Understanding PMDD: From Misdiagnosis to Management

Understanding PMDD: From Misdiagnosis to Management

July 14, 2026 · 1h 1m · Episode 289

About this episode

Monica Grohne shares her experience with PMDD and discusses its misdiagnosis and management strategies.

If you've felt out of control in your body some weeks of the month, thought maybe you were bipolar or had a personality disorder, felt suicidal or manic out of nowhere, you might not be broken. Your cycle might just be signaling that your progesterone is tanking when it should be at its highest, and once you know that, everything changes. This is Monica Grohne's story, and she's here to tell you that you don't have to stay a victim of this diagnosis. In this episode: Why thinking you have a personality disorder or bipolar diagnosis might actually be PMDD, and why so many therapists are starting to catch this. The diagnostic process for PMDD and why there's no single lab test, which means it requires cycle tracking and usually a few months of data. Why your standard OBGYN might run normal bloodwork and miss the root cause, because "normal" lab ranges aren't the same as functionally optimal. What low progesterone actually does to your brain chemistry when it should be highest in your luteal phase, and why GABA tanks with it. How energy deficiency and high cholesterol can play a role in your progesterone conversion and what to do about it. Why cycling SSRIs works for some people but…

People in this episode

Host: Leah Brueggemann

Guest: Monica Grohne

Topics covered

Keywords

Mentioned in this episode

Organizations: OBGYN

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