Weight Loss Support - Pre Menstural Rage (TMI Included)




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SugarRomeoTango4852
04-25-2012, 11:20 AM
Pre Menstrual Rage is more accurate for me because PMS is not nearly strong enough a word to describe it.

I have never been on BC or had a Pap done but I am going next week because for the past year, my emotions have been out of control around the time I am supposed to bleed. (Mind you, if I have a period every four months I am lucky)

Lately, it has been extremely difficult for me to function and interact with people around this time. I am always, no matter what, on the edge of breaking anything I can get my hands on or curling into a ball and crying. My boss brought me beautiful flowers flowers today that smell lovely and I have them in a vase on my desk. I would like nothing more than to smash them into tiny pieces and stomp them out of existence. I feel so awful about it that it feeds the wanting to cry which in turn feeds the rage.

Additionally, I want to eat anything I can get my hands on. At this point, I am willing to eat seafood and I hate seafood. It is disgusting but if it was in front of me, I wouldn't be able to NOT eat it. Other times, I can barely stand the thought of putting food in my mouth, even things I love like chicken parm, without throwing up. I will go from having no appetite to being ravenously hungry.

I was hoping exercise would help today, and it did, for around 10 mins then everything went back to the way it was before I exercised. I never have these issues any other times and it scares the beejezus me (leading to near tears to more rage and back again. It is the worst viscous cycle).

Does anyone else have issues this severe around this time of month? I am hoping it is semi-normal (well, it is clearly not normal) and that BC or some medication will help me. Any information would be awesome.


mandalinn82
04-25-2012, 11:32 AM
This is a real thing, called Premenstrual Dysphoric Disorder - PMDD. It is the diagnosis applied to symptoms that are similar to PMS, but significantly more severe and/or debilitating.

http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004461/

Talk to your doctor - there may be treatments (including birth control pills, anti-depressants, etc) that can help.

DanieJo
04-25-2012, 11:46 AM
Since I have been dieting and exercising, I have noticed a major increase in my attitude around that time of the month. My PMS is much much stronger than it used to be. It usually only lasts for a day or 2 where its really bad and I am so pissed off at everyone I just want to rip someones head off (my fiance stays far away those days! lol) I also get more emotional, and i think 2 months ago I started crying over something crazy lol...I just have to take a few deep breaths and step back and get calm...I talked to one of my good friends about this because it freaked me out. She to experiences a much more emotional cycle since she has started working out/eating right as well.
I also know that both me and my friend have a cycle on the heavier side...so maybe that has something to do with it to?


guacamole
04-25-2012, 11:49 AM
My cycle is heavier and I am MUCH more emotional around PMS time since I have started losing weight...it seems to get worse the more I lose. I'm not sure why this is - I have been attributing it to my age and maybe entering peri-menopause. It's interesting to hear that other women of different age groups are also experiencing this connection between weight loss and difficult PMS/menstrual symptoms.

krampus
04-25-2012, 12:00 PM
I understand the rage. Yesterday I was driving through traffic and ended up so mad I wanted to cry, and I actually SPED UP when I saw kids trying to cross the street - NOT GOOD. You may have PMDD pretty severely if you feel you cannot function when you're about to bleed - seconding recommendations to seek professional medical advice about treatments.

lm3898
04-25-2012, 12:49 PM
I would definitely speak to your health care provider about something like this. It could be serious. I know I personally suffer from cramps that are so bad I have to take vicodin at times. They have lessened a HUGE amount since I started taking Yaz birth control - it's the only thing that keeps them in check.

Luceia
04-25-2012, 01:01 PM
Since I have been dieting and exercising, I have noticed a major increase in my attitude around that time of the month. My PMS is much much stronger than it used to be. It usually only lasts for a day or 2 where its really bad and I am so pissed off at everyone I just want to rip someones head off (my fiance stays far away those days! lol) I also get more emotional, and i think 2 months ago I started crying over something crazy lol...I just have to take a few deep breaths and step back and get calm.

This is exactly me. I don't actually have a period any more (thank you, Mirena), but my PMS is still around, and it's been WAY stronger since I started losing weight. Normally I'm very logical, patient, and level-headed, but for a couple of days a month now I'm rage-filled, jealous, and cry almost non-stop. It's awful!!!

astrophe
04-25-2012, 01:04 PM
See doc and get them to test your hormones levels -- they could be out of whack and causing a lot of upheaval during the shifts at period time.

A.

MiZTaCCen
04-25-2012, 01:32 PM
This is exactly why I started Acupunture, and you know what it's helped me out A LOT. I haven't wanted to kill or watch anyone bleed this month at all. The week before TOM I'm am out right psychotic, during TOM a little less but still moody as ****. I mean I was up and down, down down up, then even downer. My moods this month have seem to be normal and not extreme! So if you can I'd definitely give acupunture a shot!

chubbybunny29
04-25-2012, 01:43 PM
I think it comes down to the fact that fat holds on to hormones, so when we're burning the fat, we're releasing those hormones so they can mess with us. I've also been much more moody with my period than I had been prior (but I also just came off of the pill and got an IUD -which was a wonderful change).

I think its a great idea to go see your gyno and have them maybe check your levels for hormones and whatnot. Also, GET A PAP. This is my soapbox moment. No matter how young or old you are, get one! I have known many women in their 20s whose paps saved them from cervical cancer! Okay, off the soapbox :)

kaplods
04-25-2012, 02:03 PM
I have PMDD (or at least severe PMS) to the point that hubby (only half-) jokingly would call me werewolf and said that during "that time of month" it wasn't safe for him to enter the apartment without first throwing in a bag of burgers and/or chocolate and waiting to hear munching.

I've found that the right birth control helps subdue the werewolf. Unfortunately my drug coverage no longer pays for the bc that works best, but the bc that I'm now on, is still better than not being on bc. When I'm not on any bc, it gets really bad.

Even with the best birth control, I still have isues related to TOM. I keep a diet and symptom journal where I document the weather (because it effects my fibromyalgia), my pain level, my emotional state, everything I eat, how long and how well I've slept, and which day I am in my cycle and if applicable which day of my period I'm on (Day 1 of my cycle is the first day of a birth control packet, and Day 1 of my period is the day I tart the period. My period starts anywhere from day 21 to day 24 and lasts 5 to 9 days).

Hubby and I started "charting" my bad days. We almost never argue, but during "that time of month" we tend to have very intense arguments. I started color-coding the severity of the arguments. Green days were great days. Yellow Days were days I was irritable, and Purple days were days that I felt intense sadness or extreme anger.

I know this all sounds insanely complicated, but really it's a system that my husband and I developed gradually over time, recording the variables that affect my sanity and health. You don't have to do anything nearly this detailed, but keeping track of the cycle days and/or the worst times really can help.

For example, while I always new I had PMS/TOM problems, I didn't really keep track or work hard at circumventing problems. I kind of assumed I was stuck with whatever I experienced. But recording the days and seeing the overall pattern has helped tremendously. After recording the good, bad, and terrible days and I seeing it's patterns, I now know when my bad and horrible days are likely to happen, and I work extra hard at stress relief on the days that I know are going to be bad or horrible. We even call them "yellow days" and "purple days."

My hubby and I even plan around the purple days, planning more alone time for me, because it's really hard for me to "play well with others," so I don't. Those are the days that I work on the computer and/or craft or read by myself. I also try to remember that I'm going to find absolutely everything my husband (or anyone) does, extremely annoying or worse.

I also have other strategies that help me minimize or at least manage the rage, the weepiness, the emotional rollercoaster, and what we call "nesting" (right before the rage and weepiness, I will start feeling the need to reorganize and redecorate the apartment, or I'll start thinking and planning things like getting a new pet, apartment or house.)

Hubby noticed the "nesting" behavior first, and when he'd point it out, I would get extremely angry because it felt like he was dismissing my ideas/plans as being caused by the period (he was right, because the desire for new domestic changes would dissipate when the period was over, and I'd realize I do not really want a new pet or a new house). Somehow the color-coding has helped me realize and recognize the thoughts as part of the period, not part of me. Hubby and I even recently laughed about it as it was happening (which really was unique. In the past, even when I "knew" what was going on, I hated hubby joking about it. We've finally come to a point where I have a better sense of humor about the emotional weirdness even while it's going on. Although I still have a hair trigger when it comes to being teased during that TOM).

Food is important to. I crave red meat, chocolate, and high-carb comfort foods during PMS/TOM. I've found that my symptoms aren't quite as severe if I don't overdo the carbs or the red meat. I do eat more red meat during this time, but I try to make sure I'm getting my protein mostly from other sources. I do allow myself chocolate, but I try to pick less sugary options and try not to go nuts with it. If I eat relatively low carb, with small amounts of beef and chocolate, I feel the best (and have the most luck in avoiding the binges that used to be a monthly occurence).


I know I've written a novel (I tend to do that), but really in a nutshell what I'm trying to say is that there are many things that can help. Medications, documenting the problem so you recognize patterns, stress-relieving techniques, diet, exercise... you'll find what works for you. Writing it down really does help you see patterns, and being prepared and proactive is really half the battle.

Arctic Mama
04-25-2012, 03:25 PM
For me, I just do a lot of praying and mental work when I feel that come on. A lot of it is prevention - taking a deep breath if I feel myself snapping at my children or husband (and asking forgiveness liberally for it!), taking a five minute break with headphones on in the bathroom, just recentering and calming down. Realizing that my emotions aren't telling me the truth compared to reality - that I am over-reacting and being sensitive, and that the swings aren't 'me'. That helps a lot.

When I take it one thing at a time, making sure to be aware that my dysphoria is hormonal and not rational at all... It helps immensely! And a little break to get my head back and stop reacting with my ovaries, so to speak, can make a massive difference in how I feel.

I refuse to do any hormonal birth control, so that isn't an option for me, but relaxation techniques and knowing when it is coming on (so I can head off symptoms quickly, before they snowball) fixes 90% of my issues with hormonal mood flux and my cycle.

0ojoyo0
04-25-2012, 03:39 PM
This is a real thing, called Premenstrual Dysphoric Disorder - PMDD. It is the diagnosis applied to symptoms that are similar to PMS, but significantly more severe and/or debilitating.

I actually have PMDD, and yup, that about describes it. My gyno put me on birth control to help stabilize my periods. They also use Prozac to even out your moods around that time, but I'm clinically depressed, so I was already on it. But I would definitely talk to your doctor about your symptoms and see if that may be the cause.

SugarRomeoTango4852
04-26-2012, 08:15 AM
Thanks Everyone for reassuring me about this. I am going to bring it up with my doctor immediately on Wednesday (terrified though I may be about it) because it was completely unacceptable and awful.

I am, also, very very very glad that I am not the only one who has this issue. I didn't know it was actually a disorder (like PMS but worse!) because I have never had an issue with it before I started losing weight.

Lets hope my doctor will give me something to help!

threenorns
04-26-2012, 11:08 AM
funny you should mention this: i just finished going through this exact same thing - even the dog was starting to avoid me.

today, i got my blood test back and it's not good:

ferritin levels are down to 26 (the acceptable range is 10 - 291 for that lab)
red blood cell distribution width is high (means my blood cells vary widely in diameter)
and my alkaline phosphatase is low (which can cause fatigue, irritability, mood swings, restless leg syndrome, rapid heart rate, shortness of breath, constipation, intolerance to cold, and severe weight loss).

on its own, one of the causes of low AP is malnutrition (understandable, given my extremely low calorie allowance for the past cpl months) but added together, it points to anaemia, which i've had problems with all my life (so it's time to up my calories and add liver with tomato sauce to the diet).

get your blood checked for low alkaline phosphatase levels.

SugarRomeoTango4852
04-26-2012, 11:15 AM
@ Three: I didn't consider that. I am supposed to be tested for anemia the next time I get blood work done (August) and it didn't even occur to me that that could also be part of the problem.

threenorns
04-26-2012, 11:24 AM
yeah - you might wanna get that done now. low AP is not something to mess around with and if you've got it, you want to correct it now.

GlamourGirl827
04-26-2012, 11:49 AM
Kaplods, I read your whole response, twice. It wasn't until I went to reply that I saw it was you. :) I always enjoy reading your posts.
You really hit the nail on the head with tracking everything.

I don't remember having such out of control PMS in my 20s, but I noticed as I got into my 30s my PMS became nearly unbearable. I'd also had 2 kids, and I've heard women say that post pregnancies their PMS is worse. Whatever the cause I started tracking my period about a year and a half ago, alone with all my moods, food cravings, even sleep patterns, and anxiety because the symptoms were so bad.

From day 1 of my cycle (the day I get my period) until ovulation, I get a lot fo anxiety, even what feels like panic attacks. I have aweful insomnia, but my sleep needs decrease, and I can often function on like 5 hours of sleep. I have lots of energy and a poor appetite. I can easily go the whole day and not eat and not feel hungry. I'm happy and motivated.

The day I ovulate I see a jump in the scale. I get depresed, cold, tired, moody, and crave carbs and suddenly can't get enough sleep. Usually that subsides a bit for a few days, but then the horrible mood swings start. I get angry, irritable, fatigued, depressed, and sleep a lot more. I get constipated and nausous, even if I maintain the same diet, which is a huge challenge as well. My appetite is out of control, and its difficult for me to not binge. I actually feel foggy, and things like school (I'm doing online classes) becomes very difficult. I'm like a different person, and I hate it. ANd this goes until I get my period. Its like the 10 -12 days from **** as I also have 30 day cycles.

Like Kaplods, I try to plan around my moods. Its so debilitating at times. I've tried BC and the recomended anti depressants to be taken during certain times of the cycle, but I found little relief. I did find that I have hypothyroidism, and since starting syntroid in Feb, my symptoms have lightened up a bit.
I don't know what is going on adn its so frustrating. I get mad at myself because I am such a strong minded logical person and I feel like if I KNOW this is hormonal I should be able to control it, and THINK my way out of it, but its not that easy.
My doc just uped my synthroid as I saw a tiny improvement with starting it, so he wants to try increasing it. But he said this might be due to progesterone, which maybe he will check when I follow up in 3 months if there's no significant improvement with the increased synthroid.

You are definitely NOT alone in this


I wanted to add that I thought I was bipolar, because it seems like I am cycling, but I noticed that my "manic" phases were always from day 1 of my cycle to ovulation and the "depression" phases were ovulation until my perio came. However, there's not a doubt in my mind that I could have easily gotten a bipolar diagnoses had I gone the the wrong doctor with my symptoms...heck my hypothyroid from Hashimoto's was originally diagnosed as depression. My Endo who is awesome said all hormonal issues should be ruled out before psych diagnoses are given but unfortunately that doesn't always happen.

SugarRomeoTango4852
04-26-2012, 12:27 PM
I wanted to add that I thought I was bipolar, because it seems like I am cycling, but I noticed that my "manic" phases were always from day 1 of my cycle to ovulation and the "depression" phases were ovulation until my perio came. However, there's not a doubt in my mind that I could have easily gotten a bipolar diagnoses had I gone the the wrong doctor with my symptoms...heck my hypothyroid from Hashimoto's was originally diagnosed as depression. My Endo who is awesome said all hormonal issues should be ruled out before psych diagnoses are given but unfortunately that doesn't always happen.

Glamour, I also have hypothyroidism (though not Hashimoto's). I am currently on leothyroxine (Synthroid generic) and there was a time where they though I was bi-polar. I was never really diagnosed with it because my parents did/do not believe in that stuff (medication to regulate moods).

I have never noticed a pattern in my period because I am so sporadic that I can't really chart it accurratly. That last time I bled was February and it was so bad that I went through an entire pad box in a day but I didn't have any emotional roller coaster problems.

Today is not going well in this trip. I don't have the complete rage I did yesterday but all of my muscles are taut and I am shaking slightly, I feel nauseous, anxious and like I am going to have a breakdown for no reason.

I might call the office to see if I can move the appointment to tomorrow because I am worried that, by Wednesday, it will be gone and I will have rationalized it all away.

EDIT: I have moved my appointment to tomorrow.

GlamourGirl827
04-26-2012, 12:42 PM
Glamour, I also have hypothyroidism (though not Hashimoto's). I am currently on leothyroxine (Synthroid generic) and there was a time where they though I was bi-polar. I was never really diagnosed with it because my parents did/do not believe in that stuff (medication to regulate moods).

I have never noticed a pattern in my period because I am so sporadic that I can't really chart it accurratly. That last time I bled was February and it was so bad that I went through an entire pad box in a day but I didn't have any emotional roller coaster problems.

Today is not going well in this trip. I don't have the complete rage I did yesterday but all of my muscles are taut and I am shaking slightly, I feel nauseous, anxious and like I am going to have a breakdown for no reason.

I might call the office to see if I can move the appointment to tomorrow because I am worried that, by Wednesday, it will be gone and I will have rationalized it all away.

My period used to always be irregular. Anywhere from 25-39 days. It was aweful. When I started charting symptoms it was still irregular. Last year a doc that was covering for my primary (he was away for a few weeks) ran my thyroid panel at MY request, and my TSH was 2.5, I had positive antibodies, and my T4 was a tiny bit low. She said that it wasn't enough to do anything for it, DESPITE being symptomatic. Which is how some docs treat, by the labs. However I up and took myself to an Endocrinologist (my insurance doesn't need referals) and he diagnoses me, and I started on synthroid in Feb. My last lab, my TSH was 1.6 and I do feel a lot better, my cycles have been regular for the first time in my life! But its only been 2 months, lol. Both cycles were 30 days. I'm waiting to see if the next is going to come on the exact day 30 again. When I followed up with my end about 2 weeks ago, and I told him I'm feeling better but still very symptomatic from ovulation to period, he increased my dose slightly. He said that we can work to lower my TSH to 0.5, but no lower, and tht I may find I function better at that level. He said that I will likely see a decrease in symptoms the second half of my cycle, but we'll have to wait and see, and that it might be the progesterone.
My Endo is really good. I mean this guy must read every journal article out there. He is really really current on the lastest studies, standard treatment, complimentry and alternative treatment, and really knows his stuff.
I love that he treats symptoms.
I haven't gotten to the bottom of this mentrual related issue (its more than moods with me, there's a lot of physical symptoms,) but I think my Endo is willing to work on it. I know you would think this is a GYN thing, and normally it is. I went to my GYN about this over a year ago, and he is an amazing doc as well, but I think this ties into my Hashi's somehow, so the Endo is the one to handle it for now.
Definietly go in sooner rather than later. If you have hypothyroid you should be seeing an Endo too.

SugarRomeoTango4852
04-26-2012, 12:51 PM
I like in an area where there are very few Endos, Gynos, etc so I am going to see if my normal doctor (PcP) cannot take care of it first.

If that doesn't work, I will be seeking a specialist.