PMDD vs PMS
PMS and PMDD, what’s that? Well, most people who experience a period notice physical symptoms and mood changes during the days leading up to menstruation. If these symptoms begin interrupting your lifestyle, they’re classified as Premenstrual syndrome (PMS) and sometimes premenstrual dysphoric disorder (PMDD). But what’s the difference between the two?
Researchers believe PMS occurs in the days following ovulation when hormones like estrogen and progesterone begin decreasing if pregnancy does not occur. Usually, symptoms resolve a few days after a period ends and hormone levels start rising again. Unfortunately, many ignore PMS as a legitimate medical condition. This is not only incorrect but exceptionally rude. PMS is, in fact, very real and, unfortunately, a reality for many people. So, no, ”Chad” it’s not just an excuse, unlike your plethora of reasons for skipping leg day.
Diagnosis: A healthcare provider must confirm a pattern of symptoms which might include:
- Onset of symptoms occur 5 days before your period for at least 3 consecutive menstrual cycles
- Signs and symptoms resolve within 4 days after your period starts
- Symptoms interfere with some of your normal daily activities
Symptoms:
- Emotional: Including Depression, angry outbursts, irritability, crying spells, anxiety, confusion, social withdrawal, poor concentration, insomnia, increased nap taking, changes in sexual desire
- Physical: Including Thirst and appetite changes (food cravings), breast tenderness, bloating and weight gain, headache, swelling of hands or feet, aches and pains, fatigue, skin problems, skin problems, gastrointestinal symptoms, abdominal pain
Treatment:
- Treatment depends on the severity of your symptoms
- Mild to moderate symptoms are often treated with lifestyle changes or diet
- If symptoms interfere with your life, medical treatment may be more favorable
- Over-the-counter anti-inflammatory medication (ensure you have no existing allergies to these medications)
- Prescription medications include: Hormonal birth control which may help with physical symptoms. Diuretics or “water pills” can reduce symptoms of bloating and breast tenderness. Antidepressants and anti-anxiety medications can treat emotional symptoms.
So, PMS vs PMDD, which is it? Well, if PMS becomes even more severe or debilitating, it could be considered premenstrual dysphoric disorder (PMDD). Some of the signs and symptoms of PMDD include depression, mood swings, anger, anxiety, feeling overwhelmed, difficulty concentrating, irritability and tension. Furthermore, the major difference between PMS and PMDD is when the symptoms start in the cycle and how long they last.
If you think you have PMS or PMDD, please know that it is nothing to be ashamed of. In fact, it is estimated that up to 90% of menstruators experience symptoms of PMS every year. If you believe this could be you, track your symptoms and their duration and bring the information with you to a provider. PMS and PMDD do not have to control your lifestyle. Be open to different treatment options, which include natural and holistic practices as well as medications. Don’t make excuses like Chad on leg day.
You deserve normalcy. So please get the assistance you need and improve not only “that time of the month” but your overall wellbeing and happiness too!
Want to learn more about hormonal issues? Check out Chapter 5 – OvaryIt
Sources:
https://www.acog.org/en/Patient%20Resources/FAQs/Gynecologic%20Problems/Premenstrual%20Syndrome
https://www.womenshealth.gov/menstrual-cycle/premenstrual-syndrome