Transgender people have an even higher risk. Hormonal changes before a period can make the symptoms of an existing mental health condition worse. This effect is known as premenstrual exacerbation. Common disorders that may co-occur with PMS include:.
Research suggests that depression tends to be more prevalent among those with PMS than in those without this condition. The options range from home remedies to medication.
It can be useful to track symptoms before and during a menstrual period to help a doctor confirm a diagnosis and create a treatment plan. Learn about 10 of the best period tracking apps in this article. In more severe cases, or for PMDD, home remedies alone are unlikely to make a significant difference.
However, they may help when individuals combine them with other treatments. Supplements may also help. Research suggests that a calcium supplement may reduce PMS-related symptoms, including depression, fatigue, and appetite changes.
It is important to speak to a doctor before taking supplements to treat PMS or any other condition. A doctor may suggest using hormonal birth control to manage PMS symptoms. Sometimes, they may prescribe an antidepressant. Finding the right treatment can require a trial-and-error approach. Hormonal birth control options include the pill or the patch. These may alleviate depression and other emotional and physical symptoms. In some cases, however, birth control can make depression worse.
People may take SSRIs throughout their menstrual cycle or during the luteal phase only. They may also be helpful for more severe cases of PMS. This rate of effectiveness is similar to that in those with major depression. If SSRIs do not work, or if they cause undesirable side effects, a doctor may prescribe another type of antidepressant. Individuals who experience depression regularly before or during their period may wish to speak to a doctor.
If someone is at immediate risk of suicide or serious self-harm, seek emergency help by calling or the local emergency number. Anyone with suicidal thoughts can access help from the National Suicide Prevention Lifeline at In the first 2 years after a girl starts getting her period, it is normal for the cycles to be irregular.
But by about 2 years after periods start, they should be on a regular cycle. Track your periods so you know if they are regular. Record when your period comes, how long it lasts, and any problems you have during it. You can use a calendar or an app, or write it down in a notebook. Most girls settle into a regular period schedule and can manage any bothersome symptoms with home treatment. But talk to the doctor if you think there could be a problem with your periods. Larger text size Large text size Regular text size.
Here's how to cope with most period problems. You can try these things if you have PMS symptoms: To help with food cravings: Eat a balanced diet with lots of fresh fruit and vegetables. To ease bloating: Lower salt in your diet. When PMS symptoms are seriously impairing. PMDD premenstrual dysphoric disorder is a serious condition that affects some women and girls in the week before their period. People with PMDD are extra sensitive to the hormones that spike during that week.
Symptoms typically start days before their period but can begin earlier, and they go away once the period begins. Onset of PMDD can be any time after puberty. Symptoms are similar to PMS but more severe. Girls with PMDD might feel depressed, anxious or angry. They may cry for little or no reason. They may also have trouble concentrating and staying on task.
Physical symptoms like cramps, headaches, body aches and tender breasts are common. The symptoms of PMDD have a serious impact on daily life. A casual comment can trigger a major meltdown. If you think your child might have PMDD, work together to track their symptoms: what they are, how bad they get, and how long they last. Then talk to their doctor.
Changes in diet and exercise and therapies like CBT cognitive behavioral therapy can help. In some cases doctors may also suggest medication like birth control pills or taking antidepressants during the week when symptoms are at their worst. Remember, PMDD is serious and real. I get angry and upset at the smallest, dumbest stuff. For most women and teenage girls, periods are just a part of life.
But for girls like Lily who have premenstrual dysphoric disorder PMDD , the onset of menstruation can feel like a week of total hell.
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