Online PMDD and PMS Treatment
Is PMDD interfering with your social, personal, and professional life? Your Doctors Online brings self-care support, mental health counselling, doctor referrals, and prescription medications for PMDD. Chat with a licensed physician in 5 minutes. Receive evidence‑based care and start your healthcare journey today.
- No appointments or waiting rooms
- 24/7 private doctor consultations
- Instant prescription refills
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Why choose Your Doctors Online?
We are available 24/7 to serve you, so you don’t have to worry about any paperwork at all.
Personalized treatment plans
We evaluate your symptoms and provide treatment based on your condition.
Same-day prescriptions
The prescription is sent to the pharmacy within 5 minutes, so you can pick it up the same day.
Real-time prescription tracking
Track your virtual doctor visit and prescription arrival status through our application.
How to get PMDD treatment online
Getting virtual care at Your Doctors Online is fast, safe, and simple:
Become a member of our telehealth platform
Sign up, pay securely, and briefly describe your issue to get started.
Chat with a licensed doctor
A licensed physician will assess your PMDD symptoms and suggest a personalized treatment plan.
Get PMDD medication from the pharmacy
If prescribed, you can get your prescriptions refilled from your choice of pharmacy, mostly the same day.
What are the treatment options for PMDD and PMS?
PMDD and PMS are treated differently, depending on which symptoms you have and how much they affect your daily life. PMDD is usually treated with an SSRI or, for some people, a hormonal birth control pill containing Drospirenone. PMS treatment focuses more on the symptoms that bother you most.
- PMDD: SSRIs are a common first treatment. They can be taken every day or only during the two weeks before your period. A birth control pill containing drospirenone is another option.
- Cramps, headaches, and breast tenderness: Over-the-counter pain relievers such as Ibuprofen or Naproxen can help when taken around the start of your period.
- Mood symptoms: An SSRI may help when PMS causes significant irritability, anxiety, or low mood.
- Bloating: A water pill may help with fluid retention and bloating.
- Birth control: Hormonal birth control can improve some PMS symptoms, although it can make symptoms worse for some people.
- Lifestyle changes: Regular exercise, enough sleep, and cutting back on caffeine and salt before your period may also help.
What PMDD medications can we prescribe online?
These are the PMDD treatments our online doctors can prescribe when they are the right fit for you.
What is premenstrual dysphoric disorder (PMDD)?
PMDD is a severe form of PMS that can have a major effect on your mood, daily life, and relationships.
The exact cause is not known. Normal hormonal changes after ovulation appear to play a role, and some people may be more sensitive to them. Serotonin, a brain chemical involved in mood, may also be involved. PMDD symptoms usually stop after menopause, when periods end.
What are the symptoms of PMDD?
Symptoms start one to two weeks before your period and improve within a few days after it starts. A doctor looks for five or more symptoms, with at least one affecting your mood.
- Mood swings
- Irritability or anger
- Feeling depressed or hopeless
- Anxiety or tension
- Feeling more sensitive or emotional
- Trouble concentrating
- Feeling tired or lacking energy
- Changes in appetite or food cravings
- Trouble sleeping or sleeping too much
- Feeling overwhelmed or out of control
- Physical symptoms such as breast tenderness, bloating, headaches, or joint and muscle pain
If you are having thoughts of harming yourself, do not wait this one out. Call or text 988 for the Suicide and Crisis Lifeline, or call 911.
What is the difference between PMS and PMDD?
PMS and PMDD both happen after ovulation and usually improve once your period starts. The main difference is the severity of the symptoms. PMS can cause bloating, sore breasts, headaches, irritability, and other uncomfortable symptoms. PMDD is more severe, with mood symptoms that can interfere with work, school, relationships, and daily life.
PMDD is also much less common than PMS. If you are not sure which one you have, tracking your symptoms for at least two menstrual cycles can help show a clear pattern. A doctor can help you track those symptoms and work out which condition fits.
Meet our 24/7 available telehealth doctors
Dr. Asim Cheema is a board-certified Cardiology and Internal Medicine specialist with nearly 30+ years of clinical experience. He has been operating as an independent practitioner since 2001. He has worked at several leading healthcare institutions in Ontario, including Southlake Regional Health Centre in Newmarket and St. Michael’s Hospital in Toronto. He focuses on the diagnosis, management, and long-term care of complex cardiovascular and internal medicine conditions.
For more than eleven years, Dr. Marsha Dunkley has been committed to providing compassionate, comprehensive medical care to patients across Ontario, British Columbia, and Nova Scotia. Her clinical experience spans chronic conditions such as diabetes, hypertension, and high cholesterol and acute illnesses, including the common cold, seasonal allergies, influenza, and COVID-19.
Dr. Sohail Cheema is a seasoned pediatrician with 30+ years of experience. A 1987 graduate of Nishtar Medical College, he’s recognized for patient-centered care and clear communication. He's a member of the Royal College of Physicians (UK & Ireland) and certified in Ontario. He practices at Halton Healthcare – Georgetown and St. Michael’s Hospital in Toronto.
Dr. Mandy Leideman offers telehealth services and chronic care consultations to patients, whether insured or uninsured. With 30+ years of experience in general practice, she now focuses on long-term care and chronic disease prevention. Dr. Leideman is affiliated with several professional organizations, including the College of Physicians and Surgeons of Ontario, the Canadian College of Family Physicians, and the Canadian Medical Association.
Dr. Kieran Kettyls is a compassionate family physician who specializes in bariatric medicine, women’s health, and in-office procedures. Originally from Calgary, Alberta, he pursued his medical education and training internationally. He provides virtual care for patients across Alberta and British Columbia. He developed an AHS-covered weight loss program focusing on personalized care for obesity, metabolic, and hormonal health.
Dr. Richard Honaker is a board-certified physician with more than 40 years of experience in family and emergency medicine. He serves as Chief Medical Advisor at Your Doctors Online and is affiliated with Medical City Plano in Texas. Recognized multiple times by D Magazine and Texas Monthly, Dr. Honaker provides evidence-based care across a wide range of conditions including diabetes, hypertension, and injury care.
Dr. Monique Rainford is an OB/GYN expert and Assistant Clinical Professor at Yale School of Medicine. With 25+ years of experience, she’s led OB/GYN departments at Yale Health and Baltimore Medical System. Her clinical interests include pregnancy, menstrual health, chronic pelvic conditions, and lifestyle medicine. Dr. Rainford advocates for maternal health equity, especially in underserved communities.
Dr. Candice Fraser is an OB/GYN practitioner and founder of Trinity Medical Care. With over a decade of experience, she focuses on reproductive care, menstrual health, and menopause management. Along with medical training and residency, she also holds an MBA in healthcare management, blending business insight with clinical excellence.
Frequently asked questions
How do you get diagnosed with PMDD?
Keep a daily symptom diary for at least two consecutive periods. Your doctor compares that record with DSM‑5 criteria, rules out thyroid or mood disorders, and may order lab requisitions for hormones or anemia.
Is PMDD a mental illness?
Both, in a way. PMDD is set off by the normal hormone changes after ovulation, so the trigger is hormonal, but the main symptoms are mood symptoms and they are treated as such. That is why the usual first treatment is an SSRI rather than a hormone.
When should I talk to a doctor about PMDD?
Talk to a doctor when mood swings or physical pain in the week before your period are affecting your life, your relationships, or your work, or when over-the-counter pain relievers are not helping. If you are having thoughts of harming yourself, call or text 988 for the Suicide and Crisis Lifeline, or call 911 right away.
What questions should I ask my healthcare provider?
While preparing for the consultation, you can focus on the following questions:
- Why do I have PMDD?
- What’s the best treatment for me?
- What side effects should I watch for?
- Do I need birth control?
- Can I track progress in the application?
Ask a doctor for help by starting a virtual visit.
How to treat PMDD without seeing a doctor?
If you’re diagnosed with PMDD, then for most women, symptom control would likely always require medical treatment from a doctor. Lifestyle changes can help with overall therapy. Our telehealth platform provides care without an office visit, including online prescriptions and certified doctor’s notes for work and school.
How can I manage PMDD with self-care?
Here are some self-care tips for managing PMDD:
- Use a calendar or app to monitor symptoms and plan activities around high and low symptom days.
- Try relaxation techniques like deep breathing, meditation, warm baths, or aromatherapy.
- Aim for 7–8 hours of sleep, keep a consistent sleep routine, and create a calm sleep environment.
- Focus on whole grains, fruits, and vegetables. Limit processed foods, caffeine, alcohol, salt, and sugar.
- Connect with others through online or local PMDD support communities, or get online counseling.
- Include things like uplifting music, nature walks, journaling, positive affirmations, or time with pets and loved ones.
What are the best antidepressants for PMDD?
The FDA has approved three SSRIs for PMDD: sertraline, fluoxetine, and extended-release paroxetine. Which one suits you depends on what you have taken before, how you tolerated it, and what else you are taking, so only a licensed doctor can make that call. Escitalopram and citalopram are prescribed for depression, but neither is approved for PMDD. Learn more about our medications here.
What does a PMDD episode look like?
During the week before your period, you might feel sudden rage, hopelessness, crying spells, or panic along with breast pain, bloating, and fatigue. Symptoms fade within two or three days of menstruation, then return the next cycle unless treated.
Does PMDD get worse with age?
Symptoms often peak in the late 20s and 30s, then improve after menopause. Perimenopause can temporarily intensify them because hormone swings are greater. Ongoing monitoring lets you adjust your plans according to your life stage.
Can you cure PMDD naturally?
There is no natural cure for PMDD. Regular exercise, good sleep, and cutting back on caffeine, salt, and sugar in the two weeks before your period may help some people. You can work with an online nutritionist to make these changes part of your routine. Calcium and vitamin B6 may also help, while the evidence for magnesium is mixed. Supplements are not regulated like medicines, so tell your doctor what you take. These steps do not replace treatment when symptoms are severe.
Can I prevent PMDD?
Not completely, because the hormonal trigger is part of a normal cycle. What you can change is how much it affects you: track your cycles so you know what is coming, stay active, eat regularly, and deal with stress early. Regular reviews with our doctors let you adjust treatment as your cycles change. If your symptoms turn severe, or you are having thoughts of harming yourself, call 911.
