PMS? 6 signs it may be more serious
Moody much?
Experts tell women these are just side effects of premenstrual syndrome, or PMS. But if you find yourself in a serious emotional funk that goes so far as to disrupt your work and relationships, you may have PMS's debilitating cousin, premenstrual dysphoric disorder (PMDD). And if the blues continue even after your period, they could be a sign of depression or bipolar disorder.
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What is PMDD?
While about 75 percent of women have at least mild premenstrual symptoms, only about 5 percent have symptoms severe enough to quality for PMDD, says Dr. M. Beatriz Currier, an associate professor of clinical psychiatry at the University of Miami Miller School of Medicine. No one knows exactly what causes either PMS or PMDD, but figuring out whether you have PMDD can help you ease its effects. Most women with PMDD have found relief through diet, exercise, and rest.
If these six symptoms describe how you're feeling, you may have more than PMS.
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PMS? 6 signs it may be more serious
Your symptoms are all emotional
PMS includes a whole host of physical symptoms - like breast tenderness, bloating - along with emotional symptoms like mood swings. "When it crosses over to where the symptoms are mostly emotional and are really interfering with your life, that could be PMDD," says Dr. Patricia J. Sulak, a professor of obstetrics and gynecology at the Texas A&M Health Science Center College of Medicine and the director of the adolescent sex education program at Scott & White Clinic and Memorial Hospital, in Temple.
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PMS? 6 signs it may be more serious
You experience debilitating depression
"Some women will say they're really, really impossible the week before their period, but when you start probing into their energy, appetite, and sleep conditions, they tell you they never really get back to their old self," explains Dr. Currier. "That could mean patients have a baseline depression that gets worse during their premenstrual time."
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You're extremely irritable, anxious, and cry easily
If your annoyance level rises to the point where you're lashing out at your family or co-workers, you may have moved beyond PMS. And while you may be weepier than usual before your period, you shouldn't be concerned unless you are regularly crying over nothing.
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You feel easily overwhelmed and out of control
"I've even had a couple of patients tell me in tears that the week before their period was when they were most apt to scream at - or even think about hurting - their children," Dr. Sulak adds. "They get to the point where they feel completely out of control."
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You have problems concentrating
Memory or concentration lapses - like misplacing your keys or blanking on a name - are no cause for alarm right before your period. But when these issues start seriously interfering with your life, you should see your doctor. "It's really common for women with PMDD to say, 'I just can't get through my work,'" says Dr. Currier. "They'll tell you they're just not productive during this time."
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The duration of your symptoms
But if the symptoms aren't necessarily in sync with your period, generalized anxiety disorder or depression may be to blame. "If the bad stuff is going on all month long," says Dr. Sulak, "there's something other than PMS going on."
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