PMS/PMDD

What are PMS and PMDD?

PMS refers to a group of physical and emotional symptoms that occur one to two weeks before your period. Common complaints include bloating, breast tenderness, irritability, mood swings, and fatigue. While most women experience mild forms of PMS, the severity can range from barely noticeable to highly disruptive.

PMDD is a much more serious condition that affects a smaller percentage of women. It is marked by significant mood disturbances such as intense irritability, anxiety, or depression. These symptoms can interfere with your work, relationships, and everyday activities, though they typically resolve once you start your period. 

Understanding the difference between PMS and PMDD is an important step toward finding the right care. Dr. Amersi can help you distinguish between the two.

What causes PMS and PMDD?

The exact cause of PMS and PMDD isn’t fully understood, but changes in hormone levels throughout the menstrual cycle are thought to play a major role. Fluctuations in estrogen and progesterone can influence brain chemistry, particularly serotonin, which affects mood and emotions.

Other contributing factors may include:

• Stress
• Anxiety
• Poor sleep quality
• Nutritional deficiencies
• Sensitivity to hormonal changes
• A personal or family history of mood disorders

Because every woman’s body is different, what triggers PMS or PMDD in one person may not affect another. That’s why Dr. Amersi takes time to evaluate your unique health history and lifestyle when crafting a treatment plan for your specific needs.

How are PMS and PMDD diagnosed?

Diagnosis begins with a detailed review of your health history and cycle patterns. Dr. Amersi may ask you to track your symptoms over several months to confirm whether they align with PMS or PMDD. She also rules out other conditions that have similar symptoms.

Your treatment is highly personalized. Options may include nutritional counseling, exercise, stress management strategies, and targeted medications to reduce your physical discomfort and stabilize your mood.

If your symptoms are more severe and you’re struggling to keep up with your daily activities, Dr. Amersi may recommend bioidentical hormone therapy to restore hormonal balance so you can feel like yourself again. Her focus is always on improving your quality of life and helping you feel more in control of your cycle.

If PMS or PMDD is affecting your ability to function well, call Dr. Amersi’s Santa Monica, California, office or request a consultation online today.