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Steph19

PMS or maybe PMDD what to do?

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Steph19

Since I had my last child in 2016 my symtoms pre getting my periods each month have gotten worse. Now for a full week before my period I have seriously swollen breasts, bloating (I weigh at least 2 kg more than the rest of the month), fatigue, moodiness, sometimes depressed and this month have coldsores (this has happened a few times and it doesn't seem to fit wirh my other reasons for getting coldsores).

I'm not on any birth control.

My doctor doesn't seem to think I need anything (just eat healthy). I've done some googling and a Calcium, Magnesium and vitamin D supplement might be useful. I've had vitamin D deficiency before and actually just finish supplement for this about 2 months ago and maybe shouldn't have stopped taking them.

Anyone have similar or any recommendations on what's worked for you or others? Interested from naturapaths also. What are some good brands of supplements if I go down this path?

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NeedSleepNow

I had PMDD. Fortunately mine was able to be managed with just the pill, but I have known others who have needed the pill + an antidepressant.

 

If it’s ‘just’ PMS then a supplement may do but I’m not sure of brands!

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Steph19

I had PMDD. Fortunately mine was able to be managed with just the pill, but I have known others who have needed the pill + an antidepressant.

 

If it’s ‘just’ PMS then a supplement may do but I’m not sure of brands!

I'm not on the pill because I've always had awful side effects. That's not to say there isn't one out there for me but I've tried a few over time and they've never been great.

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NeedSleepNow

I can understand that. The one I’m on now is the only one that has ever agreed with me. The others have all been bad, but admittedly not as bad as crippling depression for 6-8 days per month!

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IamzFeralz

Did the doctor run any blood tests for your hormones and general health? I would not start taking vitamins or supplements unless there is a diagnosed deficiency.

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IamtheMumma

I have PMDD. I take an anti depressant all month round. Absolute life saver.

 

I'd look for a different GP who has women's health as an interest. Eating healthy does sweet fa for PMDD.

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aluminium

I've used anti-depressants for my PMDD.

I also had some success with daily magnesium, Vit B sups.

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Bandwagon

I take a low dose of AD all month (was prescribed from between ovulation and start of cycle) for PMDD. It’s a life saver!

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Dianalynch

Agree with PPs, get another gp as more can be done for those symptoms. Some anti depressants are very effective at helping reduce pmd symptoms. It’s very real, and would be difficult to manage with just diet and exercise. I mean do we turn away others with heath conditions because they can be helped with diet and exercise?

 

another thing to try is evening primrose oil, some people find it effective at assisting with some symptoms like breast pain, (there’s a shaky evidence base for it though) however both my gp and breast specialist recommended it.

 

more helpful than the evening primrose for reducing my pre menstrual breast pain (which was severe) was limiting caffeine- I gave up coffee, which I loved, I’d only previously had 2 coffees a day so not a heavy user, and the difference was remarkable. I do drink tea.

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Steph19

Did the doctor run any blood tests for your hormones and general health? I would not start taking vitamins or supplements unless there is a diagnosed deficiency.

Yes I have had a vitamin D deficiency. I was on supplements a couple of years ago but my vitamin D levels stabilised and they were happy for me to stop supplements. Then about 4 months ago started feeling fatigued and and had more tests. Vitamin D was down again so took supplements. I ran out about 6 weeks ago and with COVID etc I just kept forgetting to buy more.

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Steph19

Thank you. I think it's definitely worth visiting another GP to see what they recommend. Not getting much help with mine other than the usual "they're quite normal symtoms before menstruation", thanks....comig from a man who doesn't have to experience them 7 days a month!

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aluminium

Here's some good info from Monash Uni

https://www.monash.edu/medicine/sphpm/units/womenshealth/_archive/pms-pmdd

 

Studies suggest that the greatest benefit occurs when SSRIs are taken in very low doses, doses way below those used to treat depression.

Therefore instead of using a 20mg tablet of fluoxetine (commonly known as Prozac) to manage PMDD, a dose of 2.5 to 5mg can be used. This means a woman would call the first day of her period day1. Then she would take fluoxetine 2.5-5mg from day 15 to the start of the next period. As fluoxetine comes in a dispersible tablet a 20mg tablet can be broken in half, half dissolved in 100ml of water and then for a 2.5mg dose, 50ml is taken, for a 5mg dose, all of the 100ml is taken as a dose.

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Bethlehem Babe

I’ve got low dose Lovan.

 

Love it.

Still get a bit funky immediately before my period but I’m able to use other techniques to get rid of them and not act on them.

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jkate_

I’ve got low dose Lovan.

 

Love it.

Still get a bit funky immediately before my period but I’m able to use other techniques to get rid of them and not act on them.

 

Same as me except I'm on Sertraline. I tried coming off it about eight months ago and the anxiety just piled back on so that was a big nope from me!

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OceanTwentyFour

jKate - do you mind me asking what dose you are on? I’m on 100mgs but wondering if I could drop to 50mgs. I’ve tried coming off Setraline but like you the anxiety gets really bad, especially around ovulation.

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Crombek

My cycle was out of control after my third. 7-8 days of heavy heavy bleeding, and for almost 2 weeks every single month I felt murderously suicidal. Crawling out of my skin. Ready to set the entire world on fire. Every. Single. Month. I started having panic attacks.

 

Had a mirena put in at the start of the year and I'm a different person. I was warned it may not help the PMS side too much but it is far more manageable now. I can't take the mini pill as I'm really hormone sensitive and it made me feel like I was going crazy but so far the Mirena has been a godsend.

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jkate_

jKate - do you mind me asking what dose you are on? I’m on 100mgs but wondering if I could drop to 50mgs. I’ve tried coming off Setraline but like you the anxiety gets really bad, especially around ovulation.

 

I'm on 50mg, I've been on this dose for over 2 years and it's been perfect for me.

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