PMS and PMDD Treatment in Dallas, TX

Dr. Tricia Shimer is a board-certified OBGYN with over fifteen years of experience diagnosing and treating patients experiencing symptoms of PMS and PMDD. She will take the time to fully evaluate your symptoms and answer any questions you may have. Call (469) 364-3760 to schedule an appointment at our OBGYN office in Dallas, TX today!

What Is PMS?

PMS, or premenstrual syndrome, is a group of symptoms linked to the menstrual cycle. Though the length of time PMS occurs depends on the woman, the symptoms usually occur one to two weeks before menstruation begins. Some of the most common symptoms for PMS include:

• Chronic fatigue
• Irritability and mood swings
• Headaches and backaches
• Trouble with concentration
• Anxiety and depression

It is estimated that up to 85 percent of all women show at least one of these symptoms before menstruation. However, one in twenty women can suffer with a severe form of premenstrual syndrome, which is known as PMDD.

What Is PMDD?

Premenstrual dysphoric disorder, or PMDD, presents symptoms similar to PMS, though the effects of PMDD are severe enough to interfere with work, social activities and romantic relationships. PMDD must be officially diagnosed by a physician like Dr. Tricia Shimer, who will evaluate the patient’s condition to see if they struggle with one or multiple signs of the disorder in the week before or after their menstrual cycle, which include:

• Erratic mood swings
• Anger
• Fatigue
• Insomnia
• Tension
• Lack of interest in usual activities

PMDD Treatment

Antidepressant medications that slow down the reuptake of serotonin can effectively treat premenstrual dysphoric disorder (PMDD). These drugs work faster to relieve PMDD symptoms compared to treating major depression, which means women don’t have to take them every day. Hormone therapies are other options, but they are usually considered as second-line treatments. Making some changes to your diet and lifestyle may also help reduce PMDD symptoms.

PMS Treatment

Antidepressants: Some serotonin reuptake inhibitors have been an effective way in reducing mood-related symptoms. SSRIs are typically the first-line treatment for severe PMS or premenstrual dysphoric disorder (PMDD). These medications are usually taken every day, but for some women with PMS, they may be taken only during the two weeks before menstruation.

Nonsteroidal anti-inflammatory drugs (NSAIDs): Taking NSAIDs such as ibuprofen (Advil, Motrin IB) or naproxen sodium (Aleve) before or at the onset of your period can help ease cramping and breast discomfort.

Diuretics: If lifestyle changes like exercise and reducing salt intake are not enough to alleviate weight gain, swelling, and bloating associated with PMS, diuretics can help your body eliminate excess fluid through the kidneys.

Hormonal contraceptives: These prescription medications prevent ovulation, which may provide relief from PMS symptoms.