How to prepare for a video visit about Premenstrual Syndrome (PMS) / PMDD - Management

Audience: adult

Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD) are conditions that affect many people before their menstrual periods. Symptoms can include mood changes, physical discomfort, and changes in behavior. Managing these symptoms often involves lifestyle changes, tracking symptoms, and sometimes medication. A video visit with a healthcare provider can help you discuss your symptoms and find the best ways to manage them. Preparing for your video visit can make the conversation more effective. This guide helps you understand what to expect, how to prepare, and when to seek urgent care. Remember, telemedicine can support your care but is not a replacement for in-person evaluation when needed.

Red flags — go in person / ER

• Severe mood changes including thoughts of self-harm or suicide — seek emergency care immediately.
• Sudden chest pain, fainting, or difficulty breathing — call emergency services right away.
• Severe, worsening symptoms that interfere with daily activities despite management — contact your healthcare provider promptly.

What telemedicine can do

• Discussing symptoms and their impact.
• Reviewing symptom diaries and medical history.
• Providing guidance on lifestyle changes and symptom management.
• Prescribing or adjusting medications when appropriate.
• Planning follow-up care and referrals.

What telemedicine cannot do

• Emergency situations such as suicidal thoughts or severe physical symptoms.
• Performing physical exams or diagnostic tests that require in-person visits.
• Administering treatments that require direct supervision.
• Diagnosing complex conditions that need laboratory or imaging studies.

What are PMS and PMDD?

PMS is a group of symptoms that many people experience before their period. These can include mood swings, irritability, bloating, and fatigue. PMDD is a more severe form of PMS that can significantly affect daily life and mental health. Understanding your symptoms helps your healthcare provider offer the best support.

How to prepare for your video visit

Before your appointment, keep a symptom diary for at least one menstrual cycle. Note mood changes, physical symptoms, their timing, and severity. Prepare a list of any medications or supplements you take. Find a quiet, private space with good internet connection for your video call. Write down any questions or concerns to discuss.

What to expect during the video visit

Your healthcare provider will ask about your symptoms, their impact, and your medical history. They may discuss lifestyle factors such as diet, exercise, and stress. Together, you will explore management options, which may include lifestyle changes, counseling, or medications. The provider may recommend follow-up visits or in-person care if needed.

When to seek urgent care

If you experience severe mood changes such as thoughts of self-harm, intense depression, or anxiety, seek immediate help. Also, sudden severe physical symptoms like chest pain or fainting require urgent medical attention. Telemedicine can help with routine management but is not suitable for emergencies.

Managing PMS and PMDD after your visit

Follow the treatment plan your provider suggests. This may include lifestyle adjustments, medication, or therapy. Keep tracking your symptoms to monitor progress. Schedule follow-up appointments as advised. Reach out to your provider if symptoms worsen or new concerns arise.

How to prepare for your tele-visit

• Keep a detailed symptom diary for at least one menstrual cycle before the visit.
• List all current medications, supplements, and any treatments tried.
• Prepare a list of questions or concerns to discuss with your provider.
• Ensure a private, quiet space with reliable internet for the video call.
• Have your identification and any relevant medical records accessible.

After your tele-visit

• Follow the treatment and lifestyle recommendations provided.
• Continue tracking your symptoms and note any changes.
• Schedule follow-up appointments as advised by your provider.
• Contact your healthcare provider if symptoms worsen or new issues develop.
• Seek emergency care if you experience any red-flag symptoms.

FAQs

What is the difference between PMS and PMDD?

PMS includes a variety of mild to moderate symptoms before your period, like mood swings and bloating. PMDD is a more severe form that can cause significant emotional and physical distress, often interfering with daily life.

Can lifestyle changes help manage PMS or PMDD?

Yes, lifestyle changes such as regular exercise, a balanced diet, stress management, and adequate sleep often help reduce symptoms. Your provider can suggest specific strategies tailored to you.

Will I need medication for PMS or PMDD?

Some people benefit from medications like hormonal treatments or antidepressants, especially if symptoms are severe. Your healthcare provider will discuss options based on your symptom severity and preferences.

Is it safe to discuss mental health symptoms during a video visit?

Absolutely. Telemedicine provides a confidential and convenient way to talk about mental health. Your provider can offer support and recommend treatment or referrals as needed.

What should I do if my symptoms suddenly get worse?

If symptoms worsen significantly or you experience any red-flag signs like suicidal thoughts or severe physical symptoms, seek emergency care immediately or contact your healthcare provider promptly.

Sources

1. Premenstrual Syndrome (PMS) — MedlinePlus, U.S. National Library of Medicine.
2. Premenstrual Dysphoric Disorder (PMDD) — Mayo Clinic.
3. Premenstrual Syndrome (PMS) — Centers for Disease Control and Prevention (CDC).
4. Management of Premenstrual Syndrome and Premenstrual Dysphoric Disorder — National Library of Medicine.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you have urgent symptoms or emergencies, please seek immediate medical attention.