PMDD - How can I get my GP to take me seriously?

[ChronicallyOnLime]

Ive been to the GP and mentioned PMDD a few months ago. They just kinda shrugged me off and suggested I try the mini pill (I can’t take the combined pill) - but after some research it appears only the combined pill had some (if at all) evidence that it can help PMDD, or it can make it worse. So I didn’t bother. But now some months have gone by and I’m finding it unbearable. Between 5-10 days before my period is due it’s like someone flicks a switch in me. I become paranoid, my anxiety is so severe I’m boring on suicidal thoughts, I get so irrationally angry at everyone around me.. I just feel like my body and mind have been taken over by a seriously aggressive monster out to ruin my life.

But I’m a chronic worrier, health anxiety, been in and out of therapy for years. I just feel like when I go to the GP they wave me off expecting me to get over it.. and I do, after my period. But I can’t continue with this cycle. It’s going to kill me one day I can feel it in my bones.

I think you have to be totally honest with the GP when you're at your absolute lowest and let them see it with their own eyes. Keeping a diary over time can be helpful too. Just to say I'm really sorry you're having to fight so hard to be heard but you're not alone, lots of us have gone through the same thing.

What outcome are you wanting OP?

I just told mine a private specialist had diagnosed it (they had) and they never requested any documents. Cyclical antidepressants (namely SSRIs) helped me and there’s scientific studies showing it too.

You need to do a symptom diary, at least two months worth. Read the Royal College of Gynaecologists guidelines, and present both to the GP. There are some immediate steps non clinical you can start straight away , then proceed to prescribing. If they refuse, ask for a gynaecologist referral or a second opinion.

You’ve brilliantly articulated almost exactly how I used to be. I lived with PMDD for nigh on 30 years. I had no idea there was a reason for monthly transition to an out of control severely sensitive raging confused irritable bitch. It was like watching myself with no control over what came out of my mouth. Lamotrigine has saved me, it was diagnose for focal seizures and has inadvertently saved my life. Don’t let the doctor fob you off, they have to listen to you.

The progesterone only pill made things worse for me.

You need an oestrogen treatment, it’s worth taking specialist advise from a gynecologist with experience at treating this.

Be firm with the gp and ask for a referral to a specialist, prob gyne. Ask to see a different gp in the practice if needs be or even write a complaint.
Women’s issues are so frequently fobbed off. You can also ask for a counselling referral or seek this privately.

You have all my sympathy. My PMDD was fixed by taking a low dose anti-depressant (fluoxetine) for 2 weeks a month. Totally life changing.