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Premenstrual dysphoric disorder

Premenstrual dysphoric disorder (PMDD) is an illness associated with the luteal phase of the menstrual cycle. It is characterized by severe irritability, anxiety and anger. more...

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It is similar to premenstrual syndrome (PMS), but differs from it in severity and in that it requires treatment, because it interferes in a woman's ability to function in her environment. It has been proposed as a disorder requiring further study by the American Psychiatric Association in the DSM-IV-TR. PMDD is accepted as illness by the FDA but is not listed as a separate disorder in the World Health Organization's International Classification of Diseases. There is some question as to whether PMDD has been "marketed" by pharmaceutical companies in order to increase the demand for treatments.

The cause of PMDD is not known, but several theories exist. One theory suggests it is due to the lack of serotonin (a neurotransmitter in the brain) and mediated by the levels of the level of sex hormones (progesterone and estrogen) in the luteal phase of the menstrual cycle. A common treatment for PMDD is selective serotonin reuptake inhibitors (SSRIs), specially fluoxetine (Prozac).

See Also

Premenstrual stress syndrome (PMS)

Read more at Wikipedia.org


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Many Women Suffer From Premenstrual Dysphoric Disorder - Brief Article
From AORN Journal, 1/1/01

A recent survey shows that low awareness among women of premenstrual dysphoric disorder (PMDD), a severe form of premenstrual syndrome (PMS), may cause needless suffering, according to a Nov 16, 2000, news release from the Society for Women's Health Research. Five hundred women were surveyed. Of these, 84% did not know that severe premenstrual problems officially have been recognized as PMDD and that such problems can be diagnosed and treated. Of those surveyed, 24% described their premenstrual symptoms as strong or severe, yet they did not know about PMDD.

Severe mood swings and physical symptoms characterize PMDD. These symptoms can interfere with a woman's everyday life and may affect her relationship with family members and friends. Symptoms go beyond what are considered normal, manageable symptoms of PMS and may include

* irritability,

* depressed mood,

* anxiety,

* sleep disturbance,

* difficulty concentrating,

* angry outbursts,

* breast tenderness, and

* bloating.

Women experience symptoms of PMDD the week before menstruation, and the symptoms disappear a few days after menstruation. Diagnostic criteria of the disorder emphasize depressed mood, anxiety, mood swings, or irritability. Approximately 5% of American women who have regular menstrual cycles suffer from PMDD.

Although almost all of those surveyed reported experiencing premenstrual symptoms within the past 12 months, 45% have never discussed PMS with their physicians. Of those who experience strong or severe symptoms, 27% never discussed the symptoms with their physicians, although most reported the symptoms interfered with their daily activities. When questioned regarding their reluctance to seek treatment, nine out of 10 respondents said they could cope with the problems on their own, and one-fourth said they believed their physicians would not take their complaints seriously.

Of those surveyed, 66% stated they would seek information from their obstetricians or gynecologists if they thought they had PMDD rather than consult friends or use Internet resources. This is positive news, as in 2000, the American College of Obstetricians and Gynecologists (ACOG) issued treatment guidelines for premenstrual symptoms. The ACOG's preferred method for treating symptoms of PMDD is the administration of selective serotonin reuptake inhibitors.

Survey Finds Women May Suffer Unnecessarily Due to Low Awareness of PMDD as a Recognized Medical Condition (news release, Washington, DC: Society for Women's Health Research, Nov 16, 2000) 1-2. Available from http://www.newsdesk.com/ Accessed 20 Nov 2000.

COPYRIGHT 2001 Association of Operating Room Nurses, Inc.
COPYRIGHT 2001 Gale Group

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