Premenstrual dysphoric disorder (PMDD) occurs just prior to menstruation and is characterized by significant:
PMDD is much more severe and less common than premenstrual syndrome (PMS).
Factors that may increase your chance of PMDD include:
PMDD may cause:
Symptoms typically begin 10-14 days prior to the start of menstruation.
PMDD will be diagnosed based on your symptoms. You may be asked to keep a record of when your symptoms occur and how severe they are.
Your doctor may also order:
Talk with your doctor about the best treatment plan for you. Treatment options include:
These steps can help manage symptoms of PMDD:
American Congress of Obstetricians and Gynecologists
Office on Women's Health
The Society of Obstetricians and Gynaecologists of Canada
PMS and PMDD. MGH Center for Women's Health website. Available at: http://womensmentalhealth.org/specialty-clinics/pms-and-pmdd. Accessed September 12, 2017.
Premenstrual dysphoric disorder (PMDD). Family Doctor—American Academy of Family Physicians website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/premenstrual-dysphoric-disorder.html. Updated April 2014. Accessed September 12, 2017.
Premenstrual syndrome. EBSCO DynaMed Plus website. Available at: https://www.dynamed.com/topics/dmp~AN~T113966/Premenstrual-syndrome. Updated October 5, 2016. Accessed September 12, 2017.
Last reviewed September 2017 by EBSCO Medical Review Board Beverly Siegal, MD, FACOG
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.