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Premenstrual Dysphoric Disorder (PMDD) is a severe form of premenstrual syndrome (PMS), and is thought to affect more than one in 20 menstruating women. Actor and stand-up comedian Bella Humphries suffers from PMDD, and told the BBC: “My period sometimes makes me want to take my life.” According to the International Association for Premenstrual Disorders (IAPMD), 34% of the people who have been diagnosed with the condition have attempted suicide. Humphries, 29, continued: “It’s secrecy and silence that will kill people, not the disease or the disorder.” According to the IAPMD, it takes on average 12 years to be diagnosed with the condition. Here’s everything you need to know about it… What is PMDD? PMDD is a severe form of PMS, and is characterised by debilitating physical and emotional symptoms that occur during the time between ovulation and when the period is due to begin. This is known as the luteal phase and lasts around two weeks – although the length can vary from person to person. In June 2019, the World Health Organisation (WHO) added PMDD to the International Statistical Classification of Diseases and Related Health Problems, meaning it’s now recognised as a legitimate medical diagnosis. What are the symptoms? People with PMDD might experience a broad range of symptoms, and it’s different for everyone. “In PMDD, symptoms are extreme and can seriously impact quality of life, work and relationships. Many women report feeling suicidal,” said Dr Ghazala Aziz-Scott, a specialist in integrative women’s health and bioidentical hormone balancing for the Marion Gluck Clinic. “Symptoms can be cyclical and chronic – they include mood swings, anger, irritability, anger, anxiety, depression, anhedonia [the reduced ability to experience pleasure], fatigue, and brain fog. Physical symptoms include breast tenderness, headaches, bloating, food cravings, and insomnia.” Are there any treatments? Treatments can include “antidepressants, oral contraception and counselling”, said physician associate Simisola Ade. “A discussion with a doctor should be had to decide on what treatment is appropriate and how bad the PMDD symptoms are.” Aziz-Scott continued: “PMDD has a complex aetiology [causes] and it is vital to evaluate the root cause of the hormonal imbalance and if there are also any coexisting psychiatric conditions. “A healthy diet and good lifestyle can go a long way in supporting the body, B6 and magnesium supplementation are helpful and the use of natural progesterone in the second half of the cycle can be very beneficial.” What other things can people do to help? “Women who have PMDD need to be mindful and easy with themselves. Self-care is very important,” said Ade. “Also keeping a cycle diary is key, especially if you suspect you have PMDD, because some people aren’t aware that they have PMDD until they actually start tracking their symptoms and notice that they are cyclical. This can also help diagnosis and treatment be much quicker. “Talking to other people who have PMDD can be very beneficial too. There are international organisations that can help. Be open with your doctor and tailor treatments for yourself to ensure you put things in place when you are in that luteal phase. Getting to know your PMDD symptoms will help to make those symptoms more bearable.” Dr Adiele Hoffman, medical advisor at Flo Health agrees and said: “It’s very common to experience both emotional and physical discomfort in the days leading up to your period. However, these symptoms should not be so severe that they significantly impact your life, work, your family, or your other relationships. “But if they do, however, consistently affect your life, you should show these logs to a doctor. It can be very helpful for the doctor prescribing appropriate treatment. Most importantly, remember that no one should have to live with debilitating PMDD symptoms.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live JW Anderson is teaming up with a major tennis star for new collection N-Dubz cement comeback with first new album in 13 years Irregular sleep patterns linked to harmful gut bacteria, study suggests

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Jazmin Sagastiverza and Jean Franco Vergaray have an untraditional love story. That continued when the two got engaged and Sagastiverza began to go wedding dress shopping. The couple originally met in 2015 when Sagastivera went to a dance class with a different date and Vergaray was the one teaching it. She said they hit it off quickly and have been together ever since. They got engaged in September 2021 and were married on 1 April 2023. "We had a lot of little jokes on the invite [about the date]," Sagastiverza told Insider. "We were like, ‘And this is not an April fools’ joke, so if you’re coming, please RSVP. The wedding had around 50 guests in attendance as the pair wanted something “really intimate.” It was a destination wedding in Baja California, Mexico, at the Villa Santa Cruz. "We keep describing it as a beachy fever dream," Sagastiverza said. "It was just very, very chill." One aspect that wasn’t very chill was wedding dress shopping. Originally, Sagastiverza didn’t have an idea regarding what type of dress she wanted and remained open-minded by trying on everything. "I had so many different options," she said. “The only thing she was convinced couldn’t work was a slip dress because she didn’t think she was tall enough. “You have to be, like, 5’9,” she said. The situation improved after she had an appointment at Les Aimants, a New York-based bridal brand. This “bridal lab” allows brides to pick and choose specific pieces from various wedding dresses to be combined into one custom wedding dress in eight to 12 weeks. To ensure the dress fits the bride perfectly, its founder, Manon Martin uses 3-D rendering software in addition to 3-D body measuring to create renderings that allow brides to customise their dresses as they are made. Sagastiverza showed up at the Greenpoint, Brooklyn, studio after failed attempts looking in Manhattan. She sat down with Martin over a glass of champagne to figure out what type of dress she wanted. Martin suggested she partially customise her dress by taking the top and bottom from two different gowns. As skeptical as Sagastiverza was about trying on a slip dress, she trusted Martin’s opinion and it was almost perfect. The gown had spaghetti straps and a V-neckline with triangular detailing on the bodice with a simple skirt. But she still felt something was missing until Martin brought out a detachable train that had flowers embroidered on it which sealed the deal for her. The entire back of the dress was customized to become backless so the train sat at her waist. "I just felt like it was really tailored to me, which was the thing that set her apart from every other place that I went to," Sagastiverza said. Throughout the process, she was able to see what the dress looked like on a 3-D rendering of her body measurements to make sure she loved it. "I put it on, and I was like, ‘I feel so expensive,’" she said. "It’s crazy because you compare it to other places, and it was actually really affordable.” In total the dress cost approximately $2,700. Read More Rita Ora shares why she chose a see-through wedding dress: ‘It was meant to be’ Bride cuts and dyes her wedding dress purple for Taylor Swift’s Eras Tour Leigh-Anne Pinnock unveils the three wedding dresses she wore to marry Andre Gray in Jamaica

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