The physical and mental state of a woman to one degree or another depends on the phase of the menstrual cycle. Usually, women feel better in the first half of their cycle, and worse before menstruation . A condition called premenstrual syndrome occurs 2-14 days before menstruation. It is a complex of vegetative-vascular, endocrine, as well as mental disorders, which are more pronounced.
Women with mental illness are more likely to have PMS. For example, in manic-depressive psychosis, PMS occurs in 86% of cases. The symptoms of PMS are diverse: dizziness, headaches, nausea, breast tenderness, sleep disturbances, weakness, etc.
Shortly before the onset of menstruation, some women experience a change in mood and behavior: they can become resentful, aggressive, angry, irritable. This condition is referred to as dysphoric disorder. There is also a disturbance in sleep, appetite, sexual activity, anxiety and fear are possible .
Along with PMS, depressive disorders and anxiety can manifest , which is associated with an increase in suicides in this period.
Deterioration of the mental state in PMS is observed in women with depressive disorders of an endogenous nature.
The first symptoms of the disease can appear in adolescence, which is important for the early diagnosis and prevention of depression. Menstruation helps to identify a predisposition to mental disorders due to the fact that there is a decrease in the sedative and stress-resistant capabilities of the body. Mood changes are especially noticeable with cyclothymia, at the onset of depression and at the exit from it.
Usually, women with PMS do not go to the doctor, or they are treated with their own means. In the case of severe mental disorders, psychotherapeutic correction and the use of psychotropic drugs are necessary . Treatment of premenstrual syndrome in patients with depression is necessary . If a woman is out of depression, but premenstrual deterioration persists, antidepressant treatment should be carried out until symptoms disappear and to avoid recurrence of the disease. It is necessary to use antidepressants that have a minimum number of side effects and are well tolerated.