30/04/2026
PMDD is a relatively unknown issue that many people face that can have really quite dramatic and damaging effects.
People suspecting PMDD need to see a doctor - and go prepared!
You will need
* 3 months of symptoms tracking information to show when the symptoms appear and when they ease.
* A one page summary sheet showing the most disruptive symptoms and how they effect your life.
* Supporting information
> The NICE guidelines on PMDD -
https://cks.nice.org.uk/topics/premenstrual-syndrome/diagnosis/diagnostic-criteria-for-premenstrual-dysphoric-disorder/
> The IAPMD summary page -
https://www.iapmd.org/pmdd
Expect your doctor to rule out other things with blood tests initially. That ok - standard practice. Once ruled out you can start to explore the options.
If you don't feel heard or taken seriously you CAN ask for a second opinion or request a referral to a gynecologist or psychiatrist specialising in PMDD or related areas.
You are not being too emotional, not being a burden, not overthinking or wasting anyone's time and you are certainly NOT JUST BEING HORMONAL.
You ARE addressing an issue that you have identified (one that's disrupting your life) in the hopes that you will make it better - GO YOU!
*FYI*
Treatments for PMDD:
SSRIs - Options include sertraline, fluoxetine, and paroxetine HCI, which work faster for PMDD than for depression - meaning you only take it in the Luteal Phase! 5 tablets from ovulation is said to be the sweet spot. There is research you can find and take along.
Hormonal Birth Control: Birth control pills that stop ovulation, particularly those containing drospirenone and ethinyl estradiol (e.g., Yaz), are used to stabilize hormone levels.
Lifestyle Changes: Regular exercise, stress management (yoga, therapy), and diet changes (reducing salt, caffeine, and alcohol) can alleviate symptoms.
Supplements: Calcium, vitamin B6, magnesium, and herbal remedies like chasteberry may help.
Cognitive Behavioral Therapy (CBT): A type of talk therapy designed to help manage the severe mood symptoms of PMDD.
Therapy: Shadow work and 'healing' - understanding, accepting and integrating trauma stories can really help with PMDD