Premenstrual dysphoric disorder (PMDD) occurs just prior to menstruation and is characterized by significant:
PMDD is much more severe and less common than PMS.
Factors that may increase the risk of PMDD include:
Symptoms typically begin 10-14 days prior to the start of menstruation.
Your doctor will diagnose PMDD 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
The Society of Obstetricians and Gynaecologists of Canada
PMS and PMDD. Mass General Hospital Center for Women's Health website. Available at: http://www.womensmentalhealth.org/specialty-clinics/pms-and-pmdd/. Accessed August 14, 2012.
Premenstrual dysphoric disorder (PMDD). Family Doctor.org website. Available at: http://familydoctor.org/online/famdocen/home/women/mental/752.html. Updated August 2010. Accessed August 14, 2012.
Premenstrual syndrome. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/. Updated June 14, 2012. Accessed August 14, 2012.
Last reviewed September 2013 by Andrea Chisholm, MD
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.