PMS is a real and severe health issue for many women

Women with premenstrual syndrome (PMS), from mild to very severe (and severe PMS is described as having premenstrual dysphoric disorder or PMDD) have a number of symptoms which compromise and adversely affect their quality of life and the level this is affected depends on the level of symptoms experiences - the worse the symptoms, the more adversely the quality of life is affected.

Scientists have been looking at women with PMS and have come to the conclusion that women who experience PMS symptoms experience lowered quality of life as they cannot function properly (whether it is in their relationships, work, social life) and this causes increased medical costs through more visits to doctors and subsequent lab test. It also causes indirect costs to employers through lowered productivity when a woman experiences severe PMS symptoms and cannot function or think as effectively as she normally does when not in PMS.

Women with severe PMS symptoms, especially the mental symptoms of anxiety, depression, anger can be so impaired in their ability to function normally (when not in the time of PMS), that it can cause an impairment in interpersonal or workplace functioning.

Interpersonal conflicts are common for women with PMS and that can cause a great deal of unnecessary stress in a workplace or for a woman's interpersonal relationships, which if not treated effectively and continues to escalate unabated, can mean those relationships cease to exist and employment may go on to be terminated. This of course, compounds the issue and it becomes a vicious circle.

Women with PMS must seek effective treatment for the symptoms of PMS in order to maintain a better quality of life and in order not to suffer the symptoms of this, often, debilitating condition.

Your doctor can use a Premenstrual Symptoms Screening Tool (PSST) to help you determine how PMS symptoms are affecting your life.

There are adequate (and natural) ways to control PMS (and even the condition known as PMDD).

References:

1.  Choi D, Lee DY, Lehert P, Lee IS, Kim SH, Dennerstein L. The impact of premenstrual symptoms on activities of daily life in Korean women. J Psychosom Obstet Gynaecol. 2010 Mar;31(1):10-5
2.  Freeman EW,  Sondheimer SJ. Premenstrual Dysphoric Disorder: Recognition and Treatment. Prim Care Companion J Clin Psychiatry. 2003; 5(1): 30–39. Accessed 8 July 2010
3. Mishell DR Jr. Premenstrual disorders: epidemiology and disease burden. Am J Manag Care. 2005 Dec;11(16 Suppl):S473-9. Accessed 8 July 2010
4. Pearlstein T, Steiner M. Premenstrual dysphoric disorder: burden of illness and treatment update. J Psychiatry Neurosci. 2008 Jul;33(4):291-301. Accessed 8 July 2010

PMDD is not a mental disorder - it is just severe PMS

Vincent Van Gogh - Sorrow

 The condition PMDD (pre-menstrual dysphoric disorder) is a type of PMS which is much worse than regular PMS symptoms, especially in terms of the emotional symptoms.

According to a peer reviewed article reprinted by the American Academy of Physicians, they describe PMDD as:

In the Diagnostic and Statistical Manual of Mental Disorders, 4th ed. (DSM-IV), PMDD is classified as “depressive disorder not otherwise specified” and emphasizes emotional and cognitive-behavioral symptoms.2  At least five of the 11 specified symptoms must be present for a diagnosis of PMDD (Table 1).¹  These symptoms should be limited to the luteal phase and should not represent amplification of preexisting depression, anxiety, or personality disorder. In addition, they must be confirmed prospectively by daily rating for at least two consecutive menstrual cycles. A symptom-free period during the follicular phase of the menstrual cycle is essential in differentiating PMDD from preexisting anxiety and mood disorders.

This means, PMDD has been given status as a serious mental disorder in the vein of major depression and bipolar disorder and in fact, some scientists believe that some women who experience PMDD are depressed, which is why anti-depressants are prescribed.

There are a number of experts who find fault with this diagnosis of PMDD as a mental disorder, notwithstanding that mental disorders have never been proved to exist (other than major mental illness) and that anti-depressants have been shown to do nothing for people with mild to moderate depression.

The problem as I see it with classifying PMDD as a mental disorder, is that it isnt. It is due to a number of factors being misaligned in the body (nutritional deficiencies, too much stress, no exercise, bad circulation) and these factors together can contribute to worsening of PMDD, yet when these issues are sorted out, the PMDD is completely reduced to manageable levels.

A recent study showed that 20% of women who did the diagnostic survey, met the criteria for PMDD, whereas 4.1% of men met the criteria for PMDD too. The authors of the study then suggested:

Therefore, these data suggest that PMDD may not be a premenstrual disorder per se. PMDD may instead reflect general cyclical changes in mood, and in women sometimes these changes occur during or near menstruation.

A number of other studies have criticised the assessment that PMDD is severe mental disorder, when it is clearly not.

If you have severe PMS-like symptoms that could be thought to be PMDD, check out my articles about what needs to be done and work with your natural health care practitioner to find a better way to manage your symptoms. You are not alone and you do not have to suffer with this problem. Just check with your doctor to make sure there is no underlying disorder (a real one).

References

1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, D.C.: American Psychiatric Association, 1994:715–8.
2. Bhatia SC and Bhatia S.  Diagnosis and Treatment of Premenstrual Dysphoric Disorder. Am Fam Physician. 2002 Oct 1;66(7):1239-1249.  Accessed 27 June 2010
3. Callaghana GM, Chacona C, Colesa C, Bottsa J, Larawaya S. An Empirical Evaluation of the Diagnostic Criteria for Premenstrual Dysphoric Disorder: Problems with Sex Specificity and Validity. Women & Therapy, Volume 32, Issue 1 January 2009 , pages 1 - 21 
4. Daw, J. Is PMDD Real? Monitor on Psychology, October 2002, Vol 33, No. 9 . Accessed 27 June 2010
5. Kissling, E. Women, Men and PMDD. Society for Menstrual Cycle Research, 15 October 2009.  Accessed 27 June 2010
6. Nash H, Chrisler JC. IS A LITTLE (PSYCHIATRIC) KNOWLEDGE A DANGEROUS THING? Psychology of Women Quarterly, Volume 21 Issue 2, Pages 315 - 322

PMS and PMDD Causes - Part 5: PMDD is Not a Mental Disorder

Researchers state that there is no real known reason why PMS (or PMDD) occurs in some women and not in others. Let me tell you what I think why PMS (and PMDD) occurs (part 5):

5. PMDD is not a mental disorder

While the drug companies would love you to believe this and they package their products (antidepressant drugs) in lovely pink, to appeal to women, making sweet commercials with strong women frolicking, being happy - let me tell you the truth.

Young girls are being prescribed these antidepressant drugs for PMDD. But, medical professional know that antidepressants cause a higher risk of suicide for adolescents. There is a warning on all antidepressants basically stating this fact.

We want a quick fix for our health problems and the drug companies are well aware of this, so they market antidepressants to be taken for 2 weeks prior to menstruation (after ovulation) and in some cases, all month long. Research has shown that PMDD symptoms decrease when women take the antidepressants, but the results usually don't happen until a few months after taking the antidepressants. The best results seen so far for reducing PMDD are the selective serotonin re-uptake inhibitors (SSRIs), which enable more serotonin, a neurotransmitter, to remain in the brain, thereby reducing negative emotional symptoms of PMDD (or even PMS). The most common antidepressant drugs used for PMDD are - paxil, prozac, zoloft.

PMDD is a condition of sorts, but it does not need the medication some medical experts tell us it needs. PMDD is basically the worse type of PMS - extreme form of symptoms of PMS, especially the emotional and mental symptoms.

The symptoms of PMDD can include any of the following:

• Mood swings
• Depressed mood or feelings of hopelessness
• Marked anger, increased interpersonal conflicts
• Tension and anxiety
• Irritability
• Decreased interest in usual activities
• Difficulty concentrating
• Fatigue
• Change in appetite
• Feeling out of control or overwhelmed
• Sleep problems
• Physical problems, such as bloating, swollen breasts, headache, joint/muscle pain

To manage PMDD (and even PMS) you need to manage the following areas - diet modification, engaging in regular exercise, reducing stress levels and eliminating toxic chemicals from your life.

In order to make changes in all these area, you will need to be extremely diligent and focused. You have to continue to make these changes for several months before you start to notice a difference. This is not a magic pill cure for PMS/PMDD - this is a way to manage your life so that you become healthier, fitter and less likely to suffer the effects of PMS/PMDD.

Once you embark on this way of life, expect all areas of your health to improve, energy and concentration levels to increase and your mental disposition to become more positive.

Remember, PMS and PMDD are not a life sentence to mental instability for your life - you can break free, but only if you want to make some healthy changes to help yourself!

Be well with good health.

PMS and PMDD Causes - Part 1: Nutritional Deficiencies

Researchers state that there is no real known reason why PMS (or PMDD) occurs in some women and not in others. Let me tell you what I think why PMS (and PMDD) occurs (part 1):

1. Nutritional deficiencies
Diet is fundamental to good health. That is the bottom line. If you do not get enough of natural, unprocessed foods, you are doing yourself a total disservice in terms of your health.

If your diet is basically composed of a great deal of processed foods (anything you buy from a store that you do no cook yourself) and you have a lack of fresh vegetables, fruits, wholegrains, seeds, nuts, oily fish such as salmon, trout, then your diet will be deficient in many vital nutrients (vitamins, minerals, amino acids). No amount of supplements will correct this - on one hand you are effectively ensuring your body becomes inflamed and deficient from various nutrients and on the other hand, you try to balance this with supplements, when you need the whole foods for your health.

You need to eat the following foods to maintain good health and to help your body get back to optimal health:

• Vegetables - 7 servings each day and at least 3 of these servings should be dark, green or dark red leafy vegetables (different types of lettuce, kale, spinach, sorrel, broccoli, watercress)
• Fruit - 5 servings each day and try to make sure you eat lots of brightly coloured or dark coloured fruits, such as blueberries, raspberries, dark purple grapes, acai berries, cherries
• Wholegrains - 3-5 servings each day and this means not just bread, but cereals, pasta and noodles too (just make sure they are not saturated with sugar)
  
• Legumes - 1-2 servings each day, this means all types of beans, such as lentils, kidney beans, chickpeas (garbanzo beans)
  
• Fish - 3-4 servings per week of the oily variety, such as salmon, trout, sardines, mackerel, but just make sure you buy the fish labelled as "wild" or "deep ocean" because these fish will have the most nutrients and are less likely to be tainted by heavy metals such as mercury and lead
• Meat - 3 servings per week and only organic, because the non-organic varieties have various chemicals and hormones injected into them, which interfere with your own hormone production and can exacerbate PMS and PMDD
• Nuts & seeds - 2-3 servings per day and try to use organic, raw nuts, unsalted as they provide the most nutrients

You need to eliminate the following foods (or at least severely restrict them):

• Alcohol - too much alcohol has a detrimental effect on the body and is not useful when you have PMS or PMDD
  
• Sugar - many women with PMS and PMDD experience variations in their blood glucose levels and an excess of sugar will make the blood sugar levels spike quickly and fall dramatically, which has a detrimental effect on insulin levels, which are pumped out at great levels to reduce blood glucose levels - eating less foods high in sugar and more natural foods will keep blood sugar levels on an even level and this means that there will be less of an issue prior to menstruation, including a curbing of sugar cravings, which many women also experience at PMS time
  
• Processed foods - any type of food that comes in a packet (other than raw nuts and seeds)
• Take-away foods - any type of meal you buy from a take-away store
• Salt - try to decrease it in your meal, use herbs and spices instead and try to use organic sea salt, which has more minerals in it than normal processed salt

The essential fatty acids in oily fish as well as the nuts and seeds are vital for women suffering from PMS and PMDD. Studies have shown that this essential nutrients is necessary as they are precursors of prostaglandins, which are hormone-like substances that affect women when they have PMS and PMDD. The B vitamins, which are abundant in good quality meat and wholegrains are necessary for women suffering this condition, as they help to reduce symptoms. The magnesium found in many whole foods is a natural muscle relaxant.