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Severe PMT - is there any treatment?(17 Posts)
That's it really. Starts about 10 days before my period - exhaustion, feeling physically weak, feeling sleepy/confused, struggling and not managing things, sleeping a lot, nightmares, very very weepy and feel hopeless.
I already have mental health issues (currently not treated, am in the "not actively suicidal so meh" group to the NHS... currently fighting PIP appeal to pay for private help...) so I suppose that might be making it worse... but also it means I have a very reduced lifestyle already so it should be easier to deal with, but PMT reduces me further to just weeping in bed for the most part, between trying to manage normal things like shopping/cooking. (No DC.)
Just wondering if theres any treatment because going to GP about mental health stuff is so depressing and difficult as it is - I need to know what to ask for.
Oh also, I have endometriosis which I see a gynaecologist for now and then, have had two treatment laparoscopies. By an expert apparently. Pain is severe and tramadol isn't working, but one day of severe pain a month much easier to cope with than 10 days of severe depression. Just mentioning in case relevant.
DD has an implant. She doesn't have periods. Would that help?
When I've used hormonal contraception it's like permanent PMT... I read somewhere (here?) that women who have issues with PMT tend to react badly to hormonal contraception... argh.
Sorry - thanks for replying.
I can deal with the endo pain to a certain degree, so stopping periods isn't high on the agenda right now. I just wonderd if there was anything that could help with the PMT. Another thread has reminded me I've been forgetting my winter vit D tablets so wondering if that's made it worse.
Whenever I've used hormonal contraception its never agreed with me, the pill (several different ones), implant etc then tried the depo injection and BINGO-severe PMT disappeared.
Combination of Vit D and prozac has really helped with my PMT.
Not sure if it would help with severe PMT but I've found taking Agnus Castus, from Holland and Barrett, does seem to help me.
Wellwoman Plus/max makes an enormous difference to me. I think it's the B vitamins and evening primrose/starflower oil.
Hormonal contraception (specifically Yasmin) has helped me in the past, although it stopped working after a few years.
Agnus castus (herb) has apparently been proven to have an effect in the one, small, miserable medical trial I could find. I would certainly say it works for me, but has to be taken for a few months for the effects to kick in.
SSSRI antidepressants can work dramatically on PMT (because it's all about the serotonin receptors, apparently). IME I did take sertraline for PMT for a while, and the effect was amazing. PMT= instantly gone! However, nothing is without payback, and I found the sertraline side effects so hardcore that I decided I preferred the PMT! But.....if your PMT is that severe (and you're suffering from depression anyway) that could be the way to go?
Oh, plus all the boring stuff like not too much alcohol, exercise, getting enough sleep and eating properly helps a lot too....
Thank you all
WIll try some of these suggestions.
I have suffered with anxiety, depression, severe PMT and endometriosis.
I will never take the pill again due to the 'permanent PMT' effect.
My GP recommended the Mirena coil.
Pros: the hormone contained in the Mirena is localised only, thins the womb lining, reduces bleeding and I found I had virtually no PMT whatsoever (in comparison to normal severity of PMT for me).
Cons: increase in pain during sex, increased pain at certain points of my cycle regardless of high doses of Naproxen and loss of libido. I asked for the Mirena to be removed for these reasons plus wanting to try to conceive soon.
Now that my cycles are back to normal, I do find myself thinking I would use the Mirena again - despite the side effects - purely because I'm finding the PMT difficult to handle. It's as though I've been hit with deep depression/anxiety out of the blue. I almost made a GP appointment this month due to what I thought was a sudden decline in my mental health, then realised it was entirely hormonal and was back to normal within a couple of days. It's incredibly unnerving and causing a degree of stress just anticipating the next period.
One other thing springs to mind. A psychiatrist once recommended vitamin B6 supplements for my PMT, in conjunction with medication already prescribed for anxiety/depression. I seem to remember it helped me, although of course the improvement could have been down to the other medication or placebo effect! Perhaps worth looking into, however...
I wonder whether your gynaecologist could recommend anything? It sounds as though it would be worth a discussion, as it's affecting your quality of life so badly.
I too have been suffering terribly with PMT after years of tracking my cycle and not using any contraceptives I had a copper coil put in.
I have been suffering with lethargy, depression and anxiety for the first time.
I have been seeing a naturopath who has helped me enormously, she had several blood and tribe tests ordered to check what was out of balance and my god I feel like a different person.
Might be worth considering, I know it's not for everyone but if you find a good one it can be a great change.
I had acupuncture years ago for pmt. Worked brilliantly.
I used to feel awful on hormonal contraceptives before the kids, but I realised I felt great whilst breastfeeding and wanted to try to find a way to keep that progesterone feeling going. Tried the mini pill (Cerelle), that was great so I tried the Nexplanon implant. That was awful, like months of PMT, especially depression. GP said this is unproven but there is some research suggesting antidepressants just for the two weeks before your period work. Tried that and it did work (Citalopram), but got still rid of the implant and am back on Cerelle. Very happy, so nice to have more weeks of the month where I have normal energy and to feel more on an even keel emotionally. Haven't needed the citalopram for pmt since. And my periods are so much less painful (endometriosis) and heavy. If you've already tried lots of brands of pill and it just isn't for you, I'm sorry, this probably isn't what you want to hear, but if you've only tried one or two, it might be worth seeing what else you can try.
Thank you. I had a mirena coil before and found it also induced the permanent PMT effect (as well as being uncomfortable). The mini pill might be an idea - will look into it. It would be good for other reasons to find a compatible pill as sometimes it's extremely helpful to control/delay periods due to being incapable for a day!
Gynaecologist tried to persuade me into Mirena coil, but on the basis of what you've said I think I'll stay on Cerelle.
The other thing about the mini pill is you can stop it easily if you get that build up feeling.
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