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Premenstrual dysphoric disorder (PMDD) is a severe, cyclical mood disorder linked to hormonal changes in the luteal phase of the menstrual cycle. It can be profoundly debilitating — and it's frequently dismissed or misdiagnosed.
Women with PMDD don't have abnormal hormone levels. Their hormones cycle normally. What's different is how their brain responds to those normal hormonal shifts — particularly the drop in progesterone and its byproduct, allopregnanolone, in the lead-up to a period.
Extreme mood swings, irritability or anger in the 1-2 weeks before your period
Depression, hopelessness or anxiety that lifts with menstruation
Difficulty functioning at work, in relationships, or socially
Physical symptoms including bloating, breast tenderness and fatigue
PMDD can be complex and deeply personal. Our registered healthcare practitioners take time to understand what you are experiencing—not just your period. We look at how your mood, physical symptoms and everyday life change across your cycle, while considering other health factors that may be contributing.Together, we will create a personalised care plan based on your needs and preferences. This may include symptom tracking, practical lifestyle support, psychological therapies such as cognitive behavioural therapy (CBT), or a discussion of evidence-based medical and hormonal treatment options where clinically appropriate. If you need specialist care, we can help guide you towards the right next step.
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