How Menstrual Disorders Can Affect Your Mental Health

Conditions like premenstrual dysphoric disorder (PMDD), endometriosis and polycystic ovary syndrome (PCOS) can take both a physical and psychological toll. In this post I’ll explore how these common menstrual disorders can negatively impact mood, cognition and overall mental health.

PMDD and Mood Changes

PMDD is a severe form of PMS marked by extreme mood shifts in the weeks before your period. Rage, depression, hopelessness and anxiety are hallmark symptoms. The monthly hormonal rollercoaster makes it extremely difficult to maintain stable mood and motivation levels. Simple tasks become impossible. Outbursts and crying spells are common. Symptoms usually improve with the start of your period.

Endometriosis and Chronic Pain

Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus, causing chronic pelvic pain, especially around your period. Coping with this level of pain month after month can significantly impact your mental health. Frustration, stress, exhaustion, sadness and hopelessness are common. Anxiety and depression often accompany endometriosis.

PCOS and Hormonal Havoc

PCOS leads to hormonal imbalances that can spark mood swings, irritability, anxiety and depression. The unpredictability of how you’ll feel from day to day takes a toll. Excess hair growth and other changes in appearance may also contribute to depression and low self-esteem.

Impacts on Daily Life

Between menstrual problems, pain flares, mood instability and fatigue, keeping up with school, work and relationships can be a monumental challenge with these conditions. Maintaining productivity and a social life may start to feel impossible, leading to further isolation and depression.

Getting the Right Treatment Plan

If you suspect your menstrual problems are affecting your mental health, don’t suffer in silence. Speak to your healthcare provider about screening for PMDD, endometriosis or PCOS. Finding an effective treatment plan including therapy, lifestyle changes, medication and social support makes all the difference. There are many ways to minimize the psychological impact and improve your quality of life. Help and hope are out there.

In conclusion, menstrual-related conditions like PMDD, endometriosis and PCOS can take a real toll on mental health. Mood instability, chronic pain and hormonal changes contribute to higher rates of depression, anxiety and disability. But the right treatment approach can help you better manage the psychological symptoms. Reach out - you don't have to endure this alone.


Julie Kolzet, Ph.D.