Premenstrual dysphoric disorder

Injury	Disease	Nutrition	Poison

Symptoms	Surgery	Test	Special Topic

Depression and the menstrual cycle

Overview

Symptoms

Treatment

Prevention

Premenstrual dysphoric disorder

Alternative Names:

PMDD

Symptoms:

The symptoms of PMDD are similar to those of PMS, but they are generally more severe and debilitating. Symptoms occur during the last week of most menstrual cycles and usually improve within a few days after the period starts.

Five or more of the following symptoms must be present:

Feeling of sadness or hopelessness, possible suicidal thoughts
Feelings of tension or anxiety
Panic attacks
Mood swings marked by periods of teariness
Persistent irritability or anger that affects other people
Disinterest in daily activities and relationships
Trouble concentrating
Fatigue or low energy
Food cravings or binge eating
Sleep disturbances
Feeling out of control
Physical symptoms, such as bloating, breast tenderness, headaches, and joint or muscle pain

Signs and tests:

There are no physical examination findings or lab tests specific to the diagnosis of PMDD. A complete history, physical examination (including a pelvic exam), and psychiatric evaluation should be conducted to rule out other potential conditions.

Keeping a calendar or diary of symptoms can help women identify the most troublesome symptoms and the times they are likely to occur. This information may help the health care provider diagnose PMDD and determine the appropriate treatment.

Review Date: 10/25/2004
Reviewed By: Peter Chen, M.D., Department of Obstetrics & Gynecology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.

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