澳大利亚作家劳拉·伊丽莎白·伍莱特出版了首部非虚构回忆录《地狱日子》,以个人经历与深入研究相结合的方式,揭示经前期不适症(PMDD)这一被长期忽视的精神疾病。1该书不仅记录了作者在25岁被确诊PMDD的过程,还追溯了女性健康领域的医学史与性别政治问题。1
PMDD是一种严重的激素相关情绪障碍,仅占育龄月经使用者的5.5%,远低于更为常见的经前综合征(PMS)的95%患病率。1然而这一疾病直到2013年才被正式确认为精神疾病诊断。1患有ADHD的女性患PMDD的可能性是普通女性的三倍,1而PMDD患者的自杀风险尤为严峻——自杀企图的可能性是同龄女性的七倍,死于自杀的可能性是两倍。1
伍莱特的著作审视了女性医疗中的系统性问题。20世纪50年代在波多黎各进行的口服避孕药临床试验中有三名女性死亡,1而当男性避孕药试验出现情绪波动、痤疮和性欲改变等副作用时,该试验便被停止。1作者本人在使用避孕药治疗PMDD后经历了严重肾衰竭,进一步说明了这一疾病治疗中的风险与挑战。1与此同时,社交媒体上关于"周期同步"(cycle syncing)的讨论大为流行,截至2026年5月,Instagram上相关话题帖子数达221000条,TikTok上则有105000条。1
Australian author Laura Elizabeth Woollett has published a debut nonfiction memoir titled Days of Hell that examines premenstrual dysphoric disorder (PMDD) through both personal experience and rigorous research.1 The work traces Woollett's diagnosis with PMDD in her mid-twenties, after years of undiagnosed symptoms, and documents her experience of severe kidney failure following treatment with oral contraceptives.1
PMDD is a psychiatric condition that remained officially unrecognized until 2013, despite affecting approximately 5.5 percent of menstruating people of reproductive age, compared to 95 percent who experience common premenstrual syndrome.1 Those with PMDD face markedly elevated health risks: women with the disorder are seven times more likely to attempt suicide than their peers and twice as likely to die by suicide.1 Additionally, women with ADHD are three times more likely to develop PMDD than the general population.1
Woollett's memoir situates the medical and personal dimensions of PMDD within broader historical and political contexts, examining the history of women's reproductive health research, gender politics in medicine, and contemporary health misinformation.1 The book draws attention to troubling precedents in contraceptive development, including three deaths among women in a 1950s oral contraceptive trial conducted in Puerto Rico, and the discontinuation of male contraceptive trials due to side effects such as mood changes, acne, and altered libido.1 The memoir's publication arrives amid growing online discourse about menstrual-cycle health practices, with cycle-syncing content generating 221,000 posts on Instagram and 105,000 on TikTok as of May 2026.1
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