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Tag Archives | PMS

Premenstrual Mood Disorders and Postpartum Depression: Similar But Different

It has been hypothesized that both premenstrual dysphoric disorder (PMDD) and postpartum depression (PPD) occur as the result of rapid shifts in the levels of ovarian hormones. Data regarding the prevalence of PPD among women with documented PPD is sparse, and the existent studies rely upon recall of premenstrual symptoms which is notoriously inaccurate.  Despite […]

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Depression and Anxiety More Common in Adolescents with Dysmenorrhea

  Many endocrinological, physical, and psychological changes occur in the adolescent years. Dysmenorrhea,or painful menses, is a relatively common complaint among adolescent girls.   A recent study in the Journal of Pediatric and Adolescent Gynecology explored the relationship between mood disorders and dysmenorrhea in adolescence.   Premenstrual syndrome (PMS) is the occurrence of negative physical, psychological […]

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PMDD and Serotonin Reuptake Inhibitors: Does Symptom-Onset Dosing Work?

Multiple studies support the efficacy of serotonin reuptake inhibitors (SRIs) for the treatment of premenstrual dysphoric disorder (PMDD).  In the initial studies, treatment was administered daily throughout the entire menstrual cycle.  Researchers observed that for the treatment of PMDD, SRIs seemed to work more rapidly, taking effect within a few days of treatment initiation (as […]

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Augmentation with Quetiapine (Seroquel) for Women with PMDD

For women with premenstrual dysphoric disorder (PMDD), selective serotonin reuptake inhibitors (SSRIs) are the first line of pharmacological treatment. A significant body of evidence, including numerous double-blind, randomized studies, supports the effectiveness of SSRIs in reducing both the emotional, as well as physical symptoms, of PMS and PMDD. In general, women respond to low doses […]

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Do Oral Contraceptives Cause Depression?

An estimated 80% of sexually active young women in the United States use hormonal or oral contraceptives (OCs).  Clinically it is found that some women report depression or mood swings with oral contraceptives; however, many women seem to tolerate hormonal contraceptive without any effects on mood.  Despite the prevalence of OC usage, few studies have explored the association between hormonal contraceptive use and mood disturbance.

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Calcium Less Effective than SSRI for PMDD and Severe PMS

About 75% of women with regular menstrual cycles report unpleasant physical or psychological symptoms premenstrually. For the majority of women, these symptoms are mild and tolerable. However, some women have more severe and disabling symptoms, or premenstrual dysphoric disorder (PMDD).  Several years ago, a large, multicenter trial of calcium supplementation found that calcium (600 mg twice a day) significantly reduced both the physical and emotional symptoms of PMS; however, it has not been clear whether calcium supplementation might be effective for more severe premenstrual symptoms or PMDD.

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What is the Link between PMS and Postpartum Depression?

Women with premenstrual symptoms (PMS) and premenstrual dysphoric disorder experience symptoms during the premenstrual phase of their cycles.   Because levels of estrogen and progesterone do not differ significantly between women with PMS and those without, it has long been hypothesized that PMS/PMDD represents an abnormal response to normal hormonal fluctuations (Schmidt et al, 1998).

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Will PMDD Have a New Home in the DSM-V?

The American Psychiatric Association is now considering the possibility of including premenstrual dysphoric disorder (PMDD) in the DSM-V as a new category, rather than listing a set of criteria for PMDD in the appendix (as in DSM-IV).  The diagnostic criteria remain relatively unchanged.  Many feel that the Inclusion of PMDD as a distinct diagnostic category will lead to greater legitimacy for the disorder and will encourage the growth of evidence-based research in this area.

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