DEFINITION
Health problem that is
similar to premenstrual
syndrome (PMS) but is
more serious. PMDD
causes severe irritability,
depression, or anxiety in
the week or two before
your period starts. It
may affect women of
childbearing age. It’s a
severe and chronic
medical condition that
needs attention and
treatment. Lifestyle
changes and sometimes
medicines can help
manage symptoms.
SIGNS AND SYMPTOMS
Can be Psychological, respiratory, derma, GI and
others. Symptoms usually go away two to three
days after your period starts
 Lasting irritability or anger that may affect
other people
 Feelings of sadness or despair, or even
thoughts of suicide
 Feelings of tension or anxiety
 Panic attacks
 Mood swings or crying often
 Lack of interest in daily activities and
relationships
 Trouble thinking or focusing
 Tiredness or low energy
 Food cravings or binge eating
 Trouble sleeping
 Feeling out of control
 Physical symptoms, such as cramps,
bloating, breast tenderness, headaches,
and joint or muscle pain
NURSING INTERVENTIONS
1. Encouraged to use diversional
activities like exercising and relaxation
techniques. (Prior this let teach them
and let them demonstrate it)
2. Nurses can support women
emotionally by demonstrating that
their worries about PMS are taken
seriously. A person-centered approach
allows the nurse to deal with
individuals’ symptoms.
3. Provide emotional support and
relief of symptoms.
4. Present information about
condition/health care needs and
resources.
5. Encouraged adoption of a lifestyle
promoting health and diminishing
premenstrual symptoms.
6. Assertive behaviors/stress-
management techniques used to
manage problems.
TREATMENT
 Changes in diet to increase
protein and carbohydrates and
decrease sugar, salt, caffeine,
and alcohol
 Regular exercise
 Stress management
 Vitamin supplements (such as
vitamin B6, calcium, and
magnesium)
 Anti-inflammatory medicines
 Selective serotonin reuptake
inhibitors (SSRI)
 Birth control pills
(drospirenone; ethinyl
estradiol)
REFERENCES:

https://www.hopkinsmedicine.org/health/conditions-and-diseases/premenstrual-dysphoric-disorder-pmdd

https://www.nursingtimes.net/clinical-archive/womens-health/establishing-best-practice-for-premenstrual-syndrome-15-05-2008/

https://www.womenshealth.gov/menstrual-cycle/premenstrual-syndrome/premenstrual-dysphoric-disorder-pmdd#:~:text=Premenstrual%20dysphoric%20disorder%20(PMDD)
%20is,days%20after%20your%20period%20starts.