From PMS to PMDD: Understanding the Difference

Premenstrual syndrome | Dr. Rogers Centers

Living with premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) can present significant challenges for many women. The physical and emotional symptoms of PMS are familiar to many, yet PMDD brings a more intense experience that can deeply impact daily life. Understanding the differences between these two conditions is key to finding the right approach to treatment.

At Dr. Rogers Centers in San Antonio, TX, we specialize in addressing hormonal imbalances that can contribute to conditions like PMS and PMDD. Bioidentical hormone replacement therapy can offer balance and relief for those struggling with these issues. By focusing on individual hormonal profiles, we aim to provide relief and improve overall well-being.

PMDD vs. PMS: What Is the Difference?

What Is PMS?

Premenstrual syndrome is a condition that affects numerous women, characterized by a range of symptoms that occur in the lead-up to the menstrual period. It’s a cyclical disorder, meaning the symptoms appear consistently in the second half of the menstrual cycle and typically resolve once menstruation begins. PMS varies widely in its intensity and symptoms, impacting women’s physical, emotional, and mental health each month.

Common PMS Symptoms

The symptoms of PMS can vary, but commonly include:

  • Mood swings and irritability
  • Bloating and abdominal discomfort
  • Headaches
  • Fatigue
  • Breast tenderness
  • Sleep disturbances
  • Changes in appetite or food cravings
  • PMS nausea

These symptoms can range from mild to severe and may affect daily activities and overall quality of life.

What Is PMDD? 

Premenstrual dysphoric disorder is a more severe form of premenstrual syndrome. It affects a smaller percentage of women but with more intense symptoms. PMDD not only involves the physical discomforts associated with PMS but also leads to significant emotional and psychological distress. This condition can disrupt daily functioning and requires careful management.

Common PMDD Symptoms

The symptoms of PMDD are more severe than PMS and often include:

  • Severe mood swings and increased emotional sensitivity
  • Depression or feelings of hopelessness
  • Anxiety and tension
  • Anger or irritability
  • Difficulty concentrating
  • Fatigue
  • Sleep problems
  • Physical symptoms like joint or muscle pain, bloating, and breast tenderness

PMDD symptoms can significantly impact quality of life and daily activities.

What Is BHRT?

Bioidentical hormone replacement therapy (BHRT) is a treatment designed to treat hormonal imbalances by using hormones that are the same in their chemical makeup as those that the body produces on its own. This therapy is often sought for conditions related to hormonal changes, such as menopause, PMS, or PMDD. BHRT aims to restore hormonal balance and alleviate symptoms associated with these conditions.

How Does BHRT Work?

BHRT works by supplementing the body’s hormone levels, particularly when natural hormone production declines or becomes unbalanced. This supplementation helps stabilize hormone levels, reducing symptoms caused by hormonal imbalances. The therapy is customized based on individual hormone levels and specific needs.

How Is BHRT Administered?

BHRT can be administered in various forms, including hormone pellets and creams. Hormone pellet therapy, our preferred method, involves inserting small pellets under the skin that slowly release hormones over time. This method gives you a steady, consistent dose of hormones, mimicking the body’s natural hormone release.

How Long Can BHRT Work?

The duration of effectiveness for BHRT can vary from person to person. Generally, it depends on factors such as the individual’s hormonal needs, the method of administration, and the specific hormones used. Regular monitoring and adjustments are key to maintaining the therapy’s effectiveness over time.


For those experiencing PMS, hormone replacement through BHRT can be beneficial. It can help regulate the hormonal fluctuations that contribute to the physical and emotional symptoms of PMS. By restoring hormonal balance, BHRT can reduce the severity and frequency of PMS symptoms, improving overall quality of life.


Bioidentical hormone replacement therapy can be a valuable PMDD treatment. BHRT addresses the hormonal imbalances that exacerbate PMDD symptoms, providing relief from severe mood swings, anxiety, and physical discomforts. This therapy is tailored to each individual’s hormonal profile, offering a targeted approach to managing PMDD symptoms.

The BHRT Pellet Process

Step One: Testing and Consultation

The process begins with thorough testing and a consultation to evaluate your hormonal needs. This step is essential to determine the appropriate hormone pellet dosage that will effectively balance your hormone levels.

Step Two: Incision

As part of the bioidentical hormone replacement therapy, a small, precise incision is made in the skin. This incision is typically made in an area that’s discreetly hidden to ensure comfort and privacy.

Step Three: Insertion of Pellet

During this step, the hormone pellet therapy involves the careful insertion of the pellet through the incision using a trocar. The pellet is strategically placed in the fat layer, where it will steadily release hormones.

Step Four: Closing the Incision

Once the pellet is correctly positioned, the incision is closed, usually with bandages rather than sutures. This part of the hormone replacement process is performed with attention to minimizing discomfort and promoting quick healing.

Step Five: Monitoring for Results

After the insertion, the final step involves ongoing monitoring to assess the results of the therapy. This includes regular follow-up appointments to make sure the therapy is effective and to make any necessary adjustments.

Is BHRT Right for You? 

Determining if bioidentical hormone replacement therapy is suitable for you depends on your individual health needs and hormonal balance. At Dr. Rogers Centers in San Antonio, TX, we provide personalized care to help you make this important decision. If you’re considering BHRT as a solution for hormonal imbalances, we’ll guide you through the process with expertise and care. To discuss your options or learn more, please contact us or call us at (210) 495-2117 to schedule a consultation.

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