{"id":44083,"date":"2025-10-07T15:17:25","date_gmt":"2025-10-07T22:17:25","guid":{"rendered":"https:\/\/womensvoice.com\/en-ca\/?p=44083"},"modified":"2025-10-15T08:33:23","modified_gmt":"2025-10-15T15:33:23","slug":"the-dark-side-of-pms-the-realities-of-pmdd","status":"publish","type":"post","link":"https:\/\/womensvoice.com\/en-ca\/articles\/health\/the-dark-side-of-pms-the-realities-of-pmdd\/","title":{"rendered":"The Dark Side of PMS \u2013 The Realities of PMDD"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; collapsed=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_fullwidth_image src=&#8221;https:\/\/womensvoice.com\/en-ca\/wp-content\/uploads\/sites\/4\/2025\/10\/Dark_side_WV_banner_1000x480-copy.png&#8221; alt=&#8221;Three middle aged men  jumping and very happy&#8221; title_text=&#8221;Dark_side_WV_banner_1000x480 copy&#8221; admin_label=&#8221;Fullwidth Image&#8221; _builder_version=&#8221;4.27.4&#8243; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; z_index_tablet=&#8221;500&#8243; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_fullwidth_image][et_pb_fullwidth_code raw_content_tablet=&#8221;<\/p>\n<p>Parents face ongoing challenges in raising healthy, well-nourished children in a world where sugary temptations lurk around every corner.<\/p>\n<p>&#8221; raw_content_phone=&#8221;&#8221; raw_content_last_edited=&#8221;on|desktop&#8221; admin_label=&#8221;Text &#8211; Fullwidth Leader Text&#8221; module_id=&#8221;fullwidth-leader-text&#8221; _builder_version=&#8221;4.27.4&#8243; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; z_index_tablet=&#8221;500&#8243; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; global_colors_info=&#8221;{}&#8221;]<pee><!-- [et_pb_line_break_holder] -->The good news? While research is still evolving, there are treatment options that can make a real difference.<!-- [et_pb_line_break_holder] --><\/pee><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->[\/et_pb_fullwidth_code][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; collapsed=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Text &#8211; Body Content&#8221; _builder_version=&#8221;4.27.4&#8243; header_font=&#8221;|700|||||||&#8221; header_text_color=&#8221;#509aa6&#8243; header_font_size=&#8221;40px&#8221; header_line_height=&#8221;40px&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; header_font_size_tablet=&#8221;&#8221; header_font_size_phone=&#8221;30px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; header_letter_spacing_last_edited=&#8221;off|phone&#8221; header_line_height_tablet=&#8221;&#8221; header_line_height_phone=&#8221;30px&#8221; header_line_height_last_edited=&#8221;on|phone&#8221; z_index_tablet=&#8221;500&#8243; text_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; text_text_shadow_vertical_length_tablet=&#8221;0px&#8221; text_text_shadow_blur_strength_tablet=&#8221;1px&#8221; link_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; link_text_shadow_vertical_length_tablet=&#8221;0px&#8221; link_text_shadow_blur_strength_tablet=&#8221;1px&#8221; ul_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; ul_text_shadow_vertical_length_tablet=&#8221;0px&#8221; ul_text_shadow_blur_strength_tablet=&#8221;1px&#8221; ol_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; ol_text_shadow_vertical_length_tablet=&#8221;0px&#8221; ol_text_shadow_blur_strength_tablet=&#8221;1px&#8221; quote_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; quote_text_shadow_vertical_length_tablet=&#8221;0px&#8221; quote_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_2_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_2_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_2_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_3_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_3_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_3_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_4_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_4_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_4_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_5_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_5_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_5_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_6_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_6_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_6_text_shadow_blur_strength_tablet=&#8221;1px&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h5>In my practice, I\u2019ve observed the horrors of premenstrual dysphoric disorder (PMDD). And, while it is often compared to PMS, the reality is that it is far more severe, so much so that it can be truly debilitating.<span class=\"Apple-converted-space\">\u00a0<\/span><\/h5>\n<h5>Women and girls who are affected experience a combination of emotional, cognitive, and physical symptoms tied to the natural hormonal shifts, particularly in estrogen and progesterone, that occur in the second half of the menstrual cycle, known as the luteal phase.<\/h5>\n<p>Despite its impact, getting a diagnosis remains a significant hurdle, and that\u2019s because the jury is still out on whether PMDD is a hormonal condition, a psycho-logical one, or both. But there\u2019s also a deeper issue at play: the long-standing medical tendency to dismiss or downplay women\u2019s experiences, especially when it comes to menstrual health.<\/p>\n<p>There\u2019s a persistent myth that intense pain, crushing fatigue, and emotional turmoil during your period are just \u201cpart of being a woman.\u201d Many of us have been told it\u2019s normal \u2013 that it\u2019s something we have to endure. But let\u2019s be clear: while hormonal shifts are a natural part of the menstrual cycle, suffering is not something you should accept.<\/p>\n<p>If you\u2019ve ever felt like your period brings a tidal wave of depression, rage, anxiety, or physical symptoms so severe they disrupt your daily life, you\u2019re not alone. Although it affects significantly fewer women than PMS, for the 3\u20138% of women of reproductive age who do experience it, PMDD is a serious condition that deserves attention, compassion, and proper treatment. The good news? While research is still evolving, there are treatment options that can make a real difference.<\/p>\n<p>Scientists are discovering that PMDD may be linked to how certain brains respond to normal hormonal fluctuations. Some people\u2019s brains are more sensitive to hormonal shifts, which can impact the chemical messengers that regulate mood, especially serotonin and GABA. That\u2019s why treatments that moderate neurotransmitter and hormone levels have shown promise and can help manage some symptoms.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>From a pharmaceutical approach, selective serotonin reuptake inhibitors (SSRIs) \u2013 a class of antidepressants \u2013 and certain forms of birth control have shown promise. SSRIs can be taken either daily or just during the luteal phase, and specific hormonal contraceptives can help manage symptoms throughout the entire menstrual cycle. That said, many women find that these medications don\u2019t work, or that they even worsen their symptoms.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>Finding what works is deeply personal and often frustrating, but it\u2019s essential to know that natural and integrative medical options exist. One plant-based option that\u2019s gained traction is vitex (also known as chasteberry). Vitex supports a balance of progesterone and estrogen, similar to how an adaptogen balances cortisol. It can help ease both the emotional and physical symptoms of PMDD. In a recent study, it was found that even though SSRIs were more effective for mood-related symptoms, vitex outperformed them at reducing physical discomfort in women with PMDD.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>In addition to vitex, supplements like magnesium, vitamin\u00a0D, and B\u00a0vitamins, especially vitamin\u00a0B6, all support PMDD and its symptoms. 5-HTP, a precursor to serotonin, along with GABA and L-theanine, which encourage healthy GABA levels, may support PMDD at the level of the brain.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>Acupuncture is another route some women explore. While rigorous studies on PMDD and acupuncture are still limited, many patients report significant improvements. A balanced, nutrient-dense diet can help ease symptoms and promote overall hormone health. Incorporating more wholefoods, such as fruits, vegetables, whole grains, healthy fats, and foods rich in magnesium, like leafy greens and nuts, can help alleviate mood swings.<\/p>\n<p>It is important to know there\u2019s no one-size-fits-all solution and to discuss supplements with your health care practitioner to find out what might work best for you. The bottom line? PMDD is real, it\u2019s serious, and you deserve care that takes your symptoms seriously. Whether through medication, herbs, acupuncture, or a combination of approaches, healing is possible \u2013 and you don\u2019t have to do it alone.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n<span class=\"et_bloom_bottom_trigger\"><\/span>","protected":false},"excerpt":{"rendered":"<p>In my practice, I\u2019ve observed the horrors of premenstrual dysphoric disorder (PMDD). And, while it is often compared to PMS, the reality is that it is far more severe, so much so that it can be truly debilitating.\u00a0 Women and girls who are affected experience a combination of emotional, cognitive, and physical symptoms tied to [&hellip;]<\/p>\n","protected":false},"author":76,"featured_media":44110,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"<p>[et_pb_section bb_built=\"1\" fullwidth=\"on\" specialty=\"off\" next_background_color=\"#000000\" inner_width=\"auto\" inner_max_width=\"none\"][et_pb_fullwidth_image _builder_version=\"4.0.11\" src=\"https:\/\/womensvoice.com\/en-ca\/wp-content\/uploads\/sites\/4\/2020\/03\/header-Template-Image.gif\" box_shadow_horizontal_tablet=\"0px\" box_shadow_vertical_tablet=\"0px\" box_shadow_blur_tablet=\"40px\" box_shadow_spread_tablet=\"0px\" z_index_tablet=\"500\" \/][et_pb_fullwidth_code admin_label=\"Text - Fullwidth Leader Text\" _builder_version=\"4.0.11\" module_id=\"fullwidth-leader-text\" z_index_tablet=\"500\"]<\/p><p>This is the Full-Width Leader Text that many articles feature. 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box_shadow_horizontal_tablet=\"0px\" box_shadow_vertical_tablet=\"0px\" box_shadow_blur_tablet=\"40px\" box_shadow_spread_tablet=\"0px\" z_index_tablet=\"500\" header_font=\"|700|||||||\" header_text_color=\"#509aa6\" header_font_size=\"40px\" header_font_size_phone=\"30px\" header_font_size_last_edited=\"on|phone\" header_letter_spacing_last_edited=\"off|phone\" header_line_height=\"40px\" header_line_height_phone=\"30px\" header_line_height_last_edited=\"on|phone\"]<\/p><h2>How to Clone this Content (Note: This is an H2)<\/h2><p>To make the process of adding new articles to the WV site as simple as possible, please follow these steps.<\/p><ol><li><strong>Duplicate the Template Page<\/strong><ol><li>In the EN-CA Admin Backend, navigate to Posts<\/li><li>Hover over the \"Article Template for Cloning\" post and click \"Duplicate This\"<\/li><li>Use the \"Quick Edit\" feature to quickly change the Title, Slug, Author, Category and Tags<\/li><li>Use the \"Edit\" link to open the post editor<\/li><\/ol><\/li><li><strong>Configure the Header and Feature Images<\/strong><ol><li>Change the full-width header image<\/li><li>Navigate to the \"Advanced\" tab of the image module and set the ALT TAG for the image<\/li><li>Remove the placeholder feature image<\/li><li>Change the feature header image, be sure to set the ALT TAG before setting the feature image<\/li><\/ol><\/li><li><strong>Add the Written Content<\/strong><ol><li>Copy the text from the PDF article into a PLAIN TEXT editor<\/li><li>Clean up the text, remove any extra spaces<\/li><li>Copy and paste the text from the PLAIN TEXT editor into the \"Text - Body Content\" module<\/li><li>Keep the text modification as simple as possible. Use H2-H6 titles, use blockquotes, etc<\/li><li>Modify the CSS in the Custom CSS section of the page (rather than changing the Divi content). Keep it simple by only marginally changing the font sizes and colours.<\/li><li>Add the EXCERPT to the post settings<\/li><li>Add TITLE tags for any links in the article<\/li><li>If there are references in the article<ol><li>Add those to the \"Text - References\" module. This module is set by default to use the proper font sizing and layout.<\/li><li>Add links to the references using the #references bookmark ID<\/li><\/ol><\/li><\/ol><\/li><li><strong>Add Custom Images<\/strong><ol><li>As simply as possible, add images from the PDF article into the HTML text<\/li><li>Don't get carried away with adding every image in-line as it appears in the magazine<\/li><li>Once an image is set, make sure you have an ALT TAG set for it<\/li><\/ol><\/li><li><strong>Update the Yoast SEO Settings<\/strong><ol><li>Set the focus keyphrase<\/li><li>Set the meta description<\/li><li>Set the related keyphrases (if appropriate)<\/li><li>Set related posts - preferably based on related phrases\/topics from this article<\/li><\/ol><\/li><li><strong>Quick QA Checklist<\/strong><ol><li>Preview the layout on mobile to make sure it reads well<\/li><li>Make sure all images have ALT Tags<\/li><li>Make sure all links have TITLE tags<\/li><li>Make sure the article is set to display in a category<\/li><li>Make sure the article has tags (if appropriate)<\/li><li>Make sure the author is set. If there is no personality author (such as a doctor) set the author to be \"Women's Voice\".<\/li><\/ol><\/li><\/ol><h3>This is an H3 I'm making this long so I can test the line height settings<\/h3><p>And this is yet another paragraph. Lorem ipsum dolor sit amet, minim molestie argumentum est at, pri legere torquatos instructior ex. Vis id odio atomorum oportere, quem modo fabellas sit at, dicat semper est ne. Apeirian detraxit pri eu. No solum accusam has. Ius ne harum mundi clita, eu pro tation audiam.<\/p><blockquote><p>This is a blockquote. It is meant to stand out and be inspiring for the reader, pulling them through the content.<\/p><\/blockquote><p>Sed dicit necessitatibus in, id posse nominati eos. Ea vel dictas facilisi adipiscing, verear phaedrum sed ei, omnes oblique sanctus mea ex. Iudico pertinacia constituam cu eos. Te vel fugit libris, libris nemore no pri, graece oportere sea ea. Amet omnium epicuri cum te, sonet dignissim abhorreant pro ea, mei petentium constituam ad. Suscipit gloriatur necessitatibus has et.<\/p><h4>This sentence is an H4 I'm making this long so I can test the line height settings<\/h4><p>Here is another paragraph. Lorem ipsum dolor sit amet, minim molestie argumentum est at, pri legere torquatos instructior ex. Vis id odio atomorum oportere, quem modo fabellas sit at, dicat semper est ne. Apeirian detraxit pri eu. No solum accusam has. Ius ne harum mundi clita, eu pro tation audiam.<\/p><ul><li>This is a bulleted list<\/li><li>With a few points to it<\/li><li>Good for explaining things in blocks<\/li><\/ul><p>Lorem ipsum dolor sit amet, minim molestie argumentum est at, pri legere torquatos instructior ex. Vis id odio atomorum oportere, quem modo fabellas sit at, dicat semper est ne. Apeirian detraxit pri eu. No solum accusam has. Ius ne harum mundi clita, eu pro tation audiam.<\/p><h5>This is an example of an H5 I'm making this long so I can test the line height settings<\/h5><p>Sed dicit necessitatibus in, id posse nominati eos. Ea vel dictas facilisi adipiscing, verear phaedrum sed ei, omnes oblique sanctus mea ex. Iudico pertinacia constituam cu eos. Te vel fugit libris, libris nemore no pri, graece oportere sea ea. Amet omnium epicuri cum te, sonet dignissim abhorreant pro ea, mei petentium constituam ad. Suscipit gloriatur necessitatibus has et.<\/p><ol><li>This is an ordered list<\/li><li>Where items appear with numbers<\/li><li>This is good for explaining a process or ranking<\/li><\/ol><h6>And lastly an H6 I'm making this long so I can test the line height settings<\/h6><p>Lorem ipsum dolor sit amet, minim molestie argumentum est at, pri legere torquatos instructior ex. Vis id odio atomorum oportere, quem modo fabellas sit at, dicat semper est ne. Apeirian detraxit pri eu. No solum accusam has. Ius ne harum mundi clita, eu pro tation audiam.<\/p><p>Sed dicit necessitatibus in, id posse nominati eos. Ea vel dictas facilisi adipiscing, verear phaedrum sed ei, omnes oblique sanctus mea ex. Iudico pertinacia constituam cu eos. Te vel fugit libris, libris nemore no pri, graece oportere sea ea. Amet omnium epicuri cum te, sonet dignissim abhorreant pro ea, mei petentium constituam ad. 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custom_css_main_element=\"font-size: 75%;||line-height: 1.5em;\" module_id=\"references\"]<\/p><h4>References<\/h4><ol><li>Shifren JL, Mons BU, Russo PA, et al. Problems and distress in United States women: prevalence and correlates. Obstet Gynecol. 2008; 112(5):970-978.<\/li><li>Rosenbaum TY. Musculoskeletal pain and sexual function in women. J Med. 2010; 7(2pt 1):645-653.<\/li><li>Davis SR, Van der Mooren MJ, Van Lunsen RH, et al. Efficacy and safety of a testosterone patch for the treatment of hypoactive desire disorder in surgically menopausal women: a randomized placebo-controlled trial. Menopause. 2006; 13(3):387-396.<\/li><\/ol><p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>","_et_gb_content_width":"","apple_news_api_created_at":"","apple_news_api_id":"","apple_news_api_modified_at":"","apple_news_api_revision":"","apple_news_api_share_url":"","apple_news_cover_media_provider":"image","apple_news_coverimage":0,"apple_news_coverimage_caption":"","apple_news_cover_video_id":0,"apple_news_cover_video_url":"","apple_news_cover_embedwebvideo_url":"","apple_news_is_hidden":"","apple_news_is_paid":"","apple_news_is_preview":"","apple_news_is_sponsored":"","apple_news_maturity_rating":"","apple_news_metadata":"\"\"","apple_news_pullquote":"","apple_news_pullquote_position":"","apple_news_slug":"","apple_news_sections":[],"apple_news_suppress_video_url":false,"apple_news_use_image_component":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-44083","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","et-has-post-format-content","et_post_format-et-post-format-standard"],"apple_news_notices":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>The Dark Side of PMS \u2013 The Realities of PMDD - Women&#039;s Voice (CA)<\/title>\n<meta name=\"description\" content=\"In my practice, I\u2019ve observed the horrors of premenstrual dysphoric disorder (PMDD). 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