PMS Premenstrual Syndrome & PMDD Premenstrual Dysphoric Disorder

							PMS Premenstrual Syndrome & PMDD Premenstrual Dysphoric Disorder



Bioidentical Estrogen Estradiol Estriol Progesterone Phytoestrogen
Hormones Replacement Therapy
After you take the free hormone imbalance online profile tests for
female hormones, here are the Natural Estrogen Formulas Hormone
Replacement Therapy HRT BHRT Creams and gels that will help you
with low Progesterone and low Estrogen low Estriol that cause and
complicate the symptoms of PMS, PMDD, Infertility, Pre-
Menopause Perimenopause, Menopause, Post-menopause,
Osteoporosis, Vaginal atrophy, and more.

Natural Progesterone is the recommended treatment for PMS and
PMDD

The Packages of Bioidentical Hormone Replacement Therapy Formulas
That Will Help You




Possible Protocols:

NATURAL PROGESTERONE CREAM f - (Delivers 20 mg
Progesterone/use)
Pump & Tube USP micronized bio-identical formulas at 450-500 mg/oz.

If Having Periods: Use Days 12 through 26 of cycle (1st day of
period=Day 1)
Use ¼ tsp, 1-2x daily, for 2 weeks (days 12 through 26), rotating
application sites.

PMS Cramps Migraines: Do not use while menstruating, however a
SMALL amt rubbed over abdomen or on back of neck relieves
headache & cramps.

Endometriosis or Uterine Fibroids: ¼ - ½ tsp 2x/day day 8 through 26
of cycle. After 6 months use ¼ tsp 2x/day after ovulation (days 12/14
thru 26).

Wanting to Get Pregnant: Use ¼ tsp 2x/day on days 8 through 26 for 2
months. On third month, use ¼ tsp 2x/day on day following ovulation
through day 26. If there is a possibility of pregnancy, DO NOT stop
using the cream until you take pregnancy BLOOD test at day 26. If
negative, resume scheduled use. If positive, use as directed for
pregnancy.
During Pregnancy: Use ¼ tsp 3x/day from conception. In third
trimester gradually decrease and discontinue 2 weeks before scheduled
delivery.

After Giving Birth, If Breast Feeding: Do NOT use in 1st 30 days after
delivery, then 1/8 tsp 2x/day for 3 wks/mo until cycle occurs, then
resume schedule as woman having periods above.

PMS Pre-Teens, Teens 100 lbs or less: 1/16 tsp 2x/day days 12
through 26 for 3-6 months. If symptoms return resume cream to
maintain balance.

If NOT Having Periods - Premenopause or Menopausal women
only: Use 25 days of a month, taking 5 days off. (most take either first
OR last 5 days of a month off just for ease of remembering) Use ¼ tsp,
1-2x daily, rotating application sites.

Premenstrual Syndrome PMS and PMDD Defined - Symptoms &
Treatments

Definition Premenstrual syndrome (PMS) involves symptoms that occur
in relation to the menstrual cycle and which interfere with the woman's
life. The symptoms usually begin 5 to 11 days before the start of
menstruation. Symptoms usually stop when menstruation begins, or
shortly thereafter.

See also premenstrual dysphoric disorder (PMDD) Below.

Causes, incidence, and risk factors An exact cause of PMS has not been
identified. However, it may be related to social, cultural, biological, and
psychological factors. PMS can occur with apparently normal ovarian
function (regular ovulatory cycles). PMS is estimated to affect up to
75% of women during their childbearing years. It occurs more often in
women between their late 20s and early 40s, those with at least one
child, those with a family history of a major depression disorder, or
women with a past medical history of either postpartum depression or
an affective mood disorder. As many as 50-60% of women with severe
PMS have an underlying psychiatric disorder.

Symptoms A wide range of physical or emotional symptoms have been
associated with PMS. By definition, such symptoms must occur during
the second half of the menstrual cycle (14 days or more after the first
day of the menstrual period) and be absent for about 7 days after a
menstrual period ends (during the first half of the menstrual cycle).

The most common symptoms include:

Headache
Swelling of ankles, feet, and hands



Backache



Abdominal cramps or heaviness



Abdominal Pain



Abdominal fullness, feeling gaseous



Muscle Spasms



Weight gain



Breast Tenderness



Recurrent Cold sores



Acne flare-ups



Nausea



Bloating
Constipation or diarrhea



Decreased coordination



Food cravings



Less tolerance for noises and lights



Painful menstruation




Other symptoms include:

Anxiety or panic



Confusion



Difficulty concentrating



Forgetfulness



Poor judgment



Depression



Irritability, hostility, or aggressive behavior
Increased guilt feelings



Fatigue



Slow, sluggish, lethargic movement



Decreased self-image



Sex drive changes, loss of sex drive



Paranoia or increased fears



Low self-esteem




Signs and tests There are no physical examination findings or lab tests
specific to the diagnosis of PMS. It is important that a complete
history, physical examination (including pelvic exam), and in some
instances a psychiatric evaluation be conducted to rule out other
potential causes for symptoms that may be attributed to PMS. A
symptom calendar can help women identify the most troublesome
symptoms and to confirm the diagnosis of PMS.

Treatment Self-care methods include exercise and dietary measures. It
is also important to maintain a daily diary or log to record the type,
severity, and duration of symptoms. A "symptom diary" should be kept
for a minimum of 3 months in order to correlate symptoms with the
menstrual cycle. The diary will greatly assist the health care provider
not only in the accurate diagnosis of PMS, but also with the proposed
treatment methods.
Nutritional supplements may be recommended. Vitamin B6, calcium,
and magnesium are commonly used. Prostaglandin inhibitors (aspirin,
ibuprofen, other NSAIDS) may be prescribed for women with
significant pain, including headache, backache, menstrual cramping
and breast tenderness. Diuretics may be prescribed for women found
to have significant weight gain due to fluid retention. Psychiatric
medications and or therapy may be used for women who exhibit a
moderate to severe degree of anxiety, irritability, or
depression. Hormonal therapy may include a trial on oral
contraceptives, which may either decrease or increase PMS symptoms.
The use of progesterone vaginal suppositories during the second half of
the menstrual cycle is still controversial.

Expectations (prognosis) After proper diagnosis and the treatment of
specific symptoms has been initiated, most women with PMS obtain
significant relief.

Complications PMS symptoms may become severe enough to prevent
women from maintaining normal function. Women with depression may
note increasing severity of symptoms during the second half of their
cycle and may require associated medication adjustments. The suicide
rate in women with depression is significantly higher during the latter
half of the menstrual cycle. See also premenstrual dysphoric disorder
(PMDD) below.

Calling your health care provider Call for an appointment with your
health care provider if PMS does not resolve to self-treatment
measures, or if symptoms occur that are severe enough to limit your
ability to function.

Prevention Some of the lifestyles changes often recommended for the
treatment of PMS may actually be useful in preventing symptoms from
developing or getting worse. Regular exercise and a balanced diet
(with increased whole grains, vegetables, fruit, and decreased or no
salt, sugar, alcohol, and caffeine) may prove beneficial. The body may
have different sleep requirements at different times during a woman's
menstrual cycle, so it is important to get adequate rest.

PPMD Premenstrual Dysphoric Disorder

Definition Premenstrual dysphoric disorder (PMDD) is a condition
marked by severe depression, irritability, and tension before
menstruation. These symptoms are more severe than those seen with
premenstrual syndrome (PMS).

Causes, incidence, and risk factors The causes of PMS and PMDD have
not been identified, although social, cultural, biological, and
psychological factors all appear to be involved. Researchers estimate
that PMDD affects between 3% and 8% of women in their reproductive
years. Major depression is very common with PMDD, although PMDD
can occur in women who do NOT have a history of major
depression. Studies have found that women who have seasonal
affective disorder (SAD), a form of depression characterized by annual
episodes of depression during fall or winter that improve in the spring
or summer, are likely to also have PMDD.

Symptoms The symptoms of PMDD are similar to those of PMS, but
they are generally more severe and debilitating. Symptoms occur
during the last week of most menstrual cycles and usually improve
within a few days after the period starts.

Five or more of the following symptoms must be present:

Feeling of sadness or hopelessness, possible suicidal thoughts



Feelings of tension or anxiety



Panic attacks



Mood swings marked by periods of teariness



Persistent irritability or anger that affects other peopl



Disinterest in daily activities and relationships



Trouble concentrating



Fatigue or low energy



Food cravings or binge eating
Sleep disturbances



Feeling out of control



Physical symptoms, such as bloating, breast tenderness, headaches,
and joint or muscle pain




Signs and tests There are no physical examination findings or lab tests
specific to the diagnosis of PMDD. A complete history, physical
examination (including a pelvic exam), and psychiatric evaluation
should be conducted to rule out other potential conditions. Keeping a
calendar or diary of symptoms can help women identify the most
troublesome symptoms and the times they are likely to occur. This
information may help the health care provider diagnose PMDD and
determine the appropriate treatment.

Treatment Women with PMDD may be helped by the following:

Regular exercise 3-5 times per week



Adequate rest



Diet (with increased whole grains, vegetables, fruit, and decreased or
no salt, sugar, alcohol, and caffeine)




Selective serotonin-reuptake inhibitors (SSRIs) are antidepressant
drugs that may be needed in severe cases of depression.

Nutritional supplements -- such as Vitamin B-6, calcium, and
magnesium -- may be recommended. Pain relievers such as aspirin or
ibuprofen may be prescribed for headache, backache, menstrual
cramping and breast tenderness. Diuretics may be useful for women
who experience significant weight gain due to fluid retention.
Expectations (prognosis) After proper diagnosis and treatment, most
women with PMDD find that their symptoms go away or drop to
tolerable levels.

Complications PMDD symptoms may become severe enough that they
interfere with a woman's daily life. Women with depression may have
worse symptoms during the second half of their cycle and may require
medication adjustments. As many as 10% of women who report PMS
symptoms, particularly those with PMDD, have had suicidal thoughts.
The incidence of suicide in women with depression is significantly
higher during the latter half of the menstrual cycle. PMDD may be
associated with eating disorders and smoking.