Premenstrual dysphoric disorder (PMDD) is a severe and disabling form of premenstrual syndrome affecting 1.8–5.8% of menstruating women. The disorder consists of a variety of affective, behavioral, and somatic symptoms that recur monthly during the luteal phase of the menstrual cycle. It affects women from their early teens up until menopause, excluding those with hypothalamic amenorrhea or during pregnancy and breastfeeding. Women with PMDD are at higher risk of suicide, with rates of suicidal thoughts 2.8 times higher, history of suicidal planning 4.15 times, and suicide attempts 3.3 times. PMDD being a drastic problem, Siddha Spirituality of Swami Hardas Life System appeals to all the women to read this article for well-being.
What is Premenstrual dysphoric disorder?
Premenstrual dysphoric disorder (PMDD) is a condition in which a woman has severe depression symptoms, irritability, and tension before menstruation. The symptoms of PMDD are more severe than those seen with premenstrual syndrome (PMS). PMS refers to a wide range of physical or emotional symptoms that most often occur about 5 to 11 days before a woman starts her monthly menstrual cycle. In most cases, the symptoms stop when, or shortly after, her period begins.
Premenstrual dysphoric disorder Symptoms
Premenstrual dysphoric disorder (PMDD) is a severe form of premenstrual syndrome (PMS). Like PMS, premenstrual dysphoric disorder follows a predictable, cyclic pattern. Symptoms begin in the late luteal phase of the menstrual cycle after ovulation and end shortly after menstruation begins.
Out of cycle
On average, the symptoms last six days but can start up to two weeks before menses, meaning symptoms can be felt for up to three weeks out of a cycle. Severe symptoms can begin and worsen until the onset of menstruation, with many not feeling relief until a few days after menstruation ends. The most intense symptoms occurring in the week and days leading up to the first day of menstrual blood flow.
Start or a few days after menstruation
The symptoms usually cease shortly after the start of the menstrual period or a few days after it ending. The onset of symptoms only during or around the luteal phase is key for diagnosing a woman with PMDD rather than any other mood disorders.
The symptoms can be physical or emotional, but mood symptoms must be present for the diagnosis. Women with PMDD may have thoughts of suicide. A mood log in which a woman records mood patterns over time may help direct.
Categories of Premenstrual dysphoric disorder
The International Society for the Study of Premenstrual Disorders (ISPMD) defines two categories of premenstrual disorders (PMD):
- Core PMD, and
- Variant PMD.
Core PMD has six characteristics, all mainly focusing on the cyclical nature of PMDD and its typical onset pre-menses tracked over the course of more than two menstrual cycles. The four classified Variant PMDs involve more unexpected variables that cause the onset of premenstrual distress; such as, PMD with absent menstruation or premenstrual exacerbation, wherein the symptoms of another preexisting psychological disorder may be heightened as a result of PMDD onset.
Associated conditions of Premenstrual dysphoric disorder
Bipolar depression, anxiety disorders, and other Axis I disorders are more common in those with PMDD. In women with PMDD, there is a 50-78% lifetime incidence of various psychiatric disorders such as generalized anxiety disorder, seasonal affective disorder, and major depressive disorder.
Premenstrual dysphoric disorder Causes
PMDD mood symptoms are only present in menstruating women. Thus, symptoms do not occur during pregnancy and after menopause. Other mood disorders typically persist across all reproductive life events and are independent of a woman’s menstrual cycle or lack thereof.
The most agreed-upon possibilities for what causes PMDD currently are heightened sensitivity to fluctuating levels of certain hormones i.e. the reproductive hormones, environmental stress, and genetic predisposition. The sex steroids—estrogen and progesterone—are neuroactive. Serotonin is involved in mood regulation alongside estrogen.
The timing of symptoms suggests hormonal fluctuations as the cause of PMDD. A demonstrable hormonal imbalance in women with PMDD has not been identified. In fact, levels of reproductive hormones and their metabolites in women with and without PMDD are indistinguishable.
It is instead hypothesized that women with PMDD are more sensitive to normal levels of hormone fluctuations, predominantly estrogen and progesterone, which produces biochemical events in the nervous system that cause premenstrual symptoms. These symptoms are more predominant in women who have a predisposition to the disorder.
PMDD has been reported by menstruating women worldwide, indicating a biological basis that is not geographically selective. There is evidence of the heritability of premenstrual symptoms from several twin and family studies done in the 1990s.
Genetics do not operate in a vacuum: environmental components such as stress, hormonal fluctuation, and epigenetics play a key role in the pathology and onset of the disorder. Some studies have noted evidence of interpersonal trauma i.e. domestic violence, physical or emotional trauma, or substance abuse, or seasonal changes having an impact on PMDD risk.
But the most common pre-existing disorder found in those diagnosed with PMDD is major depression, wherein they either actually had it or were misdiagnosed when they should have only been diagnosed with PMDD. The last environmental factor is primarily sociological: the sociocultural aspects of being female, performing female gender roles, and stress from engaging in female sexual activity.
Relationship of Premenstrual dysphoric disorder to pregnancy
Women with PMDD usually see their symptoms disappear while they are pregnant. The premenstrual dysphoric disorder is primarily a mood disorder that is associated with the onset of menstruation; pregnancy, menopause, and hysterectomies all-cause menstruation to cease, thereby stopping the proposed sex steroid/serotonin-caused symptoms from occurring.
Although one might expect a higher rate of postpartum depression among those with PMDD, a large study of women with prospectively-confirmed PMDD did not find a higher prevalence of postpartum depression than in controls.
If a woman had experienced PPD beforehand, there was found to be a less than 12% chance of PMDD pathology emerging—hardly any differentiation from the regular population of those who have never experienced postpartum depression. However, PMDD symptoms can get worse following pregnancy, or other associated events such as birth and miscarriage.
Menopause launches a woman into an associated mood disorder called climacteric depression. The permanent stopping of the menstrual cycle causes a myriad of physiological and psychological symptoms and issues, all associated with the natural estrogen deficiency post-menopause.
Premenstrual dysphoric disorder Diagnosis
Diagnostic criteria for PMDD are provided by a number of expert medical guides. Diagnosis can be supported by having women who are seeking treatment for PMDD use a daily charting method. Daily charting helps to distinguish when mood disturbances are experienced and allows PMDD to be more easily distinguished from other mood disorders.
With PMDD, mood symptoms are present only during the luteal phase, or last two weeks, of the menstrual cycle. While PMDD mood symptoms are of a cyclical nature, other mood disorders are variable or constant over time.
There is a lack of consensus on the most efficient instrument. There are several validated scales for recording premenstrual symptoms include:
- The Calendar of Premenstrual Experiences (COPE)
- Daily Record of Severity of Problems (DRSP)
- Prospective Record of the Severity of Menstruation (PRISM).
The DSM-5 established seven criteria for the diagnosis of PMDD. There is an overlap between the criteria for PMDD in the DSM-5 and the criteria found in the Daily Record of Severity of Problems (DRSP).
Diagnostic criteria for PMDD are also provided by the 2016 World Health Organization’s International Classification of Diseases (ICD-11-CM).
Early drafts of the ICD did not recognize PMDD as a separate condition. In the World Health Organisation’s classification system, the International Classification of Diseases (ICD-11), PMDD is listed as a “disease of the genitourinary system”.
Differential diagnosis of Premenstrual dysphoric disorder
In addition to Axis I disorders, several other medical illnesses such as chronic fatigue syndrome, fibromyalgia, irritable bowel syndrome, and migraine disorder may present symptoms similar or identical to those of PMDD.
The symptoms which coincide with mood disorders i.e. major depressive disorder or BIPOLAR DISORDER, may worsen during the premenstrual period and thus may mimic PMDD.
Premenstrual dysphoric disorder Treatment
Medications for Premenstrual dysphoric disorder
Several medications have received empirical support for the treatment of PMDD. Selective serotonin reuptake inhibitors (SSRIs) are the first-line medication. The U.S. Food and Drug Administration (FDA) has approved four SSRIs for the treatment of PMDD:
- Fluoxetine (available as generic or as Prozac or Sarafem),
- Sertraline (Zoloft),
- Paroxetine (Paxil), and
- Escitalopram oxalate (Lexapro).
Unlike treatments for depressive disorders, SSRIs do not need to be taken daily.
Women taking SSRIs to ease PMDD generally report >50% alleviation in symptoms, which was a significant improvement compared to placebo. Although less studied, SNRIs have also shown benefits for those with PMDD.
Another FDA-approved treatment for PMDD is the oral contraceptive with ethinylestradiol and drospirenone.
Another treatment, typically used when other options have failed, is the injection of a gonadotropin-releasing hormone agonist. These drugs create a temporary, drug-induced menopause-like condition. This generally necessitates the concurrent addback of progesterone to prevent estradiol-induced endometrial hyperplasia.
Cognitive-behavioral therapy (CBT) has been shown to be effective for reducing premenstrual symptoms in women with (retrospectively-reported) PMS. CBT is an evidence-based approach for treating depression and focuses on the link between mood, thoughts, and actions to help people address current issues and symptoms.
When drug-based treatments are ineffective or produce significant side effects, then removing the ovaries through oophorectomy can produce an immediate and permanent cure. Typically, the uterus is removed during the same surgery, and the woman is prescribed a low-dose estrogen patch to reduce the symptoms produced by surgically induced menopause.
Siddha remedies for Premenstrual dysphoric disorder
1. Siddha preventive measures
Everybody must practice Siddha preventive measures, whether a person is affected with a premenstrual dysphoric disorder or not, but preventive measures are the primary steps for switching on to any other Siddha energy remedies, and hence they are important. It helps in one’s capability, effectiveness, and productivity, decision-making power, intellectuality, and removing minor health problems.
Everybody’s tendency is to get attracted to the word ‘free‘, however, don’t neglect even these Siddha preventive measures are free. Avail of the benefits by practicing them sincerely, and regularly. For the ease of understanding Siddha preventive measures, please watch a video for a live demonstration.
2. Siddha Shaktidata Yog
This unique Siddha Shaktidata Yog of Siddha Spirituality can solve the problems related to premenstrual dysphoric disorder with free Siddha remedies. There is no compulsion of training of ‘Swami Hardas Life System’ methods. This not only gives benefits to self but also it can be used for other affected persons, whether a person is in the same house, distantly available in the same city, same nation or might be in any corner of the world, however, both the procedures have been explained here.
3. Siddha Kalyan Sadhana
Recite this Sadhana with a Sankalp “My problems of the premenstrual dysphoric disorder are solved as early as possible and I should gain health”, which should be repeated in mind 3 – 3 times every after each stanza. Any person irrespective of caste, creed, religion, faith, sex, and age can recite this Sadhana for free, which should be repeated at least twice a day. To know more, please click on this link.
4. CCPE products
These products work on the concepts of ‘Conceptual Creative Positive Energy’ (CCPE) within the provisions of the ‘CCPE Life System’ and the theory of Quantum Technology to a certain extent. However, the products get activated only whenever touched by a human and then they become capable of solving the problem and achieving health. However, please use these products for the premenstrual dysphoric disorder as mentioned below:
CCPE Extractor: The CCPE Extractor should be gently moved over the Agya Chakra in a circular motion at least for 30 to 60 seconds, thereafter, follow the same process on the head, chest, and naval for another 30 to 60 seconds, which finishes within almost 2 – 4 minutes.
CCPE Booster: Keep one Booster over the Agya Chakra and another one each over the head, chest, and naval for 3 minutes. You may need to have 4 Boosters, which establishes positivity.
5. A daily routine
In general, a daily routine to manage premenstrual dysphoric disorder may look like this:
- Carry out all medical checks as suggested above and follow the advice of your doctor
- Apply free Siddha energy remedies a minimum 3 times a day, as explained above
- Do walking exercises, breathing exercises, and pelvic exercises regularly
- Have a healthy diet in particular
- Perform Siddha Nyasa regularly
- Perform Swayamsiddha Agnihotra daily, if feasible
- Try to learn advanced methods of Swami Hardas Life System for fast recovery
Ensure to sprinkle in some fun during the day: Don’t forget to relax and laugh in between. Laughing is a great way to boost your immune system and help you.
Just try the methods of Siddha Spirituality of Swami Hardas Life System. I am confident that you will surely find improvements within 10 days.
Training of Swami Hardas Life System
Any problem with regard to health, peace, and progress can be solved independently without money and medicines by undergoing training of Swami Hardas Life System. Any person irrespective of religion, caste, creed, faith, sex, and age can undergo this unique training.
In view of the above, I am confident that you have learned about premenstrual dysphoric disorder, symptoms, causes, diagnosis, treatment, categories, and free Siddha remedies, without money and medicines. You also learned free Siddha remedies. Now, you have become self-sufficient, hence it’s the right time to use your acquired knowledge for solving problems as per the provision available in Siddha Spirituality of Swami Hardas Life System.
After reading this article, what are your thoughts? Would you please put more efforts into enhancing or updating your knowledge? Let me know your precious thoughts.
Questions & Answers
Q: What is premenstrual dysphoric disorder (PMDD)?
A: Premenstrual dysphoric disorder (PMDD) is a condition in which a woman has severe depression symptoms, irritability, and tension before menstruation.
Q: What causes premenstrual dysphoric disorder?
A: The most agreed-upon possibilities for what causes PMDD currently are heightened sensitivity to fluctuating levels of certain hormones i.e. the reproductive hormones, environmental stress, and genetic predisposition.
Q: How to control premenstrual dysphoric disorder with Siddha remedies at home?
A: In general, a daily routine to manage premenstrual dysphoric disorder may look like this: carry out all medical checks as suggested above and follow the advice of your doctor; apply free Siddha remedies a minimum 3 times a day, as explained above; do walking exercises, breathing exercises, and pelvic exercises regularly; have a healthy diet in particular; perform Swayamsiddha Agnihotra daily, if feasible; try to learn advanced methods of Swami Hardas Life System for fast recovery, and ensure to sprinkle in some fun during the day: don’t forget to relax and laugh in between. Laughing is a great way to boost your immune system and help you.
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