Question

Why do I get anxiety and panic attacks before my period?

Answer 1

Experiencing anxiety and panic attacks before your period is a common phenomenon and is often associated with a condition known as premenstrual syndrome (PMS). PMS refers to a combination of physical, emotional, and behavioral symptoms that occur in the days leading up to menstruation. It affects a significant number of menstruating individuals, with estimates ranging from 75% to 90% experiencing some form of PMS.

The exact cause of PMS and its associated anxiety and panic attacks is not fully understood, but hormonal fluctuations are believed to play a significant role. Here's how it typically works:

1. Hormonal changes: During your menstrual cycle, hormone levels, particularly estrogen and progesterone, fluctuate. As your period approaches, the levels of these hormones drop, which can lead to imbalances in neurotransmitters in the brain, such as serotonin. Serotonin is known to regulate mood, and changes in its levels can contribute to anxiety and mood swings.

2. Sensitivity to hormonal changes: Some individuals are more sensitive to these hormonal fluctuations, which can trigger emotional and psychological symptoms, including anxiety and panic attacks.

3. Stress and lifestyle factors: Stress, lack of sleep, and dietary habits can exacerbate the effects of hormonal changes and make you more susceptible to experiencing anxiety and panic attacks during PMS.

4. Underlying mental health conditions: If you already have a history of anxiety or panic disorder, the hormonal changes during your menstrual cycle might exacerbate these conditions.

It's important to note that while anxiety and panic attacks during PMS are common, they shouldn't be dismissed as just a regular part of menstruation. If your symptoms are severe, significantly impact your daily life, or persist beyond your period, it's essential to seek help from a healthcare provider or a mental health professional. They can help you manage your symptoms effectively and explore potential treatment options, such as lifestyle changes, stress management techniques, therapy, or medication if necessary.