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PMS Treatment Prevention Relief ; Treatment of Premenstrual Dysphoric Syndrome (PMDD)

Abstract: Premenstrual dysphoric disorder can be treated with stress management exercises, SSRI medication or in extreme cases surgery.

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PMS Treatment Prevention Relief ; Treatment of Premenstrual Dysphoric Syndrome (PMDD)

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Written by: , lecturer of Psychiatry in the University of Ioannina Medical School, Greece. Eva Gerasi, postgraduate student in the Department of Psychiatry, University Hospital of Ioannina, Greece.
First version: 22 Jul 2008.
Latest revision: 29 Jul 2008.

Can PMDD be treated and how? Describe PMS treatment, prevention and reliev.


Treatment options range from conservative lifestyle and stress management to psychotropic medications and hormonal or surgical interventions to eliminate ovulation for the more extreme cases.

SSRIs (Selective Serotonin Reuptake Inhibitors), in particular fluoxetine, sertraline and paroxetine, as well as clomipramine, continue to be proven effective in women with PMDD who have failed conservative treatment. These interventions have demonstrated excellent efficacy with almost immediate relief and minimal side-effects. Recent investigations of SRIs have also demonstrated success at low doses. Most investigations now suggest that if efficacy has not been attained after several dosing increases, other treatment options should be considered.

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