SSRIs, drospirenone-containing oral contraceptives, GnRH analogs, cognitive behavioral therapy (CBT) Medication, counselling, lifestyle change, surgery Premenstrual syndrome, depression, anxiety disorder Likely neuro-sensitivity to reproductive hormonesįamily history, history of violence/trauma, smoking, presence of other mental health disorders Severe mood swings, depression, irritability, agitation, uneasiness, change in appetite, severe fatigue, anxiety, anger, swelling, bruising, insomnia/hypersomnia, breast tenderness, decreased interest in usual social activities, reduced interest in sexual activity, heart palpitations, tachycardia, difficulty in concentrationĬan occur anytime during reproductive years Medical condition Premenstrual dysphoric disorder
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