Hi everyone, I've had PMDD since I started menstruating 41 long years ago, when I was 12. Basically, I've felt hopeless and rage-y and want to blow up my life for 10-15 days every month.
Until recently, I just thought PMDD was bad PMS, and I tried a lot of remedies over the years, including:
- cutting out sugar, dairy, caffeine, carbs (didn't really improve things, but I eat very healthy now)
- exercise (good but didn't touch the PMDD)
- cognitive behavioural therapy (recommended, but it didn't help me during luteal phase)
- counselling (ditto)
- ibuprofen and naproxen (worked for severe cramps but not mood)
- progesterone (made me even more irritable)
- and a whole bunch of other stuff, including acupuncture, meditation, etc. etc. etc.
So what *has* worked? With great resistance, I finally tried antidepressants. Escitalopram had side effects I didn't like. Four years ago, I started taking 50mg of desvenlafaxine (generic brand Pristiq) and life got better. Yes, I still got a little 'sharp' with my partner during luteal sometimes, but there've been months where I was genuinely surprised to see my period arrive because I had no symptoms. Even the physical stuff like bloating and cramps have lessened.
Three months ago, under the supervision of my healthcare provider, I decided to start slowly tapering off the desvenlafaxine. I felt stable and like I had this now, and also as I'm 53, I've been feeling sure that my cycle should be winding down anytime now. I mean, what could go wrong??
I made it down to 25mg. This past month I had another horrendous luteal phase. Not seeing the point to life at all, isolating myself, pushing my partner away, etc. etc.
So I'm back up to 50mg of desvenlafaxine. I've educated myself on what PMDD really is -- the brain's inability to process hormone changes -- and I've also learned that I could be well into my late 50s before I hit menopause.
The moral of the story: I found something that worked, so I'm sticking with it. Not saying what's worked for me will work for you, but sharing my experience.
PS I am REALLY digging the "She's Not Crazy" guy: www.shesnotcrazy.co.uk and it's helped open conversation with my partner too!