WOMENS-HEALTH Messages for February, 2001: Re: PMDD

Re: PMDD

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 25 Feb 2001 20:51:25 -0600 (CST)

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In reply to: Angel: "PMDD"

At Sun, 25 Feb 2001, Angel wrote: >
>Relations Professional,
>
>Good morning. I suffer from many chronic symptoms, over a year, and
>examined for IBS, endo (have mild-lap surg helped), diabetes, lupus,
>fibromialgia, stress/depression/psychosis, arthiritis; symptoms ranged
>and caused belief of these chronic diseases. Doctors ruled out PMS,
>because I feel great during my actual menstruation period (opposite of
>PMS). I am a United States Marine, and my living and passion requires
>that I be physically fit. I go from running 5 or 6 miles a day, to
>bearly being able to walk some days. Recently, PMDD was brought to my
>attention, and down to the eating disorders, dizziness and changing
>sleep patterns, it seems to fit. Being in the military, has afforded me
>the opportunity to see many doctors, both here in Okinawa and Hawaii.
>Now that I am finally coming to closure, I would like to ask you this:
>
>1.) With the small amount of info I provided, is there something other
>than PMDD that would fit-including the time period I feel great(during
>flow)?

PMDD is the psychological portion of PMS, not a truly separate entity although it is now accepted as a psychiatric diagnosis and is given validity. If you have a variety of physical and psychological symptoms which occur for 2 weeks maximum per month and are relieved by your period, you may very well have PMS/PMDD. If more than 2 weeks, there needs to be additional diagnoses in your workup.

>2.) Currently I am working with an OB and family practitioner, and have
>a mental health appointment. Is there anyone else I should see in the
>spectrum of Western medicine(I am pursuing other "natural" avenues as
>well-I am in Japan, and work with many Japanese Nationals, so I am
>extreemely fortunate)?

Thyroid problems can masquerade as PMS/PMDD.

>
>Please let me know if there are any added POC's that might afford me
>with more info. Thank you so much for your time and assistance! Angel
>Medina

Hope this helps and write back anytime for more information.

HSM

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

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Next message: Harvey S. Marchbein, M.D.: "Re: irregular periods after a miscarriage"
Previous message: Harvey S. Marchbein, M.D.: "Re: feminine health question"
In reply to: Angel: "PMDD"

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