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Symptoms, causes, diagnosis and treatment

PMDD treatments include antidepressant drugs, hormone therapy and lifestyle changes.
Non-steroidal anti-inflammatory drugs (NSAIDs)
- Ibuprofen (Advil, Motrin)
- Naproxen (Aleve)
- aspirin
Antidepressants
The commonly used SSRIs include:
- Citalopram (Cexlexa)
- Escitalopram (Lexapro)
- Fluoxetine (Prozac)
- SERTRALINE (Zoloft)
Venlafaxine (Effexor) is an SNRI prescribed to treat PMDD and tends to be used if you feel unpleasant side effects with SSRIs.
Hormone therapy
Hormone therapy using contraceptive pills can reduce PMDD symptoms. A pill containing the Drospirenone progestogen hormone and a form of estrogen called Ethinyl Etradiol is approved by the FDA for the treatment of the PMDD.
Leprolide (Lupron), a type of medicine called hormone agonist freeing gonadotrophins (GNRH), reduces the symptoms of the PMDD by essentially arresting ovulation and menstruation. Because it has a lot of side effects, especially hot flashes, vaginal dryness and bone loss, Lupron is only used when the SSRIs and contraceptive pills have not helped.
Researchers are studying new drugs that could help relieve symptoms of the PMDD. A class of drugs called selective progesterone receptors that is under study could be useful for emotional symptoms of the PMDD. These drugs work by blocking hormonal progesterone.
Luminotherapy
Research suggests that exposure to bright light in the morning can improve mood in people with PMDD. Although light therapy is sure to try, additional studies are necessary to confirm that it works.
Cognitivo-behavioral therapy (TCC)
This form of speech therapy focuses on the modification of a person’s perceptions to improve their symptoms. The first evidence suggests that TCC can provide a certain advantage to PMDD without the side effects of drugs, but it deserves a more in -depth investigation.
Surgery
Surgery to eliminate the uterus, fallopian tubes and ovaries (hysterectomy and bilateral salpingo-ovariectomy) is a final option for women who have tried all other treatments but always have debilitating symptoms.
Surgery relieves the symptoms of the PMDD by stopping ovulation. This will put you in menopause and you will not be able to get pregnant afterwards.
Complementary and integrative therapies
Some research suggests that the chasteberge (Vitex Agnus Castus) can improve the symptoms of the PMDD. Dosage recommendations vary, so it can take some tests and errors to determine what works for you.
Saint-Jean’s must seem to help the physical symptoms of the PMDD, but it does not do much to relieve emotional symptoms such as depression, anxiety and irritability. In addition, it can interact with contraceptive pills and reduce their effectiveness.
The FDA does not regulate supplements as it does medication. Talk to your doctor before trying any complementary therapy, to make sure it is sure for you.
Food supplements such as vitamin B6, calcium and magnesium have also been studied for the treatment of PMDD. So far, none of these supplements has been confirmed to operate.


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