05/02/2025
PMDD is a really challenging and under-recognised mental illness. It’s so important to get the word out so that people who are wondering, “What’s wrong with me? Everyone else seems to cope okay…” can get the help they need.
Movement can be very helpful in managing PMDD but, like with any other condition, what that looks like is likely to vary between individuals. For some, rest during the luteal phase is the best strategy. For others, an altered version of the movement they like to do during their follicular phase works well. And then there will be some people for whom a completely different approach to movement helps ease symptoms. Or a combination of the above. There are no hard and fast rules here. It’s so important not to hold ourselves to a set of standards that were not designed for us as individuals.
If you’ve got any questions or you’d like to talk to me about how to incorporate movement or exercise into your life with PMDD, I’d love to hear from you. https://www.movementandme.com.au/contact
PMDD IS NOT THE SAME AS PMS.
READ THAT AGAIN.
PMS is a normal set of physical (and sometimes mild emotional) symptoms that happen in the week before me**es onset. PMS usually doesn't cause much, if any, life disruption.
PMDD, on the other hand, is characterized by severe, life-impairing emotional symptoms (and sometimes also physical symptoms) that can last anywhere from 1-2 weeks prior to me**es onset.
In addition to the severity difference, PMDD is also primarily characterized first and foremost by emotional symptoms during the 1-2 premenstrual weeks. The core emotional symptoms of PMDD are depression, anxiety, mood swings or rejection sensitivity, and anger/irritability.
In order to have PMDD, you must have at least 1 of the emotional symptoms (& at least 5 symptoms total) that follow this cyclical pattern of becoming severe premenstrually, and then "shutting off" after me**es for an extended period of time (usually during the 1-2 weeks between me**es & ovulation).
This ON-OFF pattern must be present. Many individuals believe they have PMDD, but they actually are experiencing Premenstrual Exacerbation (PME) of an underlying disorder.
One example is someone with generalized anxiety disorder having constant troubling symptoms but developing much more distressing/disabling ones in the luteal phase.
In certain cases, both PMDD &PME can be present.
•Track your cycle & symptoms.
•Find a thorough & knowledgeable medical professional.
•Use the PMDD resources available at iapmd.org/toolkit to bring to your appointment.
•Look into current & past stressors/trauma.
•Complete comprehensive testing to rule out underlying conditions.*
*As with all conditions, it is important to get an accurate diagnosis to avoid risky mistakes in treatment that can lead to physical illness, psychological damage, & even death. There is no blood test to diagnose PMDD, although blood tests can be useful in ruling out other disorders or underlying issues.