From PPD to PMDD?

Updated on December 04, 2010
K.B. asks from Columbus, OH
5 answers

I'm wondering if any of you moms has had any experience with PPD and PMDD. I think I have PMDD, here is a little background...

I had severe PPD after the birth of my first child in 2006. After going on Lexapro for about a year I finally began to feel like myself again. After my second child was born in 2008 I had PPD that started when I was about six months post partum. Another year or so of Lexapro and I was good to go.

I'm coming to you now because I feel like I'm losing it! About 10 days ago I started feeling really down, just not feeling like myself. I was extremely irritable, screaming at my kids, hating my husband, zero energy, etc. I couldn't even bring myself to throw a load of laundry in when I knew that no one had clean clothes. I guess I can describe my mood as a complete feeling of hopelessness. My husband was really worried and throught I was mad at him. I explained to him that he didn't do anything and I didn't know what was wrong, I was just really unhappy.

This lasted for a solid week and a half, and then I started my period. The day after I started it was like a fog was lifted. I feel 100% better. I'm not angry, not screaming at anyone, I feel like I have the energy to wear something other than sweatpants! I found myself thinking that I didn't want my husband to know that I was on my period because he would think that my whole mood was just because I was PMS-ing, and it hit me at that time that maybe this was related to my period, but it's definately worse than just PMS. I hate to even admit this, but there came a point where I was thinking that my kids would be happier if I was gone. That makes me sick just typing it.

Has anyone gone through this? I know that I'm prone to depression and anxiety, and I'm wondering if this is just another "disorder" that I have to deal with now. I have a doctors appointment next week with my OB, but I'm just wondering if anyone has anything similar going on, or am I just crazy?

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T.B.

answers from Miami on

I have PMDD and it is very difficult for others to understand how this disorder can disrupt our lives the way it does. I've had it for 8 years. It began after the birth of my second daughter and intensified after the birth of my third child, who is 4 years old. I'm currently pregnant with baby #4 so I am indeed concerned how my PMDD will be after the birth of this baby. When I first talked to my OB about my symptoms he suggested I go on an antidepressant. I didn't want to go that route so I decided to research this disorder and found that I am not alone. You are not alone! This happens to a lot of women and I believe it is very misunderstood by our doctors. They want to medicate us and I researched the antidepressants to "fix" PMDD and I was not happy about what I read. I read that for some women, PMDD is caused by a calcium deficiency, B vitamin deficiency, and/or problems with serotonin levels. I increased my calcium intake for over a year and found very little relief. I had my doctor check my blood but my B levels were fine. The last resort was serotonin so I researched that. My OB asked me to try a birth control called YAZ. I was on it for exactly 13 days but I had to get off of them immediately. I developed daily migraine headaches, intense nausea, and an insatiable appetite. And I did NOT experience any relief from my PMDD symptoms. In fact, I became more anxious! So, back to the internet I went and found that many women have found very much success with an herbal supplement called 5-HTP. It comes in pill form and in 50 mg and 100 mg capsules. I began with 50 mg for about a week and found little improvement. I increased the dosage by 50 mg each week until I found a good balance for me. You can overdose on this supplement and experience what is called Serotonin Syndrome. YOU NEED TO RESEARCH THIS SUPPLEMENT VERY WELL BEFORE YOU DECIDE TO TRY IT. The symptoms I experienced from taking too much was: rapid heartbeat, and a feeling of almost floating outside of my body. It was eeary and somewhat frightening. Once I found a dosage that was right for me, I stuck to it, and for me that dosage is 150 mg. I buy my 5-HTP in 50 mg form.

For me, my PMDD symptoms go away the moment my period begins. Like you said, it's like a fog is lifted. You feel normal! No anxiety, no anger, no rage, no mood swings from high to low, no moments of sadness. NORMAL. For me, my PMDD symptoms return the moment my period is over. Some women only experience PMDD a week or two before their periods begin. My symptoms begin the day my body stops bleeding and the symptoms increasingly get worse as I get up to my first "bleed day." It's a constant roller coaster ride for myself and for my spouse and for my children. The 5-HTP works for me, though not 100% but pretty darn close. It's manageable. On the days when I feel very bad, I increase my dosage only by 50 mg (total of 200mg) but I will not increase it more since I know what to expect if I take too much. Your OB most likely will NOT support you taking 5-HTP because it is an herbal supplement, not a prescribed drug. Also, IF you are taking ANY antidepressants, you can NOT take 5-HTP with it. You have to be off of all medications before taking 5-HTP because 5-HTP increases your serotonin and you could overdose with the herbal supplement and with whatever you are taking. I cannot express enough how you have to research this thoroughly before taking it. Herbal supplements are like drugs so you have to treat them with respect. I found a web site a few years ago. It's an online support group for women with PMDD. It might help you! Here is the link: http://www.pms.org.uk/
You are not crazy. You are not alone.
There are other remedies you can try but I have NOT tried them so I cannot say if they work but some women have had success with the following:
Vitamin B, Folic Acid, St. John's Wort.
Again, research PMDD thoroughly and the options that other women have tried with success. What works for one woman may not work for another.

2 moms found this helpful
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J.R.

answers from Glens Falls on

When I still had periods that was EXACTLY what happened. The day my period came, I was a new person. I could feel the difference. It is something hormonal for sure. Later, I was diagnosed and treated for an overactive thyroid, then during menopause I started vasovagal syndrome (passing out the day my period started). Overactive hormones - please talk to your OB.

1 mom found this helpful
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K.H.

answers from Washington DC on

I experience the exact same issues you describe , and have only just actually "realised" it. I think looking back I have been on a downward spiral since the birth of my 3rd child in June 2008 (really bad pregnancy and delivery that ended in emergency surgery at 34 weeks). Anyway I saw an ad on TV for YAZ and it was talking about PMDD so I looked it up and low and behold I was reading about myself , went to the Dr and told him my concerns & was given a prescription for Yaz , that like all other oral contraceptives did not agree with me so I stopped and the Dr's only other advice was to go on antidepressants , not done that as I am not really happy about going down that path. The last couple of months have been really hard , myself and my husband have almost seperated because I just felt so low that I convinced myself I didn't like or love him anymore and I wanted to be by myself , we didn't seperate and I did some more research (during my happy moods) and read that St Johns Wort can help , I have been taking these for 2 months & I have noticed an improvement but not as much as I would have liked. Anyway I have a Dr appointment on Monday as I want to discuss this some more and also have my thyroid checked (different Dr as I felt the other was not that interested).

If you would like to private message me on Monday I can tell you more about what the Dr said. I know how you feel , it is the worst feeling and I have weeks where I feel so angry and my poor family suffer.

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C.R.

answers from Columbus on

mine was kind of similar. I was quite depressed for about a year where I was literally crying every day over little things. I felt hopeless as well and also felt like I should disappear. I got depressed after each of my kids but it seemed so much worse after my third child. I finally went to a psychiatrist and found out that I have ADHD. after hearing what he had to say and reading up on it, it explained so much. after a week of medication, I was no longer yelling at my kids as much. I still go thru phases where I am just so exhausted but things are alot better.

1 mom found this helpful
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S.M.

answers from Cincinnati on

Nope, you are not crazy because I experience the same kind of thing before my period starts. And like you said, as soon as your period starts, you feel so much better. I also used to have severe cramps before my period started too. I used to think to myself that these must feel like what contractions feel like. Well, that was before I had kids and now that I have had kids I can say that they feel like contractions. Although they aren't as severe as they used to be, I do still have the other symptoms with the crazy mood and no energy. I have never looked into it because I know it will go away and I am not the type of person that likes to medicate so I have tried to learn to live with it. But I have often though about talking to my OB. I loved being pregnant because then I didn't have to deal with it for 9 months!!

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