depression in menopause

PMS (Premenstrual syndrome) and Premenstrual dysphoric disorder (PMDD) in Perimenopause: 

The years of perimenopause can present new challenges for women dealing with PMS and PMDD. While these conditions can already be difficult to manage, the symptoms may become more intense as periods become irregular and unpredictable. This can cause even more stress and discomfort, making it important for women to seek out proper medical care and support.

After ovulation, the female body transitions into what’s called the luteal phase, which usually lasts about two weeks. During this time, hormone levels begin to decline, which can lead to a range of physical and emotional symptoms. These symptoms can often be attributed to premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD), which can have a profound effect on a woman’s quality of life.

Symptoms include Menopausal fatigue, irritability, sadness, anxiety, mood swings, poor concentration, sleep issues, and food cravings can all make day-to-day life more difficult. In addition, physical symptoms such as bloating, cramps, sore breasts or tenderness, hormonal acne, and headaches can also occur.

No two women’s experiences with PMDD and perimenopause are identical, and, as such, personalised care is paramount. Healthcare in the context of these conditions must be flexible and evolving—a dynamic partnership between practitioner and patient that adapts to the shifting tides of health.

Stigma, like an iceberg, poses a subtle yet significant threat to the ships—our healthcare systems—guided by societal currents. For women with PMDD and PMDD in perimenopause, outdated attitudes and misconceptions can create barriers to effective treatment and support.

The language used to describe these conditions carries the power to validate or invalidate experiences. By ensuring that PMDD and perimenopause are portrayed with respect and accuracy in the public discourse, we can begin to dismantle the stigma that makes it harder for women to seek help.

Normalization is key in destigmatizing PMDD and perimenopause. Open conversations, the sharing of experiences, and public figures speaking about their own journeys can all contribute to making these topics less taboo, encouraging women to take control of their health without fear or shame.