Most of the ladies in their reproductive age might have suffered from Premenstrual Syndrome (PMS) once in their lifetime. That irritability, anxiety, and mood swings that come before menstruation, everyone can relate to them. But for some, this gets so extreme that it becomes very difficult even to do their day-to-day activities. That condition is termed Pre-Menstrual Dysphoric Disorder or PMDD.
Symptoms of PMDD
PMDD is usually seen during the luteal phase of the cycle and is often associated with
- mood swings
- depression
- cravings
- brain fog
- suicidal tendencies (in extreme cases)
Why is PMDD Often Misdiagnosed?
Since many of the symptoms match those of bipolar disorder, generalised anxiety disorder (GAD), and major depressive disorder (MDD), it is often misdiagnosed.
The major difference between Bipolar disorder, GAD, and MDD from PMDD is that PMDD happens only in the luteal phase.
Once menstruation starts, they become a completely different person. Since the treatment is mainly based on diagnosis, ruling out other psychiatric diseases is very important.
Treatment
Treatment for PMDD is hormonal birth control medicines and antidepressants.
Why is Correct Diagnosis Important?
Hormones play an important role in regulating women’s emotions and are often mistaken for being over-dramatic and sensitive. But diseases like PMDD should be diagnosed correctly, as they may even lead to suicidal tendencies. So, as doctors, it is our responsibility to make the diagnosis correct and treat accordingly.
*Have you come across such a case in your clinic? *
What are your thoughts on PMDD?
MBH/DB