What is the difference between normal PMS and unhinged, need meds PMS? - What is the difference between normal PMS and unhinged, need meds PMS? -

What is the difference between normal PMS and unhinged, need meds PMS?

What is the difference between normal PMS and unhinged, need meds PMS?

by: Dr. Monica Agarwal
Sr. Consultant Obstetrics & Gynecology - Paras Bliss, Panchkula

PMS or premenstrual syndrome is a combination of emotional, physical, psychological and mood disturbances that occur after a woman’s ovulation and end with the onset of menstrual flow. A severe form of PMS is called As Premenstrual Dysmorphic Disorder (PMDD) also known as Late Luteal Phase Dysmorphic Disorder which leads to significant loss of function because of unusually severe symptoms.

Symptoms of PMS- MOOD

  • Anger and irritability
  • Anxiety
  • Depression
  • Tension
  • Crying
  • Oversensitivity
  • Exaggerated mood swings

Symptoms of PMS – PHYSICAL

  • Fatigue
  • Bloating
  • Weight gain
  • Breast tenderness
  • Acne
  • Sleep disturbances
  • Appetite change with overeating or food cravings

90% of women have PMS at some point in life. Symptoms are very similar to pregnancy symptoms. They start a few days before the onset of their periods usually after ovulation. The patient is asymptomatic after menstrual flow and prior to ovulation. The cause is hormonal.

Treatment of PMS –  

It should be noted that the treatment of PMS is not simple and requires continuous lifestyle management and a stringent medical regime. You are also recommended to keep a following up with your gynaecologist and share if you detect any abnormality in your mood or body.

Lifestyle measures for Treating PMS:

  • Exercise
  • Emotional support
  • Limited salt intake
  • Reduce caffeine
  • Stop smoking
  • Limited alcohol
  • Reduction of fast food and sugar
  • Vitamin and mineral supplements

Medication for Treating PMS: 

  • Diuretics – They help by eliminating excess fluid from body tissues. Spironolactone is helpful.
  • Analgesics – Painkillers like ibuprofen, mefenamic acid, naproxen can help
  • Alprazolam
  • Antidepressants
  • Oral contraceptive pills – They eliminate the huge fluctuations in the hormone levels and so give relief.

Exercise is positive to relieve some symptoms of PMS. Physical activity improves general health and releases endorphins which are mood elevator hormones. Aerobics, swimming, walking, dancing can be done.

Comparison of PMS and PMDD-

If PMS symptoms are so extreme that you cannot do your normal activities then it is PMDD. It is less common with an incidence of 3-8%.

PMDD has these additional symptoms

  • Depression – Some amount of depression is there in PMS but if one feels hopeless and suicidal then it is serious
  • Anxiety – Women may feel very tense and edgy
  • Mood swings – Mood swings are very severe in PMDD. You may end up fighting or crying. You feel out of control. You may stop caring about your job, friends and family.


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