Chinese Medicine for Premenstrual Dysmorphic Disorder
Premenstrual Dysmorphic Disorder (PMDD) is a health concern that is similar to premenstrual syndrome (PMS) but is more serious. PMDD causes severe moodiness such as feeling irritable, crying a lot, depression, anger outbursts or anxiety in the week or two before the period starts. Other symptoms may include fatigue, weight gain, restless sleep, breast tenderness, digestion changes, trouble focussing, binge eating, feeling out of control and suicidal thoughts.
About 80% of women report at least mild premenstrual symptoms, 20%–50% report moderate-to-severe premenstrual symptoms, and about 5% report severe symptoms for several days with impairment of functioning. The 5% of women with the severest premenstrual symptoms and impairment of social and role functioning often meet the diagnostic criteria for premenstrual dysphoric disorder (PMDD) (1).
Risk factors may include:
- A family history of PMS or PMDD
- Women with a personal or family history of depression, postpartum depression, or other mood disorders
- Cigarette smoking (2)
How is PMDD diagnosed?
Premenstrual Dysmorphic Disorder (PMDD) is typically diagnosed by a healthcare provider after performing a physical examination and speaking to the patient about signs and symptoms. Researchers do not know for sure what causes PMDD or PMS, however hormonal changes in the menstrual cycle each month may play a role due to the brain chemical called serotonin levels changing throughout the cycle.
Healthcare providers may also ask patients to keep track of symptoms over several menstrual cycles, or order tests to check certain things related to hormones.
What are the treatment options for PMDD?
Treatment for Premenstrual Dysmorphic Disorder (PMDD) typically involves a combination of lifestyle changes and medications. Medications used to treat PMDD include antidepressants, hormonal control pills/medications, or non-steroidal anti-inflammatory drugs. In some instances, gonadotropin releasing hormones may be given.
Natural approaches for Premenstrual Dysmorphic Disorder (PMDD) can include regular exercise and nutritional changes individualised to the patient to support serotonin, and lifestyle modifications such as sticking to a daily routine, practicing meditation and taking care of oneself, recognising emotions and managing stressful situations. Other natural remedies that have been used to treat symptoms associated with PMDD include acupuncture and herbal medicine.. Traditional Chinese medicinal herbs can be given to patients the week or two before their period is due to ease symptoms. This can be a good alternative to pharmaceuticals.
It’s important to remember than it’s normal for women and young girls to experience fluctuations in energy levels, mood or food cravings in different stages of their menstrual cycle. Iron levels for example drop once the uterus lining has shed, so it’s normal to feel lower energy before or on your period. Women live on a 28 day cycle and can sometimes even sync with the moon cycles. Whereas, men live on a 24 hour one! However when signs and symptoms are really affecting your quality of life, then it’s important to seek help.
Tanya Keam is an integrative Chinese medicine Doctor and registered Acupuncturist in Nambour in the beautiful Sunshine Coast hinterland in Queensland, Australia. If you’re experiencing the above symptoms or interested in Chinese Medicine Premenstrual Dysmorphic Disorder treatment specifically, please reach out to see if Acupuncture, herbal medicine and lifestyle guidance might support you to feel better.
You can see Tanya’s training here, call us here, or book online here.
References:
- Pearlstein, T., Steiner, M. (2008). Premenstrual dysphoric disorder: burden of illness and treatment update. Journal of Psychiatry & Neuroscience; 33(4): 291–301.
- https://www.hopkinsmedicine.org/health/conditions-and-diseases/premenstrual-dysphoric-disorder-pmdd