Not infrequently we see women who ask about the possibility of oophorectomy (surgical removal of the ovaries) as a means of managing what appears to be a menstrually related mood disorder. While this is an [...]
Clinically we see that many women with major depressive disorder and bipolar disorder experience worsening of their symptoms prior to the onset of menses. We have less data on the impact of menstrual cycle on [...]
While about 5% of women have premenstrual dysphoric disorder, we more commonly see women who experience premenstrual exacerbation of mood and anxiety disorders. Â A small study of 15 women with borderline personality disorder (who were [...]
When we meet with women reporting premenstrual symptoms, we often recommend that they avoid the use of alcohol. Â Analyzing 19 previously published studies of alcohol and PMS, researcher found that risk for PMS risk [...]
Chasteberry, the fruit of the chaste tree or Vitex agnus castus, has long been touted as a remedy for a range of reproductive problems, including premenstrual symptoms or PMS. Â Two recent publications have reviewed data [...]
 It is recommended that women with premenstrual symptoms (PMS) switch to a diet including more complex carbohydrates and less sugar in order to alleviate their symptoms.  While these dietary modifications may be helpful, a [...]
St. John’s wort (Hypericum perforatum) is an herbal preparation which has been shown, in some studies, to be effective for the treatment of mild to moderate depressive symptoms. St. John’s wort is now one of [...]
 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 [...]
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 [...]
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.
