At a glance: PMDS: Where is the difference to PMS?
From ovulation to menstruation and menstrual ovulation to: our hormone levels change constantly and we are with him. Although each of these phases has its own laws, our cycle at best characterizes only one facet of our reality. He does not have a driving force behind our emotions to be - or cause that we feel before your period necessarily bad .
In contrast, it may look like when we are before the days regularly at a low. Possibly infected then the Pre-menstrual syndrome (PMS) behind it to which of irritability of headaches to fatigue over 200 possible symptoms are known.
A particularly strong expression of PMS is called Premenstrual dysphoric syndrome (PMDS) . Characteristic are primarily psychological complaints which can resemble depression and occur only in the second half of the cycle. It is estimated that approximately 5 to 8 percent of women are affected by it .
While the PMDS long time was not taken seriously, it is now as depressive disorder recognized . Research shows that it may be associated with an increased risk of suicide. 
The symptoms of PMDD
When PMDS, just like the PMS, the symptoms occur in the luteal phase, so on between ovulation and menstruation . Most often they are in the last days before the bleeding.
As a basis for a diagnosis of PMDD following test that distinguishes  between the core symptoms and other symptoms Where:
- Depressed mood or hopelessness
- anxiety or tension
- mood lability
- irritability / anger outbursts
- listlessness / fatigue
- Change in appetite / cravings
- insomnia or increased need for sleep
- feeling of being overwhelmed / loss of control
- Sinking interest in usual activities
- concentration problems
- Other physical symptoms, such as breast tenderness, bloating
A medical call is the basis for a possible diagnosis of PMS. Here is unclear whether the five occurred in symptoms in the second phase of the cycle in the last year in the majority of cycles at least . At least one of the symptoms observed there must be a core symptom.
Furthermore, it is clarified include whether other physical or mental illness can be excluded and the extent to which complaints your daily life limit .
is also recommended often to keep records of at least three cycles a Mood Diary . In addition to the medical aspect, it may help you define to watch you and your body in more detail and to learn.
If you think might be suffering from the syndrome, you should in any case a medical advice.
PMDS: effects and causes
In particularly serious cases affecting the symptoms starting at ovulation our well-being strong. Affected women report that in extreme cases only a "good week" a month left .
The regular swings in mood and behavior, the syndrome can lead to get down to "Dr. Jekyll and Mr. Hyde "recalls feel. In the long run that can not only straining the own psyche, but also for the cooperation in the social environment. At work, the PMDS often also leads to restrictions.
The exact cause of the syndrome is still unknown. Mostly, the blood of victims, including hormone levels, no distinctive features. Therefore, one of the hypotheses is that the organism of women with PMDD more sensitive to the body's own sex hormones .
help with PMDD: treatment options
A special form of antidepressants, called selective serotonin reuptake inhibitors (SSRIs) has, in the treatment of PMDD proved  to be effective. Sometimes these are prescribed only for the second phase of the cycle.
The pill can the symptoms, depending on the hormone combination and administration interval, relieve .
A study from 2020 suggests that ulipristal acetate is could possibly prove to be effective for PMDD. It is used in the "morning after pill" is the same active ingredient. In a test group of 95 women, he led 41 percent to an improvement, while in the placebo group, only 22 percent of a positive effect reported .
What else can help?
Apart from studies on the SSRI , the so-called gold standard for the treatment of PMDD , and hormonal therapies, there are few meaningful studies of other treatment options.
In terms of alternative treatments could be a study on the use of homeopathy is PMS a significant improvement compared to placebo determine . Here, however, missing more reliable studies.
Three possible ways to alleviate
adjustments in lifestyle, such as those recommended for PMS, could be the first measure or are concomitantly used to further treatment . Especially since the PMDS continues to be one - though serious - is the PMS bolster what gives hope for the effectiveness of similar mechanisms.
According to research could significantly reduce endurance sports the symptoms of PMS. Regularly three times a week to complete a workout of 20 minutes should be sufficient, so the researchers .
Perhaps plays in mitigating PMS also the diet a role: Among other things, sufficient riboflavin (vitamin B2) to take over your food, your risk could for the occurrence of PMS lower. For an adequate intake of riboflavin about your food are daily 1-2 servings of grain enriched or 6-7 servings of cow's milk, soy milk, spinach or red meat recommended .
Especially with stronger forms of PMS to relaxation techniques may be helpful . So relieves as meditation, according to studies potentially the symptoms of anxiety and depression - both are included in the core symptoms of PMDD .
You have a suspicion of the PMDS?
Premenstrual dysphoric syndrome is a complex disease that can lead to severe losses in quality of life. Like any other mental illness, they should not be taken lightly. After a gynecological history comes for further treatment, among other psychotherapy into consideration.
Small adjustments by more exercise, changes replace a trip to the doctor in any case in your diet or relaxation exercises.
Nevertheless, it could be interesting in the most challenging phases might do well - and let you feel a little better in the rest of the cycle. Whenever you take care of your body, you can also soothing cream period to stand by, which you may also relax leaves .
 Mood and the menstrual cycle: a review of prospective studies data p>
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