pmdd power point

Premenstrual Dysphoric Disorder

By, Joe Briggs

What is Premenstrual Dysphoric Disorder?

PMDDSevere PMS (Premenstrual Syndrome)Depression, tension and irritability are

common.

Causes of PMDDThe Causes are NOT KNOWN.Hormones play some sort of

role.Symptoms Disappear if

ovaries are removed.Ovarian function

may affect changes in brain chemistry.

Incidence of PMDDOccurs in in 8% of woman who are having their

menstrual cycle.May have a genetic disposition. Daughters of mothers with PMDD are likely to

have the disorder as well.93% of Identical twins will

both have PMDD.44% of Fraternal twins will

both have PMDD.

Risk FactorsAnxietyMajor DepressionSeasonal affective disorderAlcohol abuseOverweightSedentary lifestyleFamily History

SymptomsSimilar to PMS, more severe.Occur during the week before menstrual

bleeding.Examples (5 or more must be present):

Disinterest in ADL’s Fatigue or low energy Suicidal thoughts Binge eating Panic attacks Headaches and/or joint or muscle pain Persistent irritability Sleeplessness Trouble concentrating

Do I have PMDD ?No physical exam or lab test can diagnose

PMDD.Psychiatric evaluation is used to rule out other

conditions.Keep a calendar or diary of symptoms when

they occurred to help with a diagnosis and best course of treatment.

Treatment of PMDDA healthy lifestyle is the first step to managing

PMDD. Eat a Balanced Diet Get sufficient sleep Exercise Keep a track of your symptoms

Other Treatments: Birth control Pills Diuretics Nutritional supplements Antidepressants CBT (Congenital behavioral Therapy)

ComplicationsADL’sWorse in second half of menstrual cycleSuicidal ThoughtsHarder to resist cravingsMeds will most likely need to be adjusted

Expectations

After proper diagnosis and treatment, most women with PMDD find that their symptoms go away or drop to tolerable levels

References Vigod SN. Understanding and treating premenstrual

dysphoric disorder: an update for the women's health practitioner. Obstet Gynecol Clin North Am. 2009;36:907-924, xii. [PubMed]

Lentz GM. Primary and secondary dysmenorrhea, premenstrual syndrome, and premenstrual dysphoric disorder: etiology, diagnosis, management. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 36