{"id":1692,"date":"2017-02-12T21:06:56","date_gmt":"2017-02-13T02:06:56","guid":{"rendered":"https:\/\/natural-womanhood.local\/?p=1692"},"modified":"2024-04-02T19:28:40","modified_gmt":"2024-04-03T00:28:40","slug":"pmdd-la-menstruacion-de-las-mujeres-las-convierte-en-enfermas-mentales","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/es\/pmdd-are-womens-periods-making-them-mentally-ill\/","title":{"rendered":"TDPM: \u00bfla menstruaci\u00f3n enferma mentalmente a las mujeres?"},"content":{"rendered":"

Mi trabajo diario es gestionar el marketing de un hospital psiqui\u00e1trico infantil; me tomo en serio las enfermedades mentales. La depresi\u00f3n, por ejemplo, no es un sentimiento pasajero de tristeza, es un agujero oscuro que puede arrebatar a alguien toda su capacidad y voluntad de vivir con normalidad. La \u00faltima versi\u00f3n del Manual Diagn\u00f3stico y Estad\u00edstico, el DSM-5, incluye por primera vez el Trastorno Disf\u00f3rico Premenstrual (TDPM), a veces descrito como \"SPM con esteroides\", como un trastorno mental distinto. Esta nueva clasificaci\u00f3n ha suscitado serias preocupaciones entre algunas mujeres<\/a> que comprensiblemente temen el estigma y la tergiversaci\u00f3n que pueden asociarse a ella. Sin embargo una condici\u00f3n prevalente<\/a> debe ser reconocida por la profesi\u00f3n m\u00e9dica y clasificada adecuadamente para que no sea desatendida. He aqu\u00ed una r\u00e1pida descripci\u00f3n de la enfermedad y un enfoque innovador del tratamiento.<\/p>\n

\u00bfQu\u00e9 es el TDPM?<\/h3>\n

El Trastorno Disf\u00f3rico Premenstrual o TDPM es una enfermedad \u00fanica. La paciente experimenta depresi\u00f3n extrema, irritabilidad, ansiedad o ira en las dos semanas que preceden a la menstruaci\u00f3n. Es mucho m\u00e1s grave que los cambios de humor y el mal humor general que las mujeres suelen experimentar como parte del s\u00edndrome premenstrual (SPM). Las mujeres con TDPM no pueden desenvolverse en la vida cotidiana y corren el riesgo de hacerse da\u00f1o a s\u00ed mismas o a los dem\u00e1s durante este periodo de desequilibrio hormonal.<\/p>\n

Todos los s\u00edntomas son similares a los del s\u00edndrome premenstrual, pero con una gravedad notablemente mayor. Si se experimentan cinco o m\u00e1s de los siguientes s\u00edntomas al menos 4 d\u00edas antes de la menstruaci\u00f3n, debe investigarse la posibilidad de un TDPM:
\n* Desinter\u00e9s repentino por las actividades y relaciones cotidianas.
\n* Fatiga abrumadora o baja energ\u00eda
\n* Sentimientos extremos de tristeza o desesperanza, con posibles pensamientos suicidas.
\n* Sensaci\u00f3n de tensi\u00f3n o ataques incontrolables de ansiedad\/dolor.
\n* Ansias de comer o atracones
\n* Cambios de humor marcados por periodos de llanto sin motivo.
\n* Irritabilidad o ira persistentes que afectan a las relaciones personales.
\n* Dificultad para concentrarse en tareas sencillas
\n* S\u00edntomas f\u00edsicos, como hinchaz\u00f3n, sensibilidad mamaria, dolores de cabeza y dolores articulares o musculares.
\n* Dormir demasiado o demasiado poco<\/p>\n

\u00bfUna enfermedad misteriosa?<\/h3>\n

Aunque varios de los s\u00edntomas del TDPM se parecen a los de la depresi\u00f3n grave, es muy diferente en el sentido de que estos s\u00edntomas aparecen y desaparecen a lo largo de las etapas del ciclo de la mujer. La paciente empezar\u00e1 a experimentarlos unas dos semanas antes del primer d\u00eda de su menstruaci\u00f3n y se sentir\u00e1 mejor cuando \u00e9sta empiece.<\/p>\n

Los investigadores no est\u00e1n seguros de por qu\u00e9 el trastorno se da en unas mujeres y no en otras. Hay algunas teor\u00edas que pueden explicar por qu\u00e9 el SPM se convierte en TDPM, desde una deficiencia de progesterona hasta una disminuci\u00f3n de la actividad de la serotonina desencadenada por el ciclo ov\u00e1rico. El TDPM entra definitivamente en la categor\u00eda general de enfermedad mental seg\u00fan la definici\u00f3n de la Asociaci\u00f3n Americana de Psiquiatr\u00eda: \"Las enfermedades mentales son condiciones de salud que implican cambios en el pensamiento, la emoci\u00f3n o el comportamiento (o una combinaci\u00f3n de \u00e9stos)\".<\/p>\n

Los psiquiatras est\u00e1n capacitados para tratar una enfermedad mental con medicamentos dirigidos a la qu\u00edmica cerebral del paciente, de modo que los s\u00edntomas de la enfermedad puedan disminuir y la persona recupere una vida m\u00e1s normal. Por ello, el tratamiento del TDPM suele incluir inhibidores de la recaptaci\u00f3n de serotonina (ISRS) y asesoramiento. Esta v\u00eda puede ser eficaz y es una opci\u00f3n para las mujeres que padecen TDPM, sobre todo para las que corren el riesgo de hacerse da\u00f1o a s\u00ed mismas. Consulte siempre con su m\u00e9dico para encontrar el tratamiento adecuado.<\/p>\n

Pero hay m\u00e1s en la historia.<\/p>\n

Recientemente, algunos m\u00e9dicos est\u00e1n reconociendo los factores hormonales y han llamado al TDPM \"un trastorno hormonal con expresiones psicol\u00f3gicas.\" Debido a la conexi\u00f3n hormonal, los investigadores han intentado tratar el TDPM con una variedad de anticonceptivos hormonales dise\u00f1ados para suprimir la variaci\u00f3n hormonal. Aunque la idea parece l\u00f3gica, estos intentos no son concluyentes o tienen efectos secundarios graves<\/a>.<\/p>\n

Un enfoque personalizado basado en el ciclo<\/h3>\n

En sus revolucionarias investigaciones llevadas a cabo durante los \u00faltimos 30 a\u00f1os, el Dr. Thomas Hilgers apunta a una nueva forma de tratar eficazmente esta afecci\u00f3n. En su libro de 2004 Pr\u00e1ctica m\u00e9dica y quir\u00fargica de la NAPROTECNOLOG\u00cdA<\/em>El autor presenta un estudio concluyente sobre la eficacia de su m\u00e9todo. Presenta un estudio en el que 37% de pacientes con TDPM mostraron una notable mejor\u00eda y 43% una mejor\u00eda moderada tras un tratamiento de tres meses de duraci\u00f3n.<\/p>\n

La clave de su enfoque es el uso de m\u00e9todos basados en el conocimiento de la fertilidad (FABM) para trazar<\/a> e identificar los cambios reales en los niveles hormonales en las distintas fases del ciclo. El momento de la ovulaci\u00f3n puede variar mucho entre pacientes y entre ciclos, y este primer paso es fundamental para diagnosticar la causa del TDPM. Los FABM permiten a la mujer observar e informar del momento en que ovula bas\u00e1ndose en sus biomarcadores, como la secreci\u00f3n de fluido cervical, el cambio de temperatura o el cambio en los niveles hormonales mediante un monitor de LH. Esta avanzada tecnolog\u00eda de seguimiento de los ciclos est\u00e1 ampliamente disponible a trav\u00e9s de redes de instructores<\/a> en todo Estados Unidos.<\/p>\n

Utilizando la informaci\u00f3n de la historia cl\u00ednica de la mujer, que muestra no s\u00f3lo el inicio de la menstruaci\u00f3n sino tambi\u00e9n el momento en que se produjo la ovulaci\u00f3n, los an\u00e1lisis de sangre realizados en distintos momentos permiten al m\u00e9dico conocer sus niveles hormonales y compararlos con los de pacientes sanas. Normalmente, la hormona progesterona aumenta justo despu\u00e9s de la ovulaci\u00f3n. En el estudio, en promedio, las pacientes con TDPM mostraron un nivel significativamente m\u00e1s bajo en el aumento de progesterona despu\u00e9s de la ovulaci\u00f3n.<\/p>\n

Armado con esta informaci\u00f3n, el Dr. Hilgers dise\u00f1\u00f3 una serie de tratamientos destinados a aumentar estos niveles en el momento cr\u00edtico. Una vez m\u00e1s, el apoyo hormonal, que se administra utilizando hormonas bioid\u00e9nticas, debe tener en cuenta el momento de la ovulaci\u00f3n, lo que requiere que la paciente haga un gr\u00e1fico de sus ciclos. Suministrar suplementos hormonales en el momento equivocado simplemente no funcionar\u00e1 y puede empeorar las cosas.<\/p>\n

En Redes Creighton FetilityCare<\/a> ofrece una red de consultores m\u00e9dicos afiliados formados en la identificaci\u00f3n y el tratamiento del SPM\/TDPM mediante el enfoque NaProTECHNOLOGY. FEMM<\/a> es otra organizaci\u00f3n que ayuda a las mujeres sobre la base de una comprensi\u00f3n m\u00e1s profunda de su ciclo \u00fanico, incluyendo un panel hormonal b\u00e1sico completo, la evaluaci\u00f3n de los niveles hormonales y el historial m\u00e9dico con el fin de ver si hay un componente qu\u00edmico \/ hormonal, y \/ o la colaboraci\u00f3n con el asesoramiento.<\/p>\n

Con la atenci\u00f3n m\u00e9dica adecuada, las mujeres con TDPM mejoran y a menudo son capaces de continuar con las actividades de la vida diaria durante su periodo premenstrual. Me temo que, debido a que el p\u00fablico en general malinterpreta estos trastornos y a veces los ridiculiza, siguen envueltos en el silencio y, en consecuencia, muchas mujeres que necesitan ayuda no reciben el apoyo que necesitan. No podemos cerrar los ojos a la realidad del TDPM por miedo a la estigmatizaci\u00f3n, sino intentar comprenderlo y tratarlo de verdad.<\/p>\n

Que est\u00e9s bien,<\/p>\n

Gerard Migeon<\/p>\n

Lea aqu\u00ed nuestro aviso legal<\/a><\/p>","protected":false},"excerpt":{"rendered":"Mi trabajo diario es gestionar el marketing de un hospital psiqui\u00e1trico infantil; me tomo en serio las enfermedades mentales. 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