[CW menstruation, mental health. Quoted source altered to be trans-friendly] [artist imagery created in response to artist’s own experiences dealing with PMDD]  

Premenstrual dysphoric disorder (PMDD) is a health problem that is similar to premenstrual syndrome (PMS) but is more serious. PMDD causes severe irritability, depression, or anxiety in the week or two before your period starts. 

Symptoms of PMDD include: Lasting irritability/anger. Feelings of: despair,  suic*de, or anxiety. Panic attacks. Mood swings. Lack of interest in daily activities & relationships. Trouble thinking/focusing. Tiredness/low energy. Food cravings/binge eating. Trouble sleeping. 

Researchers do not know for sure what causes PMDD or PMS. Hormonal changes throughout the menstrual cycle may play a role. A brain chemical called serotonin may also play a role in PMDD. Serotonin levels change throughout the menstrual cycle. 

PMDD affects up to 5% of [menstruating people] of childbearing age. Many [people] with PMDD may also have anxiety or depression. 

Treatments include: SSRIs, birth control pills, stress management. 

Thanks for reading. ♥ I never see anyone mention this, I thought I'd say something.

Personal notes: I have found the supplement "Jubilance" (oxaloacetate) to be a huge help. Not a total fix, but a great relief. And therapy helps me a lot, too! Track your cycles, too!! 

Well done. Maybe if more people understood periods/menses they’d be more understanding about it and stop making really stupid comments.