During the procreative years , many women , before they have their catamenial cycle , experience excited alteration and transient physical change . About 75 % woman cover that even with regularmenstrual cycle , they get unpleasant psychological and strong-arm symptom , before catamenia begins . These symptom are , in most typesetter’s case , mild to adequate . However , in sealed cases , these symptoms can be sternly disabling that can disrupt their daily activities and lives . About 2 to 10 % women experience this condition , known as Premenstrual Dysphoric Disorder .
What is Premenstrual Dysphoric Disorder?
Premenstrual Dysphoric Disorder or PMDD is a diagnosing that indicates severe premenstrual distress that is associated with disfunction or deterioration in day-to-day natural process and lives .
Premenstrual Dysphoric Disorder or PMDD is a wide range of emotional or strong-arm condition or symptom that commonly occurs 5 to 11 days prior to the start of a menstrual cycle . The symptoms decrease in vividness as the onset of the menstrual cycle comes closer and end a few daylight after it begins .
Signs and Symptoms of Premenstrual Syndrome
The signs and symptoms of this condition vary to a great extent from person to person and every woman seems to have slimly different symptom . Many women often mistake the PMS or Premenstrual Syndrome , with the Premenstrual Dysphoric Disorder or PMDD . Whereas PMS occurs in about 30 to 80 % women in the procreative age , Premenstrual Dysphoric Disorder or PMDD symptoms are more severe in vividness and occur in only 2 to 10 % adult female . The most common symptom of Premenstrual Syndrome or PMS that can occur in any fair sex are –
Physical Symptoms Premenstrual Syndrome or PMS:
If the patient stick out from any long - term or continuing illness , like hemicrania or asthma , it gets bad .
Psychological Symptoms:
Behavioural Symptoms:
What are the Signs and Symptoms of Premenstrual Dysphoric Disorder or PMDD?
The signs and symptom of Premenstrual Dysphoric Disorder or PMDD are often similar to the symptom of PMS . However , the symptom of premenstrual dysphoric upset are often more severe in intensity . At times , they are so knockout that it disrupts the day-to-day activities and selection of many women . Along with the antecedently mentioned symptom , the symptoms of Premenstrual Dysphoric Disorder or PMDD can include –
What is the Epidemiology of Premenstrual Dysphoric Disorder or PMDD?
In about 80 % of all woman alone in the United States of America , some or the other sort of symptoms , associated with PMS or Premenstrual Syndrome can be seen to occur . However , 3 to 8 % women feel the symptomatic condition called Premenstrual Dysphoric Disorder or PMDD . In India , the happening is around 6 % of charwoman in the reproductive age group . In Switzerland , it occurs in only 3 % fair sex in the reproductive historic period . subject field have prove a very eminent occurrence in Nigerian women , where 36 % women in the reproductive age radical experience these Premenstrual Dysphoric Disorder or PMDD symptom .
What are the Causes of Premenstrual Dysphoric Disorder or PMDD?
No consensus regarding the etiology or the cause of Premenstrual Dysphoric Disorder or PMDD has been found presently . However , it is reckon that the hormonal changes in a cleaning woman that take home while she has her menstrual cycle , play a major role in make these symptom . However , genetic problem is often considered to be a possible cause of Premenstrual Dysphoric Disorder or PMDD . About 70 % of women , who have Premenstrual Dysphoric Disorder , are found that their mothers too have had this consideration ; whereas , only 37 % of women have this condition , despite the fact that their mothers do not have Premenstrual Dysphoric Disorder or PMDD . Along with these biologic and genetic cause , there are yet other possible causes for this condition to occur and they are environmental , psychological as well as societal . These are –
convert in the levels of certain chemicals in the mind is also a advise cause of Premenstrual Dysphoric Disorder or PMDD . One such chemical is serotonin that work as a mood regulator . Since its levels overlook to a great extent , the humor swings colligate with PMDD is cause .
Diagnosis of Premenstrual Dysphoric Disorder or PMDD
No lab run or physical examen can name Premenstrual Dysphoric Disorder or PMDD . In order of magnitude to distinguish the symptom of this condition from the other aesculapian weather that can lead to such symptoms , the doctor or aesculapian tutelage provider will need the patient to keep a journal or calendar to note down the symptom that occur and the clip of their occurrence . For the verification of the clinical nature of these symptoms and to diagnose it as Premenstrual Dysphoric Disorder or PMDD , the doctor would ask to chart the symptoms prospectively for two consecutive ovulation cycles . If at least 5 of the symptoms that are assort with his term mate with the patient ’s condition , it is diagnosed as Premenstrual Dysphoric Disorder or PMDD .
During this diagnosing , the Doctor of the Church ensures that all the underlie gynaecological and aesculapian conditions as well as excited problems such as fibroid , endometriosis , hormonal problems , menopause and terror upset , depressionetc . are ruled out .
What is the Treatment of Premenstrual Dysphoric Disorder or PMDD?
The most effective and wide used discourse method acting associated with Premenstrual Dysphoric Disorder or PMDD are –
Medicine to Treat Premenstrual Dysphoric Disorder or PMDD:
antidepressant drug such as Paxil CR , Sarafem and Zoloft are the most unwashed medicinal drug that are prescribed by the MD . Sometimes , some over - the - counter pain reliever , such as aspirin , ibuprofen and naproxen are also prescribed . The doc may also recommend birth ascendancy oral contraceptive pill or Zoladex , Danazol , Lupron and Synarel to finish ovulation .
Diet and Nutrition for Premenstrual Dysphoric Disorder or PMDD:
In decree to decoct the feeling of bloating and to retain fluid in the consistence , small meals are recommended , along with limiting the consumption of salty food . Calcium , vitamin vitamin E , vitamin B6 , and magnesium supplements are also urge .
Lifestyle changes for Premenstrual Dysphoric Disorder or PMDD:
Alcohol , caffeinated boozing etc . can significantly affect the mood swing . Hence , avoiding them , along with quitting smoking can help in retaining the energy levels .
Exercise for Premenstrual Dysphoric Disorder or PMDD:
strong-arm action like walk , swimming , cycle etc . and moderate regular aerophilic activities for about 2 hour , can efficaciously keep down tiredness , strain and depression and improve the overall wellness .
Alternative Treatments for Premenstrual Dysphoric Disorder or PMDD
Psychotherapy to Treat Premenstrual Dysphoric Disorder or PMDD:
Since lowered ego - esteem , withdrawal from social club , feel of hopelessness and other negative psychological and psychosocial attitude are often attributed to and associated with Premenstrual Dysphoric Disorder , cognitive - behavioural therapy can be of not bad assistance . It can importantly reduce the interpersonal conflicts through self-assertiveness grooming , strain reduction and management of anger .
Herbal Therapies to Treat Premenstrual Dysphoric Disorder or PMDD:
Prostaglandin – is an anti - inflammatory compound that can reduce prolactin levels . This reduces breast tenderness and engorgement . Recent studies have show up the safety and efficacy of chaste tree berry and evening primrose oil color in the synthesis of prostaglandin . fussiness , headache , choler along with breast comprehensiveness are importantly reduced with these herbal therapy .
Hormonal Therapies to Treat Premenstrual Dysphoric Disorder or PMDD:
GnRH agonist , histrelin , leuprolide and goserelin can significantly reduce stress and depression levels , by inducing amenorrhea and anovulation . At times , Danazol ( Danocrine ) , a fallible androgen hormone is also dictate by the doctors .
Coping with Premenstrual Dysphoric Disorder or PMDD
Coping with PMDD , once the diagnosing has been made , is an even more intense task . As the doctor recommends a treatment method acting , it needs to be made assured that the treatment method is by rights work . It takes about three menstrual cycles to tick off the effectiveness of the treatment . Lifestyle change are the near means to reduce some of the physical as well as psychological conditions .
As the ovulation process start , it is indeed helpful to engage oneself in yoga and meditation as it avail in reducing the stress and tension . Participating in a assemblage , interacting with friends and menage and hash out with them about the way one feels , can avail her overcome and combat with the tenseness and slump . In this condition , knowing that you are not the only one face and suffering from this condition is of great support and relief to come out of this stress . Hence connect a support group led by a psychologist or counsellor can be of vast help . Trying online chat rooms , peach therapy as well as public keep forum can be of additional help . The affected role must infer that it is a experimental condition that one has no control over . Hence , accommodating through the years and being supportive , when the symptoms occur , is of great help .
A unchanging intervention process is a must to ensure that the symptoms are gradually recede . It must be made assured that regular sojourn to the doctor and a mental health professional is being made , so that they can name the progress story . The medicines that the doctor has prescribe , must be regularly taken , even if there is no symptoms feel anymore . The Dr. will see how long it postulate to be fill . Continuing to interact in group sessions provides extra reinforcement and aid get a relief for tenacious term .
