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:
- Hormonal changes
- Family history of PMDD
- Extra stress or a traumatic life event
- Depression or another mental health condition
|Microscopic View of Hormone Receptor|
|Menstruation causes many hormonal changes, which may play a role in PMDD.|
|Copyright © Nucleus Medical Media, Inc.|
PMDD may cause:
- Extreme sadness
- Frequent crying
- Unusually strong cravings for certain foods
- Difficulty concentrating or paying attention
- Panic attacks
- Mood swings
- Fatigue or lack of energy
- Physical symptoms, such as sore breasts, headaches, joint or muscle pain, swelling, or bloating
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:
- Blood tests
- Tests to check hormone levels
Talk with your doctor about the best treatment plan for you. Treatment options include:
These steps can help manage symptoms of PMDD:
- Exercise throughout the week.
- Get plenty of rest.
- Eat a balanced diet with plenty of fruits, vegetables, and whole grains.
- Avoid alcohol, tobacco, and caffeine.
- Learn stress management techniques.
- Improve your sleep habits.
PMDD may be treated with:
- Oral contraceptives
- Nutritional supplements
To help reduce your chance of PMDD, take these steps:
- Get plenty of exercise and rest
- Eat a well-balanced diet
- Manage stress
American Congress of Obstetricians and Gynecologists http://www.acog.org
Office on Women's Health http://www.womenshealth.gov
Health Canada https://www.canada.ca/en/health-canada.html
The Society of Obstetricians and Gynaecologists of Canada http://www.sogc.org
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.
- Reviewer: EBSCO Medical Review Board Beverly Siegal, MD, FACOG
- Review Date: 09/2018
- Update Date: 09/30/2013