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    gynaecology

    Severe Premenstrual Syndrome (PMDD)

    Also known as: PMDD, premenstrual dysphoric disorder, severe PMS, premenstrual mood disorder

    PMDD is severe premenstrual mood disturbance — depression, irritability and anxiety in the days before periods, disrupting life. It needs proper assessment; SSRIs and hormonal treatments are effective. Chinese medicine treats liver constraint with fire, heart-liver blood deficiency and phlegm-heat patterns alongside.

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    Lifestyle & Diet

    • •Get a proper assessment — PMDD responds well to treatment.
    • •Symptom diary helps diagnosis and treatment choice.
    • •SSRIs (continuous or luteal-phase) are effective — discuss with your GP.
    • •Reduce caffeine, alcohol and stress in the luteal phase.

    Cautions & Contraindications

    See sources
    • •Herbal support never replaces specialist mental-health care for PMDD.[]

    When to reassess or seek care again

    See sources

    Review each cycle: symptom diary, treatment response, mood. Escalate any self-harm thoughts.

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    Sources & Further Reading

    Clinical guidance, red flags and safety notes on this page draw on the following current sources alongside the classical references above.

    1. Premenstrual syndrome — NHS
      NHS · 2024
    2. PMDD — Healthdirect
      Healthdirect Australia · 2024
    3. Premenstrual dysphoric disorder — MedlinePlus
      National Library of Medicine · 2024

    Educational reference for licensed practitioners. Not a substitute for individual clinical assessment. Refer to conventional care for any red-flag or undiagnosed presentation.