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Randomised trial, 2003

Are SSRI antidepressants effective for PMDD?

Yes, SSRIs are effective first-line treatments for PMDD. Both continuous dosing and intermittent dosing during the luteal phase lead to rapid improvement in symptoms and functioning.

Strong study design Menstruating women with PMDD

What they did

A synthesis of current research on PMDD, examining how common it is, how it presents in women, its causes, and how it can be treated.

What they found

PMDD affects an estimated 2 to 9 percent of menstruating women. The most common symptoms are anger or irritability, anxiety or tension, fatigue, mood swings, sadness or depression, and increased conflicts with other people. Well-designed studies over the past decade have established SSRIs as effective treatments using both continuous and intermittent (luteal phase) dosing strategies.

What it means for you

SSRIs are the recommended first-line treatment for PMDD and can bring rapid improvement. Both dosing schedules work, so women can choose what suits them best.

2-9%

Estimated prevalence of PMDD

About the study

Original title
Premenstrual Dysphoric Disorder: Recognition and Treatment
Authors
Freeman EW, Sondheimer SJ
Journal
Primary care companion to the Journal of clinical psychiatry
Year
2003
Study design
Randomised trial
What was tested
SSRI antidepressants
Open access
Yes

Topics