I usually have this well managed with meds but for the last few days I've been experiencing the hell of PMDD, which is PMS' evil stepsister.
5 facts about Premenstrual Dysphoric Disorder:
😡 It is a severe and debilitating disorder that, like PMS, has mood related symptoms that recur monthly during the luteal phase of the menstrual cycle then cease when the period begins.
😡 It affects 2–5% of menstruating people.
😡 Symptoms can include severe irritability and overreactions (more than once I've had to buy a new phone while suffering from a PMDD mood swing because an app froze or some other mild inconvenience and I threw the phone on the ground in frustration), depression, feelings of hopelessness, conflict with other people (99% of the arguments I've had with Ryan have happened with PMDD), and intense white-hot uncontrollable rage.
😡 It was added to the DSM 5 and classified as a "depressive disorder not otherwise specified". Some were concerned that diagnostic inclusion would give ammunition to stereotypes that "women go crazy in their periods" or would pathologize the normal happenings of the menstrual cycle. Others note that PMDD is disordered PMS, and not normal.
😡 Taking birth control pills and skipping the placebo week can be a helpful treatment (because no period = no period disorders). But even though there is no medical benefit for anyone to take the placebo pills, and even if a doctor prescribes skipping the placebo pills in treatment of this disorder, many insurance companies still won't cover the extra week of active pills needed to round out the month because, as we learned in a bombshell news story that came out last week, 60 years ago the creators of the birth control pill hoped their new controversial contraceptive would be more palatable to the pope if women still bled every month.
Spoiler alert: the Catholic Church is still opposed to birth control and PMDD sufferers and others with cycle related medical issues treated with uninterrupted birth control have been needlessly in agony for the last 6 decades. Talk about white-hot rage.
Not an ad for any of the brands in the photo, just showing you how I'm getting by.
As a sexologist I am often asked if I know of any resources for a variety of sexual health services and information, so I decided to create this handy list of my most commonly shared referrals. Be sure to bookmark this for future reference to help yourself or a friend in need!
Note: Nearly all of these resources are non-profits and rely on donations to continue providing these incredibly valuable services. If you’re able, consider paying it forward and sending them a few bucks!
National Abortion Federation
Professional association of abortion providers with information, resources, and a directory of abortion providers by state.
Information about abortion, live chat feature to ask questions, and a directory of abortion clinics by zip code.
Directory of funds available to help pay for your abortion by state.
Image via Scarleteen
Inclusive, comprehensive, supportive sexuality and relationship info for teens and emerging adults
Sex education for teens, by teens, published by Answer, a national organization that provides and promotes unfettered access to comprehensive sexuality education for young people and the adults who teach them.
I Wanna Know
A site from the American Sexual Health Association, it offers information on sexual health for teens and young adults.
San Francisco Sex Information
Free, confidential, accurate, non-judgmental information about sex by phone or email answered by volunteer sex educators.
Image via Bedsider
Comprehensive information on birth control methods, a directory of where to get them by zip code, and a reminder app.
Comprehensive information on birth control methods, a quiz on which method is best for you, a directory of Planned Parenthood locations by zip code, and a reminder app.
Clinical Sex Therapists/Psychotherapists
Directory of clinicians, mental health practitioners, and psychologists with training in sexuality and certification by state.
Domestic Violence Survivor Support
Directory of emergency shelters by zip code, 24/7 hotline, and information on how to get an Order of Protection.
Advocates for Youth
Printable lesson plans and materials for elementary to high school aged students on dozens of sexual health topics including decision making, relationships, sexual orientation and gender identity, stereotypes and discrimination, and reproduction.
The Center for Sex Education
Curricula, manuals, and sex educator resources.
Our Whole Lives
Honest, accurate, lifespan sexuality education curricula with step-by-step instruction for program planners and facilitators, with 7 programs speaking to participants’ needs by age (grades K-1, 4-6, 7-9, 10-12, young adult, adult, and older adult.)
Image via UCSD LGBT Resource Center
Directory of LGBT Community Centers by zip code (LGBT Community Centers offer services that often include community space, youth drop-in centers, books and resources, counseling, healthcare services, leadership opportunities, and social events).
The Trevor Project
Crisis intervention and suicide prevention services to lesbian, gay, bisexual, transgender and questioning (LGBTQ) young people ages 13-24 via phone, chat, or text.
Legal help desk provides information and resources regarding discrimination related to sexual orientation, gender identity and expression, and HIV status.
A free, 3 full day conference with 250 workshops of all types for anyone who feels like they belong there, anyone who identifies as an ally to the trans community, and anyone looking to respectfully learn more about themselves and others.
Sunshine Behavioral Health - Transgender Addiction Resources
Resources for Transgender individuals seeking substance use treatment.
Research and Data
Research reports, fact sheets, and infographics on sexual and reproductive health.
The Journal of Sex Research
Scholarly peer-reviewed journal devoted to the publication of research articles on diverse topics in contemporary sexual science.
Sex and Disability
Sex and Disability
Information and blogs about sexuality and disability.
Sex Positive Doctors
National Coalitions for Sexual Freedom
Directory of psychotherapeutic, medical, legal and other professionals who have stated that they are “kink aware” and knowledgeable about and sensitive to diverse expressions of sexuality.
I am often asked by folks if I can know of a sex-positive, non-judgey, feminist gynecologist and/or obstetrician in their area. Sadly, such a database does not exist to my knowledge, but someone really should create one! Slut-shaming gynos are the worst!
Equal Employment Opportunity Commission
Information on sexual harassment and discrimination in the workplace and how to file a Charge of Discrimination.
U.S. Department of Education, Office for Civil Rights
Information on sexual harassment in school and how to file a Title IX complaint.
Sexually Transmitted Infections
Image via Center for Disease Control
Information on infections, treatments, and prevention from the CDC.
STI testing location finder by zip code from the CDC.
Resources for People Living with HIV from the CDC.
Sexual Violence Survivor Support
Directory of Rape and Sexual Assault Crisis Centers by zip code (Rape and Sexual Assault Crisis Centers offer services to survivors and their families that often include free counseling, legal assistance, advocacy and accompaniment to the hospital, police station, and/or court hearings, and 24/7 hotlines).
1 in 6
Live chat help and online support group for male survivors.
Talking to Kids About Sex
List of books to aid in parent to child sexual health conversations (Robie H. Harris’ 3 book series is especially good).
1. One-on-one sexual wellness coaching worldwide via phone.
2. Private sex education classes for adults in San Diego, CA.
3. Sexual health and pleasure products.
4. Sexuality education, information, and insight via blog posts and graphics.
**These sources are provided for informational and educational purposes only and are not intended as medical advice and should not be a substitute for a visit or a consultation with a healthcare provider or other appropriate professional.**