Dr. Thaïs Aliabadi

And then you spend two more weeks fixing it.

And then the vicious cycle happens over and over again.

So PMDD is a severe form of PMS.

And what happens, it's not an abnormal hormonal condition.

It's actually the brain's reaction.

extreme reaction to normal hormonal changes in the body.

So PMDD, the symptoms usually start 10 days before the period and goes away two, three days after the period.

And this vicious cycle happens.

Believe it or not, suicide is really high in these patients during those weeks.

I'm actually seeing a patient from out of state on Friday after my surgery because her family's flying her because she's not feeling well.

And her diagnosis is PMDD.

How do you treat it?

If you want to use birth control, there's one form of birth control, Yaz.

I don't usually go to it.

It helps with the symptoms of PMDD.

But these patients, actually, they do really well if you put them on SSRIs or antidepressants just 10 days during the month.

For these patients, you can prescribe 20 milligrams of Prozac 10 to 14 days before their period.

So they only take it 10 to 14 days per month after.

After ovulation, they start taking it once a day and they stop at the onset of their period.

You can also treat them with 25 milligrams of Zoloft.