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Treatment Options for PMDD
If you are considering surgery to treat thesymptoms of PMDDit is likely that you have had little or no success with the available medical treatment options.
Surgical management of PMDD is irreversible, and you will not be able to ovulate or carry a pregnancy once it is done.
You and your healthcare provider will need to review your clinical course. Be sure that you have exhausted all the available medical and complementary medical options. Remember that it often takes a combination of both types of medical treatments to improve your symptoms.
After a critical assessment of your clinical course, you and your healthcare provider may decide that surgical management is appropriate. Surgical management of PMDD takes the treatment principle of ovulation suppression to a whole other level. In fact, it completely eliminates your ovulation which in turn eliminates your menstrual cycle hormone changes.
Surgical Options
The surgical management of PMDD consists of a bilateral-oopherectomy (removal of the ovaries). Some women may choose to have ahysterectomy(removal of your uterus) or a bilateral salpingo-oophorectomy (emoval of your ovaries and fallopian tubes).Let’s break it down:
4 Criteria to Help You Decide If Surgical Management of PMDD Is Right for You
The surgical management of PMDD cannot be reversed, and you will be inmenopauseimmediately after the surgery is finished. Although entering menopause will bring relief from PMDD, it has other significant implications for your health and wellbeing. It is very important to try and predict how well you will respond once you no longer produce your own ovarian hormones. Choosing surgery to treat your medication-resistant PMDD is a difficult decision.
Here are the basic minimum criteria that should be met before making your final decision:
A Word From Verywell
If you are considering surgical management of PMDD, you likely have exhausted all other possible treatment options. You are probably scared and confused. Working with the right healthcare provider and finding peer support through groups such as theGia Allemand Foundationcan help you make the best decision to help you live very well with PMDD.
3 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Dubey N, Hoffman JF, Schuebel K, et al.The ESC/E(Z) complex, an effector of response to ovarian steroids, manifests an intrinsic difference in cells from women with premenstrual dysphoric disorder.Mol Psychiatry. 2017;22(8):1172–1184. doi:10.1038/mp.2016.229Mishra S, Marwaha R.Premenstrual dysphoric disorder. StatPearls.Green LJ, O’Brien PMS, Panay N, Craig M on Behalf of the Royal College of Obstetricians and Gynaecologists.Management of premenstrual syndrome.BJOG2017 ;124:e73–e105. doi:10.1111/1471-0528.14260
3 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Dubey N, Hoffman JF, Schuebel K, et al.The ESC/E(Z) complex, an effector of response to ovarian steroids, manifests an intrinsic difference in cells from women with premenstrual dysphoric disorder.Mol Psychiatry. 2017;22(8):1172–1184. doi:10.1038/mp.2016.229Mishra S, Marwaha R.Premenstrual dysphoric disorder. StatPearls.Green LJ, O’Brien PMS, Panay N, Craig M on Behalf of the Royal College of Obstetricians and Gynaecologists.Management of premenstrual syndrome.BJOG2017 ;124:e73–e105. doi:10.1111/1471-0528.14260
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Dubey N, Hoffman JF, Schuebel K, et al.The ESC/E(Z) complex, an effector of response to ovarian steroids, manifests an intrinsic difference in cells from women with premenstrual dysphoric disorder.Mol Psychiatry. 2017;22(8):1172–1184. doi:10.1038/mp.2016.229Mishra S, Marwaha R.Premenstrual dysphoric disorder. StatPearls.Green LJ, O’Brien PMS, Panay N, Craig M on Behalf of the Royal College of Obstetricians and Gynaecologists.Management of premenstrual syndrome.BJOG2017 ;124:e73–e105. doi:10.1111/1471-0528.14260
Dubey N, Hoffman JF, Schuebel K, et al.The ESC/E(Z) complex, an effector of response to ovarian steroids, manifests an intrinsic difference in cells from women with premenstrual dysphoric disorder.Mol Psychiatry. 2017;22(8):1172–1184. doi:10.1038/mp.2016.229
Mishra S, Marwaha R.Premenstrual dysphoric disorder. StatPearls.
Green LJ, O’Brien PMS, Panay N, Craig M on Behalf of the Royal College of Obstetricians and Gynaecologists.Management of premenstrual syndrome.BJOG2017 ;124:e73–e105. doi:10.1111/1471-0528.14260
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