General Practice 2022

Disfórico pré-menstrual disorder: what é, symptoms and treatment

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Disfórico pré-menstrual disorder: what é, symptoms and treatment
Disfórico pré-menstrual disorder: what é, symptoms and treatment

Premenstrual dysphoric disorder, also known as PMDD, is a condition that occurs before menstruation and causes PMS-like symptoms, such as food cravings, mood swings, menstrual cramps, or excessive tiredness.

However, unlike PMS, in dysphoric disorder, these symptoms become disabling and make day-to-day tasks difficult. In some women, premenstrual dysphoric disorder can even lead to anxiety attacks or the development of depression.

Although the specific causes for the emergence of this disorder are not yet known, it is possible that it occurs mainly in people with greater disposition for emotional variations, as they are accentuated by the hormonal changes of menstruation.

PMDD symptoms

In addition to common PMS symptoms such as breast pain, abdominal swelling, tiredness, or mood swings, people with premenstrual dysphoric disorder should have an emotional or behavioral symptom, such as:

  • Extreme sadness or feeling of despair;
  • Anxiety and excess stress;
  • Very sudden changes in mood;
  • Frequent irritability and anger;
  • Panic attacks;
  • Difficulty falling asleep;
  • Difficulty concentrating.

Usually these symptoms appear about 7 days before menstruation and can remain up to 3 to 5 days after the start of the menstrual period, however, feelings of sadness and anxiety can last longer and not disappear between each period.

When a woman develops depression, the frequent appearance of this type of symptoms also increases the risk of suicidal thoughts and, therefore, it is very important to have adequate treatment of depression with a psychologist or psychiatrist.

How to confirm TDPM

There is no test or exam to confirm the diagnosis of premenstrual dysphoric disorder, therefore, the gynecologist can identify the disorder only through the description of the symptoms.

In some cases, the doctor may even order tests, such as an ultrasound or CT scan, just to confirm that there is no other change in the pelvic region that could be causing the symptoms of severe abdominal cramps or swelling, for example.

How the treatment is done

The treatment of PMDD aims to relieve the woman's symptoms and, therefore, may vary from case to case. However, the main forms of treatment include:

  • Antidepressants, such as Fluoxetine or Sertraline, indicated by the psychiatrist, which help to relieve the symptoms of sadness, despair, anxiety and mood changes and can also improve the feeling of tiredness and difficulty sleeping;
  • Conception pill, which regulates hormone levels throughout the menstrual cycle, and can reduce all symptoms of PMDD;
  • Analgesics, such as Aspirin or Ibuprofen, as they relieve headache, menstrual cramps or breast pain, for example;
  • Calcium, vitamin B6 or magnesium supplementation, which can also help relieve symptoms and is considered a natural option;
  • Medicinal plants, such as Vitex agnus-castus, as it is able to reduce irritability and frequent mood swings, as well as breast pain, bloating and menstrual cramps.

In addition, it is also important to have a he althy lifestyle, eating a balanced diet, exercising at least 3 times a week and avoiding substances such as alcohol and cigarettes, for example.

Sleep 7 to 8 hours a night or practicing relaxation techniques such as mindfulness, yoga or meditation can also reduce stress and improve emotional symptoms caused by premenstrual dysphoric disorder. Check out some homemade options that help relieve the symptoms of PMDD and PMS.

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