Premenstrual Dysphoric Disorder Natural Treatment

The Pmdd Treatment Miracle

Cure Premenstrual Dysphoric Disorder Naturally! Are You Sick of The Cycle Of Destructive Mood Swings, Irritability, Anxiety, Pain, And Generally Feeling Out Of Control Every Month? In just a few short weeks you can be rid of all these problems naturally, permanently, and without drugs of any kind with a Pmdd treatment miracle! Do You Want To Learn How To: Eliminate pain from bloating, headaches, migraines and cramps in just 12 hours! Normalize your moods and temper during this period so that you never feel out of control again, and never end up saying or doing things that hurt the ones you love any more! Completely eliminate the feelings of hopelessness, depression and even suicidal thoughts that can incapacitate you during Pmdd! End binge eating and other compulsive activities that control your life when Pmdd hits! Completely control Premenstrual Dysphoric Disorder and eliminate all its symptoms in just 2 months naturally no drugs right down to the root cause of Pmdd! More here...

The Pmdd Treatment Miracle Summary


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Differential Diagnosis of Premenstrual Dysphoric Disorder

Many females experience mild transient affective symptoms around the time of their period. PMDD is diagnosed only when symptoms lead to marked impairment in social and occupational functioning. B. Premenstrual Exacerbation of a Current Mood or Anxiety Disorder. Females with disorders such as dysthymia or generalized anxiety disorder may experience a premenstrual exacerbation of their depressive or anxiety symptoms. These individuals will continue to meet criteria for a mood or anxiety disorder throughout the menstrual cycle whereas patients with PMDD have symptoms only prior to and during menses.

Treatment of Premenstrual Dysphoric Disorder

SSRIs such as fluoxetine (marketed as Sarafem for PMDD) is effective in reducing symptoms of PMDD. The dosage of fluoxetine (Sarafem) is 20 mg per day throughout the month. The dosage may be increased up to 60 mg per day if necessary. Sertraline (Zoloft) is also effective in treating PMDD. Sertraline should be started at 50 mg per day and increased up to 150 mg if necessary. These agents are often effective when given only during the luteal-phase. B. Hormones. Estrogen, progesterone and triphasic oral contraceptives may improve symptoms of PMDD in some patients. E. Exercise. Moderate exercise can lead to improvement of physical and emotional symptoms of PMDD.

Hypothalamicpituitarygonad Axis

The prevalence of mood disorders in women, including premenstrual syndrome (PMS) and post-partum depression, also deserves mention. PMS is a cyclic recurrence of symptoms both somatic (oedema, fatigue, breast tenderness, headaches) and psychological (depression, irritability, and affective lability). The symptoms start following ovulation and disappear within the first day or two of menses, followed by a symptom-free interval between menses and the next ovulation. In some cases (5-10 ), symptoms may be severe enough to interfere with normal functioning, leading to the diagnosis of premenstrual dysphoric disorder (PMDD) 106 . GnRH agonists, which produce a clinical ovariectomy'' by down-regulation of GnRH

Clinical Symptoms and History

Premenstrual syndrome is characterized by mood swings, depressed mood, irritability and or anxiety, which may be accompanied by physical symptoms. These symptoms occur exclusively during the luteal phase of the menstrual cycle. Common physical symptoms observed in PMS are breast tenderness, abdominal bloating, headache, and joint and muscle aches. The diagnosis of PMDD requires marked mood disturbance (depression, irritability, mood swings) as well as the presence of other emotional and or physical symptoms. Additionally, a significant reduction in social and or occupational functioning is required for the diagnosis of PMDD. The functional impairment tends to be in social as opposed to occupational domains. Prospective daily recording of the presence and severity of symptoms for at least two menstrual cycles is used to confirm the diagnosis of PMDD. Specific diagnostic criteria for premenstrual dysphoric disorder are shown in Table 10.1.

Lifestyle Interventions

Patients with mild to moderate premenstrual symptoms have reported that reducing caffeine, refined sugars, or sodium intake can be helpful. Although increased exercise has been found to reduce symptoms of major depressive disorder, there is no definitive evidence that it results in improvement of PMDD symptoms. There are no recent controlled studies to support the anecdotal reports of the benefits of a healthy diet and exercise for premenstrual syndrome. Nonetheless, these interventions are recommended because of their other benefits and safety.

Suggested Reading

Prevalence, incidence and stability of premenstrual dysphoric disorder in the community. Psychol Med 2002 32 119-132. 2. Perkonigg A, Yonkers KA, Pfister H et al. Risk factors for premenstrual dysphoric disorder in a community sample of young women The role of traumatic events and posttraumatic stress disorder. J Clin Psych 2004 65 1314-1322. 5. Roca CA, Schmidt PJ, Smith MJ et al. Effects of metergoline on symptoms in women with premenstrual dysphoric disorder. Am J Psychiatry 2002 159 1876-1881. 7. Hunter MS, Ussher JM, Cariss M et al. Medical (fluoxetine) and psychological (cognitive-behavioural therapy) treatment for premenstrual dysphoric disorder. A study of treatment processes. J Psychosom Res 2002 53 811-817. 8. Grady-Weliky TA. Premenstrual dysphoric disorder. N Engl J Med 2003 348 433-438. 9. Halbreich U, Bergeron R, Yonkers KA et al. Efficacy of intermittent, luteal phase sertraline treatment of premenstrual dysphoric disorder. Obstet...

Differential Diagnosis

A comprehensive history and physical examination are indicated to rule out other possible causes of the emotional and physical symptoms of PMS. The differential diagnosis includes premenstrual molimina, hypothyroidism, perimenopause and major mood or anxiety disorders. Most ovulatory women experience some physical changes (e.g., breast tenderness, bloating, and food cravings) during the luteal phase. If these physical symptoms do not interfere with normal life functions, the term molimina can be applied. Hypothyroidism can share many of the same symptoms as PMS however there should be no cyclic variation. A thyroid stimulating hormone level is a sufficient screen, if warranted by clinical suspicion. There is also considerable overlap between the symptoms of perimenopause and those of PMS. Many women experience symptoms of emotional irritability, cyclic mastalgia, bloating and hot flashes as part of the perimenopause. It is likely that similar pathophysiologic factors mediate symptoms...

Hormonal Treatments

Progesterone has also been used for the treatment of premenstrual syndrome, but a recent meta-analysis found that progesterone and other progestogens were no more effective than placebo. In contrast, gonadotropin releasing hormone (GnRH) agonists, including leuprolide and buserelin, were superior to placebo in the reduction of premenstrual emotional (irritability, depression) and physical (bloating, breast tenderness) symptoms in four double-blind controlled studies. Although GnRH agonists may be effective for PMDD, the parenteral route of administration (for leuprolide), cost, and potential side effects, including hot flushes and vaginal dryness, make them a third line treatment strategy.

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