fucking pmdd. i just learnt about it 3 months ago. its hell
Same
I experience interpersonal conflicts during that time of the month. Anyone else?
Absolutely, hormonal changes can definitely influence mood and interactions; it's a common experience for many.
I began to have my PMDD symptoms, right after a miscarriage. I had no idea that this was such a real problem.
I am sorry for your loss 😔
Same here.
This could be why I kept being diagnosed with clinical depression.
Please make a video on difference between Premenstrual Syndrome, Premenstrual Dysphoric Disorder and Premenstrual Exacerbation 🙏🙏🙏
I have this and mild pcos so yay 😀. Either way I also tend to crave sweets prior to my period and all the emotional symptoms that was described I have them. Every month I’ve thought about leaving this planet, come to find out it was hormones.
I can totally relate, thank you for sharing. I feel like we need to talk about this more in society.
Same :')
Always fun when the pcos makes your cycle longer :')
Terrible combination lol
Truly helps in fostering ties and bonds... Better relationships
Knowing this is a huge sigh of relief, thank you :)
Jekyll and Hyde. The most profound change is the day before my period. Every time. Uncontrollable crying, paranoia, anger, self mutilation… it’s like I turn into a werewolf.
Also helpful for all symptoms described here like anxiety., insomnia, etc
I received my diagnosis 2 years ago and it still has yet to get easier.
I started having PMDD after the birth of my kids. I'm on antidepressants which don't help at all. I feel like I'm being possessed. I look forward to menopause sometimes.
You can take menopause pills with the help of a doctor
Well, I heard that menopause itself would give you syndrom no less than PMDD.
@@denoxdblong2577 I've heard the same. I feel like at least there is an end to menopause eventually.
Me to have a pmdd after birth my kids
Same here
I have it and it's a hell ☠
Sorry about that. Please stay strong, it gets better.
i use to be just a little irritable while menstruating before i started taking antidepressants now it's like every time before i have my period i get bad thoughts of doing harm to myself i restrain but it sucks when those things pop out of now where and so does crying uncontrollably
Sorry to hear that, Please stay strong
If this happened to men they would understand it completely
since when is 3 to 8% minute? we screen for colon cancer at 3.5 percent.
Anyone dealing with this I would like to suggest cyclease pms natural tablets. I’ve been using them as a natural way to ease my pmdd and it helps a lot. I get to frustrated and upset when I’m pms. Those are my go to and they have be back to feeling normal within 30 minutes .
I hope it helps someone the way it helped me
how often do you take them?
@@keirynunez7804 every month as soon as my pms symptoms start and it’s no limit on how many you can take since they are natural .
@@tutummara20 where do u get it from
@@keirynunez7804 amazon
i get so mean before my period its terrible😢
i am only like this after having my son this is so irritating my cycle will come and spot for days and days after the five days period and each day of spotting comes with very bad cramps fever diarrhea nausea no appetite so for more than two weeks i just drop in weight get weak and very ill and still have to be a mother and a gf in my home im depressed at this point cuz i just got done bleeding for ten month straight post birth im sick of seeing that shit im tired of it just wanna breathe 😒😮💨😮💨😮💨😮💨😮💨😮💨😮💨
So my GP got me on Seratraline, but hesitant to take it, i was also critically low on vitamin D so got super high dosage and hoping it will be not as bad. 10 days before my period start I am having the peak, literally mental breakdown. I used to have suicidal thoughts but CBT helped with that, I usually check my calendar and 100% it is around those 7-10 days when I feel the lowest. I am often thinking how many women committed suicide not knowing that it’s not them, it could have been me many years ago. That experience set me on a journey of addressing lifestyle choices and that’s where I noticed this pattern. It’s a real emotional pain, usually settles in 2-3 days but completely leave when my period starts. As much as I love being woman and having gift of period, but this is no fun🥴
Does anyone get high body sensitivity with this??
Is headaches neck pain nausea and severe lower back pain part of this I feel like crap
I got it after having exploratory laparoscopic surgery for Endo. The good news is that Endo wasn't found, but it changed my periods and mental health. I'm not on birth control cause it makes me sick, but I do use BIHT progesterone cream, Remeron and Lorazepam. Sometimes they help other times, they don't. Most of my PMDD symptoms involve sore breasts during the luteal phase, as well as thoughts of bad past things that have happened in my life along with paranoia and intrusive thoughts. After the bleeding starts, all of that crap goes away, and then I feel normal for 2 weeks. The PMDD attacks aren't always bad, and sometimes, they don't bother me at all. All I can say is that I can't wait to reach menopause because then the madness will finally end.
I also may be having a hysterectomy too at some point because after I had covid late last year, I went to see my PCP and I told him to look at everything, so he did a physical and found that my cervix is at high risk for cancer right now.
It is very difficult to cope with 😭😭
Please stay strong, It gets better.
@@MedicalCentric hope so 🙂
I’ve been taking vitex. It seems to help.
Yes I’m planning to get some too
whats vitex
@@keirynunez7804 its a plant that comes from the vitex or chastberry tree. Different names for it chasteberry peppers monk Vitex, Angus castus, it’s good for anything hormonal related
@@traveltoeat03 thanks!!!
I'm wondering if this is what I have rather than just pms. All my symptoms are there about a week prior to my period. I literally inhale food and then 2 days before I just ruined my diet and walk around like a zombie exhausted from doing absolutely nothing. I'm actually relieved once I get my period bevause that all goes away.
It could be premenstrual syndrome (PMS), but discussing these symptoms with a healthcare professional would provide clarity and potential solutions.
Im 14 and i have pmdd i just got diagnosed with it after dealing with it for 2 years and i feel like im going crazy
Sorry to hear that
I’m terrified to get my period each month.
I experience depression, impatience, and sadness two weeks prior to my period. It sucks
It sounds like you might be experiencing symptoms of premenstrual dysphoric disorder (PMDD); I recommend discussing these symptoms with your healthcare provider to explore potential treatments and strategies for relief.
Having PMDD is not easy for me because if left untreated, it'd cost me my relationships with my family and friends even my coworkers. As I get older, my symptoms worsen. I don't like losing control of my anger because its going to cause interpersonal conflicts. I'm trying to keep the peace, not start a fight nor an argument. Why is it so difficult to keep my temper and hormones in check? Oh I know why, it's because PMDD meltdowns are not predictable. I do get mad over the smallest things.
I understand how challenging managing PMDD can be, and I commend your commitment to maintaining harmony in your relationships despite these difficulties.
Including mea culpa, guilty conscience
Friends who are struggling with this, something that’s helped me is going on a keto diet. I try to keep my blood sugar as stable as possible since a low blood sugar usually increases cortisol. During the menstrual phase I’ll introduce some carbs, but I’m overall avoiding them. I’d say the most carbs I eat in a day- even good days- is no more than 100g (equivalent of 4 oreos a day). Another important part of keeping your blood sugar levels normal is eating three big meals a day instead of snacking. I only suffer from insomnia and depression, though. I feel for people struggling with the pain of PNDD.
is PMDD linked to untreated PPD?? 😩
In my personal experience, I didn’t develop PMDD until after I had my child. I was diagnosed with PPD, wouldn’t be too surprised if they were linked. You got it tho, find what works for you, push through and never give up! ❤
No
Oh that make sense of what happened to me😢
Glad it's helpful.
i thought this was a normal thing that every woman with a cycle goes through. i should probably go see a doctor 💀
UGH as if It wasn't enough to survive cancer. I hate mental problems now why do I have to go to a phychologist this is just- idk
I have this pmdd in the worst way . I thought this was NORMAL
Iv lost jobs iv walked out of work iv broke relationships my family all due to my pmdd it's awful I'm trying to get help but I don't want to take tablets for it
I'm sorry to hear about the challenges you've faced due to PMDD. Exploring non-medication therapies with a mental health professional could offer alternative strategies to manage symptoms effectively.
PMDD is so bad!
Did anyone ever recovered from it?
Yes, many individuals have successfully managed and alleviated symptoms of Premenstrual Dysphoric Disorder (PMDD) through a combination of medical treatments and lifestyle changes. ❤️
Omg I fucking have this I think. I hate my uterus I wanna cut it off.
Please visit a doctor
Why don’t DOCTOrS stop lying to us and listen!
I'm living in hell since 15 years ago😢😢😢
SORRY TO HEAR THAT
I was diagnosed about 25 yrs ago....I had turned into a ragging bitch and felt like I wanted to fight someone..anyone...just hoping someone would start something. I felt like a psycho.
It sounds like you went through a very challenging time; it's important to continue seeking the right support and treatment. ❤️
All woman then
Mine starts the week before and persists throughout. And I was diagnosed by a obgyn
Premenstrual Dysphoric Disorder (PMDD) is a severe form of premenstrual syndrome (PMS) that can significantly impact a person's emotional well-being. It typically occurs in the luteal phase of the menstrual cycle and can lead to intense mood swings, irritability, anxiety, and depression. If your symptoms persist throughout the week before your period and are affecting your daily life, it's essential to consult with a healthcare professional. An obstetrician-gynecologist (obgyn) can provide a proper diagnosis and discuss treatment options, which may include medications, therapy, or lifestyle changes to manage PMDD symptoms effectively.
8% is not a minute part of woman!! Like what the f*ck!? Is that kinda crap that makes this stuff so under researched.
While 8% may seem small, every woman's experience is significant and deserves thorough research and attention. ❤️
Best cure for depression is to read chapter 2 of The Holy Quran - The Cow... It's mainly about the Prophet Moses and the children of Israel.
Sounds like a great way to get depressed.
@@AM-zg1fk😂😂😂😂
Best cure is chapter 2 of The Holy Quran-The Cow... About Prophets Adam & Moses&the children of Israel
Honest advice for women with PMDD. Stop having sex! Don't masturbate or have sex if you have PMDD. This helped me and I'm having much better periods, without medication. Serotonin even comes back, like your mood is way better than before. So because doctors have refused to remove my ovaries I found that complete sexual abstinence works well. Also seek Jesus Christ for help if you experience this. This sort come not but through prayer and fasting
@@miniixx3334 if I'm married than I'll have sex but I don't want marriage. Jesus Christ will return and woe to those with child
@@miniixx3334don’t try to push your religion here, it’s not the right place and is extremely inappropriate. Jesus is my savior and if you don’t agree with that sentiment than fine but hinting Islam is the cure is dogmatic and self serving.
That makes zero sense, and is backed by no research. Stop using your person anecdotes to make factual claims, it's stupid.
Also, god doesn't exist. stop promoting your cult here.
@@Mahi-nw5vh it works very well and I'm going to tell the truth because I believe in Jesus Christ
Reading the comments I want to cry. I always thought I was alone and just a monster the week before my period. I truly can’t recognize myself. I’m usually a bubbly person until that one week a month. The anger and sadness gets so intense and then the next week I’m like what was that even about? Does anyone have any recommendations for remedies or medications they use that helps them get through this? you are all so strong 🫶🏻
It's heartbreaking to hear that you're struggling with PMDD and feeling isolated in your experience. Many individuals find solace in connecting with others who share similar challenges. While I'm not a medical professional, some people with PMDD have reported finding relief through various approaches. Lifestyle changes, such as maintaining a healthy diet, regular exercise, and sufficient sleep, might help alleviate symptoms. Additionally, some individuals explore different medications, including hormonal treatments or antidepressants, under the guidance of a healthcare professional. It's crucial to consult with a doctor to discuss your specific situation and determine the most suitable treatment plan tailored to your needs. Remember, reaching out for support, whether from friends, family, or mental health professionals, is a commendable step toward managing PMDD more effectively.
this is me before my TOM. but as i age i notice it’s lasting longer
Premenstrual Dysphoric Disorder (PMDD) is a severe form of premenstrual syndrome (PMS) characterized by significant mood disturbances and physical symptoms that interfere with daily life. If you've noticed that your PMDD symptoms are lasting longer as you age, it's essential to discuss these changes with a healthcare professional. Changes in hormone levels, lifestyle, or other factors could contribute to variations in PMDD symptoms over time.
A healthcare provider can evaluate your symptoms, consider any underlying factors, and work with you to develop an appropriate management plan. This might include lifestyle adjustments, medications, or other interventions tailored to your specific situation. Open communication with your healthcare team is crucial for addressing changes in PMDD symptoms and ensuring you receive the most effective support and treatment.
It took me 10 years just to get a PCOS diagnosis, wonder how long I'll have to fight to get a PMDD one 🥲