Find Relief from the Most Disruptive PMS Symptoms

Premenstrual Dysphoric Disorder (PMDD) is more than just a rough period. It’s a severe and often debilitating form of PMS that can affect mood, focus, sleep, and relationships. At Azena Health and Longevity, we offer a functional medicine approach to PMDD treatment that identifies the underlying hormonal and neurological imbalances contributing to intense premenstrual symptoms—so you can feel in control again.

Common Symptoms of PMDD

PMDD symptoms typically occur in the second half of the menstrual cycle and improve once menstruation begins. Common symptoms include:

  • Severe mood swings or emotional sensitivity
  • Depression or feelings of hopelessness
  • Increased irritability, anger, or conflict with others
  • Anxiety or panic attacks
  • Fatigue and lack of motivation
  • Difficulty concentrating (brain fog)
  • Sleep disturbances
  • Physical symptoms such as bloating, breast tenderness, or joint pain

What Contributes to PMDD?

While the exact cause of PMDD isn’t fully understood, it’s often linked to the body’s abnormal response to natural hormone changes during the menstrual cycle. Contributing factors may include:

  • Hormonal imbalances (especially estrogen and progesterone)
  • Low serotonin or neurotransmitter imbalance
  • Chronic stress and elevated cortisol
  • Thyroid dysfunction or adrenal fatigue
  • Blood sugar instability or poor dietary patterns
  • Vitamin and mineral deficiencies (B6, magnesium, D)

Our Functional Medicine Approach to PMDD Treatment

Rather than masking symptoms with medication alone, we work to uncover what’s driving your PMDD and create a holistic plan that supports both your body and mind. We tailor every treatment to the individual—because no two cycles or experiences are the same.

Our Treatment Plans May Include:

  • Comprehensive hormone and neurotransmitter testing
  • Targeted nutrition support for hormone and mood balance
  • Supplementation for serotonin support and inflammation reduction
  • Stress-reducing strategies like breathwork, movement, or adaptogens
  • Sleep optimization and nervous system support
  • Bioidentical hormone therapy if clinically appropriate

You Deserve Consistency and Peace of Mind

PMDD can take over your life for days—or even weeks—each month. But there are options. With the right approach, you can reduce symptom intensity, reclaim your emotional balance, and stop dreading your cycle.

Contact Azena Health and Longevity today to get started with a personalized PMDD treatment plan that puts your mental and hormonal health first.