Mental & Emotional Health

Do you have unpleasant, disturbing emotional and physical symptoms before your monthly menstrual periods? Do these symptoms disrupt your life and interfere with your usual activities and your relationships with others? Do the symptoms go away when your flow begins or shortly thereafter, only to return before your next period? If this description sounds like you, you may have a condition known as premenstrual dysphoric disorder or PMDD.

Premenstrual dysphoric disorder or PMDD is a condition associated with severe emotional and physical problems that are linked closely to the menstrual cycle. Symptoms occur regularly in the second half of the cycle and end when menstruation begins or shortly thereafter. PMDD is not just a new name for premenstrual syndrome (PMS), a condition that affects as many as 75% of menstruating women. It is, however, considered to be a very severe form of PMS that affects about 5% of menstruating women. Both PMDD and PMS share symptoms in common that include depression, anxiety, tension, irritability and moodiness. What sets PMDD apart is its severity. Women with PMDD find that it has a very disruptive effect on their lives. Please read on to get more information about PMDD — what it is, how it is diagnosed and how it is treated.

PMDD symptoms begin sometime after the middle of a monthly cycle (after ovulation), usually get worse during the week before menses, and then usually disappear within a few days of the start of menses. The symptoms follow this pattern every month or almost every month.

Here are the symptoms that make up the diagnosis of PMDD. All of the symptoms do not need to be present, and they may vary from month to month. At least 5 are required to make the diagnosis, including at least one of the first four.*

1. Very depressed mood, feeling hopeless
2. Marked anxiety, tension, edginess
3. Sudden mood shifts (crying easily, extreme sensitivity)
4. Persistent, marked irritability, anger, increased conflicts
5. Loss of interest in usual activities (work, school, socializing, etc.)
6. Difficulty concentrating and staying focused
7. Fatigue, tiredness, loss of energy
8. Marked appetite change, overeating, food cravings
9. Insomnia (difficulty sleeping) or sleeping too much
10. Feeling out of control or overwhelmed
11. Physical symptoms such as weight gain, bloating, breast tenderness or swelling, headache, and muscle or joint aches and pains

premenstrual dysphoric disorder, premenstrual syndrome, PMS, PMDD, menses, depression, mood swing, hopelessness, anxiety, anger, loss of interest, difficulty concentrating, fatigue, appetite change, insomnia, weight gain, bloating, breast tenderness, headache, pain, mental and emotional health