I recently asked my co-author Dr. John
Preston why women have PMS- especially those of us with bipolar disorder. If you’re a man, you may wonder the same question!
***
For many women when there is a rapid change in estrogen levels (that occurs premenstrually or following a total hysterectomy) it can really de-stabilize the serotonin system and cause anxiety, irritability, and/or depression (or make depression worse). The two strategies that can be helpful are to take birth control pills (taken each day) or to use SSRIs during those days where symptoms are worse. Progesterone alone has not been found to be effective in group studies, but some women report that it helps.
***
One of the problems many of us with bipolar disorder have is that we can’t take birth control pills or anti depressants. It helps to know that the mood swings are not in our heads. Well, they actually are in our heads!
Julie
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