Patient's question:
Detailed medical condition and purpose of consultation:Ever since I gave birth to my daughter six months ago, almost every time during the week leading up to and during my menstrual period, I have experienced mood swings, low spirits, racing thoughts, and irritability. Additionally, I have facial spots and a poor complexion. Once my period starts, these mood changes and symptoms disappear, and everything returns to normal. What could be causing this? Is it a medical condition? Should it be treated?
Doctor's answer:
??????Hello, your condition falls under premenstrual syndrome (PMS). The causes include psychosocial factors such as emotional stress and a faster pace of life; ovarian hormone imbalance; abnormal neurotransmitter levels, which manifest as symptoms of endogenous opioid withdrawal, affecting mental, neurological, and behavioral changes; other factors such as altered 5-hydroxytryptamine (serotonin) and monoamine activity, as well as a deficiency in vitamin B6.