How to Prepare for a Video Visit About Premenstrual Syndrome (PMS) / PMDD Management

Audience: pediatric

Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD) are conditions that can cause physical and emotional symptoms before a menstrual period. Many young people experience these symptoms, which often include mood changes, cramps, and fatigue. Preparing for a video visit with a healthcare provider about PMS or PMDD can help you get the most out of your appointment. This guide explains how to prepare by tracking symptoms, gathering medical history, and thinking about your questions. During the visit, your provider may discuss lifestyle changes, symptom management, and possible treatments. Telemedicine can be a helpful way to talk about PMS or PMDD, but some situations require in-person care. Knowing when to seek urgent help or follow-up is important. This guide also lists red flags to watch for and what to expect after your video visit. Remember, this information is for education only and not a diagnosis. Always follow your healthcare provider's advice.

Red flags — go in person / ER

• Severe mood changes such as thoughts of self-harm or suicide — seek emergency care immediately.
• Sudden, intense pelvic pain or heavy bleeding — contact your healthcare provider or emergency services.
• Symptoms that interfere with daily life or school attendance significantly — arrange prompt follow-up with your provider.

What telemedicine can do

• Symptom discussion and education about PMS and PMDD.
• Reviewing symptom trackers and medical history.
• Providing advice on lifestyle changes and non-urgent treatment options.
• Monitoring response to treatments started previously.

What telemedicine cannot do

• Emergency situations such as severe pain or suicidal thoughts.
• Physical examinations requiring in-person assessment.
• Immediate interventions for heavy bleeding or other urgent symptoms.
• Prescribing controlled medications without prior in-person evaluation.

What Are PMS and PMDD?

PMS refers to a group of physical and emotional symptoms that happen before a period. These symptoms often include mood swings, irritability, cramps, bloating, and tiredness. PMDD is a more severe form of PMS that can greatly affect daily life and mood. Both conditions usually improve once the period starts. Understanding these conditions helps you talk clearly with your healthcare provider.

How to Track Your Symptoms

Before your video visit, keep a daily record of your symptoms for at least one or two menstrual cycles. Note the type of symptoms, their severity, and when they occur. Tracking helps your provider understand your experience and decide the best management plan. You can use a notebook, app, or calendar.

Preparing for Your Video Visit

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What to Expect During the Video Visit

Your healthcare provider will ask about your symptoms, medical history, and lifestyle. They may suggest lifestyle changes such as regular exercise, balanced diet, and stress management. In some cases, they may discuss medications or other treatments. The provider will also talk about how to monitor your symptoms and when to seek further care.

After Your Video Visit

Follow the provider’s recommendations carefully. Keep tracking your symptoms and note any changes. Schedule follow-up visits if advised. If your symptoms worsen or new concerns arise, contact your healthcare provider promptly. Remember that managing PMS or PMDD often takes time and adjustments.

How to prepare for your tele-visit

• Track your symptoms daily for 1-2 menstrual cycles before the visit.
• Prepare a list of your symptoms, their severity, and how they affect you.
• Write down any questions or concerns you want to discuss.
• Find a quiet, private space with a reliable internet connection for the video call.
• Have a list of current medications or supplements ready to share.

After your tele-visit

• Follow the treatment and lifestyle advice given by your provider.
• Continue symptom tracking to monitor changes or improvements.
• Schedule any recommended follow-up appointments.
• Seek immediate care if you experience any red flag symptoms.
• Contact your healthcare provider if you have questions or new concerns after the visit.

FAQs

What is the difference between PMS and PMDD?

PMS includes common symptoms like mood swings and cramps before your period. PMDD is a more severe form that can cause intense mood changes and interfere with daily life.

Can lifestyle changes help with PMS or PMDD?

Yes. Regular exercise, a balanced diet, good sleep, and stress management often help reduce symptoms.

Do I need to see a doctor in person for PMS or PMDD?

Many times, a video visit can help manage symptoms. But if you have severe symptoms or urgent concerns, you should see a healthcare provider in person.

How long does it take to see improvement?

Improvement varies. Some people notice changes within a few weeks of lifestyle changes or treatment, but it may take longer for others.

Can PMS or PMDD affect my mental health?

Yes. These conditions can cause mood swings, anxiety, or depression. It’s important to talk to your provider about any mental health symptoms.

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. Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD) — American Academy of Pediatrics.

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