I have PMDD and depression. How can I manage them at 75?
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.
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.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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