Women Undergoing Hysterectomies to Alleviate PMDD Issues

In the UK, the Department of Health has announced an investment of £80 million to give General Practitioners (GPs) faster access to specialist advice for conditions like Pre-Menstrual Dysphoric Disorder (PMDD). This investment comes as a response to the growing need for effective treatment options for PMDD, a condition similar to severe PMS that causes emotional and physical symptoms for up to two weeks before a woman's period.

One woman, Nichole, who suffered from PMDD, had a hysterectomy and oophorectomy in her early 20s. Prior to her surgery, she had tried antidepressants, various methods of contraception, and chemical menopause, but found no relief.

Nichole described an episode of PMDD as a feeling of losing control and being overcome by a cloud that cannot be fought. After a severe mental health episode related to PMDD, she was placed on an emergency waiting list for a full hysterectomy and oophorectomy.

The decision to undergo such a drastic procedure was not taken lightly by Nichole. She stated, "But if taking my womb and ovaries away would give me a better quality of life, it would be that over bringing a child into the world." However, she later expressed her regret about the decision, stating, "I shouldn't have had to make that massive decision just so I could function."

Dr Michael Craig, a consultant psychiatrist at the Maudsley Hospital, specializes in treating people with severe PMS and PMDD. He has not had anyone as young as 16 undergo a hysterectomy or oophorectomy, but he has had patients in their late teens due to the severity of their condition. Dr Craig stated that PMDD, at its extreme end, includes symptoms associated with severe depression and suicidal ideation. Women with PMDD report intense mood swings, feelings of tearfulness, hopelessness, and in some cases, suicidal thoughts.

It is estimated that around 1 in 50 women in the UK have PMDD, although the actual number could be higher due to lack of awareness. The Department of Health aims to cut waiting times for gynaecological services, expand access to contraception and screening, and bring care closer to home through their 10-Year Health Plan.

Despite the investment and efforts to improve access to treatment, some people with PMDD may seek surgery out of desperation. Nichole's story serves as a reminder of the urgent need for more effective treatment options and increased awareness of PMDD.