Premenstrual Dysphoric Disorder (PMDD)
What is premenstrual dysphoric disorder (PMDD)?
Premenstrual dysphoric disorder (PMDD) is a more serious form of premenstrual syndrome (PMS). PMS causes bloating, headaches and breast tenderness a week or two before your period.
With PMDD, you might have PMS symptoms along with extreme irritability, anxiety or depression. These symptoms improve within a few days after your period starts, but they can be severe enough to interfere with your life.
How common is PMDD?
PMDD affects up to 10% of women who have periods.
Who might get PMDD?
You may be more prone to PMDD if you have:
What causes PMDD?
Experts don’t know why some women get PMDD. Decreasing levels of estrogen and progesterone hormones after ovulation and before menstruation may trigger symptoms. Serotonin, a brain chemical that regulates mood, hunger and sleep, may also play a role. Serotonin levels, like hormone levels, change throughout your menstrual cycle.
What are the symptoms of PMDD?
PMDD symptoms appear a week or two before menstruation and go away within a few days after your period starts. In addition to PMS symptoms, you may have:
- Anger or irritability.
- Anxiety and panic attacks.
- Depression and suicidal thoughts.
- Difficulty concentrating.
- Fatigue and low energy.
- Food cravings or binge eating.
- Mood swings.