PMDD & Severe PMS Specialist Consultations
Private, personalised care for PMS, PMDD and hormone-related mood symptoms with an experienced GP
Online consultations across the UK • 60 minutes • No referral needed • From £260
If your symptoms change in the lead-up to your period — affecting both your mind and body, and ability to cope — you may feel like a different version of yourself at different points in the month.
I provide specialist assessment and treatment for premenstrual dysphoric disorder (PMDD) and severe premenstrual syndrome (PMS).
A 60-minute consultation gives us time to explore your symptoms and menstrual cycle in detail, consider whether PMDD or another hormone-related condition could explain what you're experiencing, and discuss the treatment options available.
“I walked away from the appointment feeling so much more positive and hopeful for the future and for that I will be forever grateful, I finally feel like I can see a light at the end of the tunnel. You are genuinely worth your weight in gold and an invaluable doctor for women like myself.”
You may be looking for help because you are:
trying to understand whether your symptoms could be PMDD or severe PMS
struggling to get a diagnosis or have your symptoms taken seriously
unsure how to track your symptoms or confirm whether they are cyclical
experiencing severe mood symptoms despite having normal hormone blood tests
feeling stuck despite trying previous treatments
looking for a specialist review or second opinion about your treatment options
PMDD care that considers both hormones and mental health
Dr Georgina Standen MBChB MRCGP DRCOG DFSRH
I am an experienced GP specialising in women’s hormonal health, with previous training and experience in both obstetrics & gynaecology and psychiatry.
PMDD sits at the intersection of reproductive hormones and mental health. My approach therefore considers both hormonal and psychological factors rather than treating them as separate problems. This is particularly important when symptoms are complex, severe or haven't responded to previous treatment.
Discussing PMDD on BBC Radio 4 Woman’s Hour
Dr Georgina Standen was invited to contribute to BBC Radio 4's Woman's Hour, discussing PMDD and hormonal mood disorders.
Ready to get specialist help with PMDD or severe PMS?
Get a detailed assessment of your symptoms, discuss whether PMDD or severe PMS could explain what you're experiencing, and explore the treatment options that may be appropriate for you.
New Patient Consultation
A 60-minute specialist consultation for PMDD, severe PMS and cyclical mood symptoms, with time to understand your symptoms in depth and work out the right next steps.
Remote £260 | Calcot Spa (Tetbury) £305
✔ look at how your symptoms change across your cycle and reproductive life
✔ review what you’ve already tried and how your body responded
✔ assess whether your symptoms are consistent with PMDD, severe PMS or another hormone-related condition
✔ discuss appropriate evidence-based treatment options
✔ agree a clear, personalised management plan
You leave with a clear explanation and a personalised plan for what to do next.
Understanding PMDD: Symptoms, Causes & What Can Help
Helping you understand what’s happening in your body and mind, so you can feel more in control and find the right support.
Do I Have PMDD? (Recognition & Diagnosis)
Understanding PMDD (The Science Explained Simply)
How PMDD Affects Your Life
Treatment & Management
FAQs
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PMS (Premenstrual Syndrome) involves mild to moderate physical and emotional symptoms before menstruation. PMDD (Premenstrual Dysphoric Disorder) is a severe form of PMS that significantly impacts daily life with intense mood swings, irritability, and physical discomfort.
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Both PMS and PMDD are linked to hormonal changes during the menstrual cycle, especially fluctuations in estrogen and progesterone. Other factors such as genetics, brain chemistry, stress, and lifestyle can also influence symptoms.
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Diagnosis is based on symptom tracking over at least two menstrual cycles. A healthcare provider will assess symptom patterns, severity, and impact on daily life, ruling out other medical conditions.
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Support varies depending on symptom severity and individual needs. Many women benefit from lifestyle approaches such as nutrition, movement, and stress management, alongside targeted supplements like calcium and magnesium. Following a full clinical assessment, a range of evidence-based options may be discussed to help improve symptoms and overall quality of life. More information can be found in our guide.
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Some women with mild PMS find relief through natural approaches such as balanced nutrition, regular exercise, mindfulness practices, and herbal supplements. However, moderate or severe cases are likely to require medical intervention.
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If your symptoms severely affect your daily life, relationships, or work, or if over-the-counter treatments haven’t helped, consult a healthcare professional or menopause specialist for tailored support.