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[quote=Anonymous]If you are regularly experiencing extreme emotional swings (depression, teariness, anger/rage, suicidal thoughts)  in your luteal phase, subsiding a few days after your period starts, it’s PMDD. PMDD is a mood disorder that causes an extreme emotional response to normal hormonal changes in the body, during the rise in progesterone during the luteal phase.

https://iapmd.org/ Is the best source of info on this condition, it can be difficult to find care providers who understand it. Antidepressants can help but over time you might need to adjust the script/dose. Women with PMDD can be helped with birth control, but many can’t tolerate them because the progestins can exacerbate symptoms, especially progestin only mini pills or the Mirena IUD.

I have PCOS and PMDD so have been suffering with this for many years and it’s gotten worse after each child. I felt amazing while pregnant and for a few months after. I was great with no birth control and just an antidepressant for a few years, but then I stated to develop really extreme period pain and was urged to go back on birth control, but couldn’t even tolerate the ones that are recommended for PMDD (Zoely, Yaz) without negative symptoms. I just started chemical menopause a few weeks ago; I’m done having kids and keen to do surgery (they have to remove the ovaries to treat PMDD, so it will be a total hysterectomy with bilateral salpingo-oophorectomy). For now I get an injection of Zoladex once every 28 days and have an estrogen patch I change twice a week. I have just started and it takes a full month to take effect but I’ve had a significant amount of relief already from the pain and mood impacts.

I live overseas now and I found a really great specialist. He says PMDD is the reason he can’t yet retire, because so many doctors are hopeless at treating it, especially outside Europe. 
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