Talk:Premenstrual dysphoric disorder

UCF College of Medicine WikiMedicine student work plan
Hello I am a fourth year medical student working on the wikimedicine project. Here are the changes I plan to undertake for the article Premenstrual dysphoric disorder:

Lead section

Better definition that severe PMS Clearer language Clearer language around suicidal ideation in PMDD Define symptoms earlier in a clear way Link between postpartum depression and PMDD?  Info box

Add link other articles where appropriate Make onset, DDx, and causes clearer Cut surgery as treatment

Signs and symptoms

Write clear symptoms with cited guidelines for PMS PMDD Separate physical and emotional symptoms Use DSM-5 to decide to keep or eliminate comment about ISPMD

Associated conditions

Review citation to check comorbidities associated with PMDD Axis 1 is an outdated term – delete Suicide as a “related condition doesn’t make sense; risk of suicide should be its own section Figure out the claim proposed by reference 16 in the last sentence and reword or delete

Cause

Lots of repeated information and confusing language present throughout this section Review sources/find new sources to present a simple explanation of the proposed cause of PMDD

Genetic factors

Reference 27 seems to justify primary research and highlight new research that might conclude an isolated gene; this is not a good source for citation in this format Look for strong supporting evidence for established genetic predisposition to PMDD or cut the section There is also a lot of information suggesting associated conditions that should be moved to that section

Relationship to pregnancy

Change section to relationship to pregnancy, postpartum, and menopause Review sources and validate claims Reword paragraph about menopause to reflect the topic of PMDD not climacteric depression

Diagnosis

Organize the symptom scales better Cut the last two sentences; they are irrelevant to diagnosis DSM-5 & ICD 11

Make sure these aren’t directly copied Clarify for ease of use for non-medical viewers

Other

Cut this section

Differential diagnosis

Find a citation for the first paragraph “Mood disorders” is used synonymously with psychiatric disorders in general. Clarify and eliminate repeated information from previous sections Menopausal transition seems unnecessary here. Clarify and include PMS Thyroid disorders rephrase to organic cause add other underlying medical causes for depression/masking symptoms for PMDD Treatment

Review sources for medication and psychotherapy Add statement on SSRI and SNRI efficacy in pregnancy/impact on fertility Cut surgery – this is never indicated for treatment of PMDD

Epidemiology

More info if possible Age PMS incidence is listed not PMDD – why?

History

Review for clarity and validity of sources

additional sections

Add sections on risk factors, suicidality, and delineating PMS; Severe PMS; and PMDD

— Preceding unsigned comment added by FriendlyNeighborhoodPsychiatrst (talk • contribs) 20:29, 13 January 2022 (UTC)


 * Hey Jacob, great job on your article. The article remains focused on the topic at hand and all of the information you included is relevant to a complete understanding of PMDD. You maintain a neutral tone, without any evidence of bias or opinions regarding the subject, claims, or treatment modalities. I would like to highlight the fact that you tailored the treatment section well with regards to the surgical approach and clearly outlined the criteria for surgical qualification for PMDD. With regards to your citations, all of the links you added work and each piece of information that you provide in your article is cited appropriately. There are a few areas in terms of content that you could potentially revisit and clarify:


 * -	In the intro (and in the genetic factors section), you state that “women with PMDD have genetic changes that make their cells overreact to estrogen and progesterone” : At which stage in their lives do these genetic changes occur? Are they present at birth or are they epigenetic changes that they acquire due to stress and environmental factors?


 * - Perhaps the Epidemiology section can be moved towards the beginning of the article to create more of a general understanding of how widespread this disorder is.


 * Overall, I was really impressed with the organization of the article and found that your changes enhanced the quality of the article.

--Pselvam21 (talk) 18:49, 1 February 2022 (UTC)

Errors in "Adjunctive and alternative treatments"?
In "Adjunctive and alternative treatments" suddenly symptoms of pms are mentioned. Should this not be pmdd? 2A02:A45F:578E:1:78CB:12E4:9054:821D (talk) 20:32, 4 May 2023 (UTC)