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Premenstrual Dysphoric Disorder (PMDD)

My main surgical fellowship in London, Australia and Germany was in the management of women with suspected or known endometriosis including those women with severe disease.


The problem that you may be facing is difficulty in diagnosis, professional discussion about options and a clear plan regarding what PMDD may mean for you concerning management and long-term treatment options. I will put all the options of management to you including whether you are suitable for options such as removal of the ovaries for women severely impacted by PMDD.


I recommend a double appointment rather than my standard 20-minute time slot. This will give you the best option to really talk about how you have been feeling. If you are self-paying for a double slot and this is your first visit, the additional slot will be charged at 50% of the new consultation fee.


Should you wish to make an appointment for a private consultation regarding PMDD, and undertake the next steps, please book an appointment via this website by completing the form at the bottom of the page, or visiting the contact page for a specific hospital to book directly into my clinic.

Blood Tests

Blood tests may be needed to exclude other causes of why you may be having severe mood symptoms.


This is not usually needed.

Follow Up

You will need a further follow-up appointment to discuss the effects of treatment that may have been offered to you.

Surgical Procedures

Some women require the removal of their ovaries in severe cases. This will be explored and discussed with you only when all treatment options have failed due to the impact the menopausal status will have on a woman. This may require input from psychological services if you are young.


It is difficult to be precise about the costs of a complete assessment for PMDD due to the number of follow-up appointments that may be needed. I would be happy to provide a more accurate verbal estimate to you based on what is found at the consultation.

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