psychiatric nurse practitioer
Often experienced and under diagnosed, Premenstrual syndrome (PMS) has a wide variety of signs and symptoms, including mood swings, tender breasts, food cravings, fatigue, irritability and depression. It's estimated that as many as 3 of every 4 menstruating women have experienced some form of premenstrual syndrome.
Recent research has shown that Serotoinin levels appear to vary during the menstrual cycle under the influence of estrogen and progesterone. SSRIs such as zoloft, lexapro, prozac and others may increase the amount of serotonin available for neurotransmissions.
Some health care providers have been increasing by a small dose, the SSRI that a woman takes the week before their menstral period and a week after their menstral period with significant improvement in PMS symptoms. I have used this in my practice for several months and women have reported significant improvement in their symptoms. Of course, every patient is different and this should only be done under the direction of your provider. If you are suffering with symptoms of PMS, talk to your provider.