The symptoms of this altered response occur only in the two weeks before your period.
They are likely due to the changing hormone levels triggered by ovulation rather than just the hormones themselves.
Treatment Options for PMDD
Current treatment options are limited.
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You and your healthcare provider will need to review your clinical course.
Be sure that you have exhausted all the available medical and complementary medical options.
Remember that it often takes a combination of both types of medical treatments to improve your symptoms.
Surgical management of PMDD takes the treatment principle of ovulation suppression to a whole other level.
In fact, it completely eliminates your ovulation which in turn eliminates your menstrual cycle hormone changes.
Surgical Options
The surgical management of PMDD consists of a bilateral-oopherectomy (removal of the ovaries).
Although entering menopause will bring relief from PMDD, it has other significant implications for your health and wellbeing.
Choosing surgery to treat your medication-resistant PMDD is a difficult decision.
You are probably scared and confused.
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Mishra S, Marwaha R.Premenstrual dysphoric disorder.