Menstrual Mood Swings: Causes and Solutions for Emotional Distress

Menstrual depression

Hello, Doctor.
I'm not sure if I can get a response through this channel 😅.
This issue has been bothering me for a long time.
I've considered seeking medical help, but I feel like it might not be that serious.
During my menstrual period, I often find myself crying uncontrollably, sometimes hysterically.
In the past, it might have been triggered by small things, and I thought it was just hormonal sensitivity.
However, in the past few months, I've experienced sudden crying spells that seem completely unprovoked, almost like a reflex, similar to sneezing—it's uncontrollable.
After my period, I return to my normal self without any issues.
Recently, these crying episodes have occurred in happy environments, so there seems to be no reason for emotional instability.
Could this be a form of dissociative identity disorder? During these crying episodes, I can still reflect on why I'm behaving this way, and while I ponder these questions, the tears fall uncontrollably, as if they have a mind of their own.
These episodes do not occur in the presence of others; they usually happen when I'm alone.
I can assure you that I'm not reminded of anything sad or stressful; this reaction occurs when my mind is blank.
If possible, I would like to understand this behavior better and hope to find effective methods for improvement.
I've searched online for various symptoms and theories related to premenstrual depression, but none seem to fully align with my recent experiences.
Additionally, I noticed that the age at which these symptoms typically manifest is usually after 26.
Is my hormonal development unusually early? 🤔
To add a bit more context, I usually have an optimistic and humorous personality, so I feel that the term "depression" shouldn't really apply to me.
I genuinely want to improve this issue 🥲.
Thank you for your help 🙏🏻.

wen, 10~19 year old female. Ask Date: 2021/07/24

Dr. Chen Zhiyu reply Obstetrics and Gynecology

Based on your description, it seems that you are experiencing a more severe form of premenstrual syndrome known as Premenstrual Dysphoric Disorder (PMDD).
Literature reports that this condition is caused by a rapid decline in cyclical hormones after ovulation, leading to an imbalance of neurotransmitters in the brain, such as dopamine and serotonin, which affects emotional expression.
This is indeed something beyond your control.
It is advisable to seek appropriate outlets for expression and psychological support when symptoms are pronounced.
If necessary, you may consider trying suitable hormonal medications to alleviate premenstrual symptoms, or you could be evaluated by a psychiatrist who may prescribe selective serotonin reuptake inhibitors (SSRIs) for treatment.
Thank you for your inquiry, and I wish you health and happiness.

Reply Date: 2021/07/24

More Info

Menstrual mood swings are a common experience for many individuals, often linked to hormonal fluctuations that occur during the menstrual cycle. These emotional changes can manifest in various ways, including increased sensitivity, irritability, and, as you've described, episodes of uncontrollable crying. It’s important to understand that these emotional responses are not uncommon and can be influenced by a combination of biological, psychological, and social factors.

Causes of Menstrual Mood Swings
1. Hormonal Fluctuations: The menstrual cycle involves significant changes in hormone levels, particularly estrogen and progesterone. These hormones can affect neurotransmitters in the brain, such as serotonin, which plays a crucial role in mood regulation. When hormone levels drop, it can lead to feelings of sadness or irritability.

2. Psychological Factors: Your emotional state can also be influenced by stress, anxiety, and other psychological factors. If you are experiencing stress in your daily life, it may exacerbate the emotional fluctuations you feel during your menstrual cycle.

3. Physical Symptoms: Physical discomfort associated with menstruation, such as cramps or fatigue, can also contribute to mood swings. When you're not feeling well physically, it can be challenging to maintain emotional stability.

4. Individual Differences: Each person's body reacts differently to hormonal changes. Some may experience mild mood swings, while others may have more intense emotional reactions. Factors such as genetics, lifestyle, and overall mental health can play a role in how one experiences these changes.

Solutions for Emotional Distress
1. Track Your Cycle: Keeping a journal of your menstrual cycle and associated moods can help you identify patterns. This awareness can empower you to anticipate emotional changes and prepare for them.

2. Healthy Lifestyle Choices: Regular exercise, a balanced diet, and adequate sleep can significantly impact your mood. Physical activity, in particular, releases endorphins, which can improve your mood and reduce stress.

3. Mindfulness and Relaxation Techniques: Practices such as meditation, yoga, or deep-breathing exercises can help you manage stress and emotional responses. These techniques can promote relaxation and help you regain control over your emotions.

4. Seek Support: Talking to friends, family, or a mental health professional can provide you with the support you need. Sometimes, just expressing what you're feeling can be a relief.

5. Consider Professional Help: If your emotional distress becomes overwhelming or interferes with your daily life, it may be beneficial to consult a healthcare provider. They can help determine if there are underlying issues, such as premenstrual dysphoric disorder (PMDD), which may require specific treatment.

Addressing Your Concerns
Regarding your feelings of crying without a clear reason, it’s essential to recognize that this can be a natural response to hormonal changes. It does not indicate a personality disorder or a split personality. Instead, it may reflect your body's way of processing emotions during a time of hormonal fluctuation.
Your self-awareness during these episodes is a positive sign, indicating that you are in tune with your emotions. This self-reflection can be a powerful tool in managing your emotional health.
If you feel that your emotional responses are becoming more frequent or intense, or if they are causing you distress, seeking help from a mental health professional can provide you with strategies tailored to your specific situation. They can offer insights into whether your experiences align with common menstrual mood disorders or if there are other underlying factors to consider.

Conclusion
Understanding menstrual mood swings is crucial for managing emotional distress effectively. By recognizing the biological and psychological factors at play, you can take proactive steps to mitigate their impact on your life. Remember, seeking help is a sign of strength, and you deserve support in navigating these challenges.

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