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Why do my PMDD symptoms seem to vary from month to month?
Why do my PMDD symptoms seem to vary from month to month?

Stress. Lifestyle. Diet. Anovulation. Anovulatory.

IAPMD avatar
Written by IAPMD
Updated over a week ago

This is a great question and one that can have many answers!

There are many reasons why symptoms may worsen or lessen from one cycle to the other:

Stress: Stress can worsen symptoms. If you are having a stressful month, you might notice that your premenstrual symptoms are heightened.

Changes in lifestyle/habits: Shifts in your schedule, sleep, or habits such as exercise can make you more vulnerable to stress and may worsen PMDD symptoms in any given month.

Diet: If you have been eating lots of high-sugar or salty foods - or drinking more caffeine, this could potentially affect symptoms.

Substance use: Using alcohol or drugs can make symptoms worse.

Medications: If you have skipped doses of a prescribed medication that you take for PMDD, this could make symptoms worse.

No ovulation: If you have had ‘one good month and one bad month’, This may be due to having an anovulatory cycle. This is when a menstrual cycle does not result in ovulation. That is to say; your ovaries do not release an egg.

You can read more here: What is an anovulatory cycle?

Tracking your ovulation and any stress/lifestyle changes can be useful for figuring out why your symptoms may be improving/worsening so that you can plan and make decisions to ensure you are not suffering more than you need to.

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