HomeAnswersEndocrinologypremenstrual dysphoric disorder (PMDD)

I have PMDD and depression. How can I manage them at 75?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 75 years old. I still have PMDD symptoms every month. I am taking Venlafaxine, Amlodipine, Aspirin, Bisoprolol, Atorvastatin, and Lansoprazole.

I have had depression since my 20s, but not all the time now. I am not sure which specialty to choose.

Kindly suggest.

Answered by Dr. Ayyala Somayajula Sai Sudha Meghana

Education:

MBBS

Professional Bio:

Dr. Ayyala Somayajula Sai Sudha Meghana is a medical graduate with one year of clinical internship experience across various specialties including dermatology, family medicine, gynecology, ophthalmology, ENT, urology, and preventive care. She is trained to manage a wide range of conditions—from common concerns like skin and hair issues, PCOS, infections, and fatigue to chronic diseases such as diabetes and hypertension. Her approach is practical, empathetic, and patient-centered, focused on helping you understand and safely manage your symptoms.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern.

Thank you for sharing this. It is understandably very frustrating to still experience what feels like PMDD (premenstrual dysphoric disorder)-type symptoms at your age.

True PMDD occurs in relation to the menstrual cycle, so after menopause, it is unlikely to be due to hormonal cycling itself. Still, it is not uncommon for some women to continue to experience cyclical mood or physical symptoms due to other causes.

These can include residual hormonal sensitivity, effects of long-standing mood or anxiety disorders, or fluctuations related to medication, sleep, or other physical health factors.

Given your history of depression and current medications, it would be helpful to review your symptoms, mood pattern, and any physical triggers in more detail.

Sometimes, a slight adjustment to antidepressant treatment, adding psychological support (such as CBT (cognitive behavioral therapy) or mindfulness-based therapy), or addressing any hormonal or thyroid imbalance can help.

I would recommend seeing your GP (general physician) for a medication review and a referral to either a menopause specialist or a psychiatrist familiar with mood disorders in postmenopausal women. Keeping a brief symptom diary may also help clarify any pattern and guide treatment adjustments.

I hope this helps you. For more queries, reach out to me anytime. I am always here to help you.

Take care.

Regards.

Medically reviewed by iCliniq medical review team
Published At January 3, 2026
Reviewed At January 3, 2026

Education:

MBBS

Professional Bio:

Dr. Ayyala Somayajula Sai Sudha Meghana is a medical graduate with one year of clinical internship experience across various specialties including dermatology, family medicine, gynecology, ophthalmology, ENT, urology, and preventive care. She is trained to manage a wide range of conditions—from common concerns like skin and hair issues, PCOS, infections, and fatigue to chronic diseases such as diabetes and hypertension. Her approach is practical, empathetic, and patient-centered, focused on helping you understand and safely manage your symptoms.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Companion

PMOS-Like Symptoms and Depression Management Companion

How it works

It can be frustrating to experience PMOS-like symptoms and depression at an older age. Here's what you need to know about managing these concerns.

1

PMOS
Symptoms

2

Possible
Causes

3

Reviewing
Medications

4

Psychological
Support

5

Hormonal
Balance

6

Symptom
Diary

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.

Education:

MBBS

Professional Bio:

Dr. Ayyala Somayajula Sai Sudha Meghana is a medical graduate with one year of clinical internship experience across various specialties including dermatology, family medicine, gynecology, ophthalmology, ENT, urology, and preventive care. She is trained to manage a wide range of conditions—from common concerns like skin and hair issues, PCOS, infections, and fatigue to chronic diseases such as diabetes and hypertension. Her approach is practical, empathetic, and patient-centered, focused on helping you understand and safely manage your symptoms.

This doctor is not available for online consultations on the platform anymore.

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