To Pulse or Not to Pulse? For PMDD.

Pulse dosing is a really great option for a person that has consistent cycles and is organized enough to remember taking a different medication regimen for the second half of their cycle. That said, it’s completely understandable if you’re not in that camp! I often prescribe different regimens throughout the month. I would say less than half of women prefer to take different medications during their luteal phase, I’m in that camp myself. Most women decide to take their medication throughout the whole month to address luteal phase symptoms. I try to make sure all my patients’ symptoms are managed well throughout the entire month before we land on a medication regimen. There are so many things that are culturally wrong with how we think about the menstrual cycle, first that we do not even acknowledge it or allow women to rest more when needed (not to mention lack of adequate pain control). I think another issue is that we accept it’s normal to have mood disturbances in the second half of our cycle. It’s common, but it’s not normal. There are treatment options and you absolutely do not have to suffer through luteal phase exacerbations each month.

FYI, if you have a mood disorder, you cannot be diagnosed with PMDD, it is considered a premenstrual exacerbation. That said, I tagged PMDD because it’s the most commonly known way of describing this phenomenon. I use many of the same interventions for PME as I do for PMDD.

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