October 2022

Premenstrual Dysphoric Disorder (PMDD)

Did You Know?

Premenstrual Dysphoric Disorder (PMDD) is a more severe form of the typical premenstrual syndrome (PMS) most women may experience (2020). It includes symptoms of PMS, but in a more extreme form with additional symptoms as well. These symptoms are typically so severe and intense that it will inhibit everyday functioning (2019).


What are the symptoms of PMDD?

  • Anger or irritability

  • Anxiety, and in a more severe form, panic attacks

  • Depression, and in a more severe form, suicidality

  • Fatigue and low energy

  • Difficulty concentrating

  • Binge eating

  • Mood swings

  • Headaches

  • Insomnia 


How is PMDD diagnosed?

There are very few diagnostic tests available to diagnose PMDD (2019, 2020). A healthcare provider may ask a client to document their symptoms for two or more cycles, look at the symptoms (including finding at least one mood-related symptom), conduct a pelvic exam, and then make a diagnosis (2019, 2020).

There are some risk factors that may contribute to PMDD, such as a family history of mood disorders (depression, anxiety, postpartum depression) or a family history of PMS or PMDD.

Because PMDD is a chronic condition, treatment will be needed. The following are some ways in which PMDD may be treated:

  • Dietary changes

  • Antidepressants (SSRIs)

  • Birth control pills

  • Regular exercise

  • Stress management

  • Vitamins and supplements 

  • Anti-inflammatory medications

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