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Horrific PMT-what works?

4 replies

PencilFace · 10/11/2025 07:02

I’m 39 and over the last couple of years my PMT seems to have got so bad that I don’t really recognise the person I am at that time anymore.

I have always got it bad, but never like this. My mood starts to decline from after ovulation. The week before my period I am snappy and borderline rude to people at work, my mood is dark and morbid and my anxiety is terrible.I wake up and cry every morning before work. I also get insomnia and palpitations. I am an anxious person anyway but this is just unbearable.

Has anyone suffered with similar and is there anything that works? I already take a bunch of ‘calming’ herbs and supplements and quite honestly they do nothing, or seem not to. Diet is healthy, don’t drink, I exercise etc. Work is stressful. What can I do? I’m scared to take hormonal medication as mum had breast cancer.

OP posts:
PersephoneParlormaid · 10/11/2025 07:04

A Mirena coil to hopefully stop your periods. I wish I’d had one years earlier than I did.
I had an increase in PMT at the beginning of peri, it took me some time to realise what it was.

HelloCharming · 10/11/2025 07:59

Mirena, small dose of progesterone regularly. With me this was one of the signals of perimenopause….dreadful pmt. Talk to your gp as it grinds you down. I was really down by the time I’d accessed proper hrt which really helped. It may be something else in your case.

I have so much sympathy for you, it’s like you lose yourself.

Olivetawny · 10/11/2025 09:22

Have you read up on PMDD OP? The Mind website has some useful info among other places. Some people go on sertraline for a portion of the month. I have not asked for this yet but might at some point as I suffer very badly from this and always have although this last year has not been as bad for some reason. I don't/can't do hormonal solutions either, they make my MH much worse.

Kind of random but one thing I found that helped with sleep and relaxation was the Therabody sleep mask - when I'm in that state I can't relax on my own no matter what I do, but that has vibration and heat that make me destress despite myself.

PencilFace · 10/11/2025 16:10

Olivetawny · 10/11/2025 09:22

Have you read up on PMDD OP? The Mind website has some useful info among other places. Some people go on sertraline for a portion of the month. I have not asked for this yet but might at some point as I suffer very badly from this and always have although this last year has not been as bad for some reason. I don't/can't do hormonal solutions either, they make my MH much worse.

Kind of random but one thing I found that helped with sleep and relaxation was the Therabody sleep mask - when I'm in that state I can't relax on my own no matter what I do, but that has vibration and heat that make me destress despite myself.

Edited

I’ve not heard of the mask, I will look it up. I did read about PMDD and it could be that, I am considering asking for an SSRI for half the month but I’m just rather scared of meds.

It’s just so so frustrating, it’s like being two different people and I fear the decisions I could make when feeling like it (e.g leaving husband.) It also makes me absolutely terrified of menopause.

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