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PMDD Symptoms & Diagnosis


Symptoms include:

  • Extreme sadness
  • Frequent crying
  • Irritability
  • Feelings of anxiousness or nervousness
  • Unusually strong cravings for certain foods
  • Difficulty concentrating or paying attention
  • Insomnia
  • Panic attacks
  • Mood swings
  • Fatigue or lack of energy
  • Physical symptoms include sore breasts, headaches, joint or muscle pain, swelling, and bloating

To be properly diagnosed with PMDD, usually at least five symptoms need to be present. Symptoms typically begin 10-14 days prior to the start of menstruation. They begin to decrease once menstruation begins. Symptoms that occur at other times during the cycle suggest other underlying mood or anxiety disorders.


Your doctor will ask about your symptoms and medical history. A physical exam will be done. Your doctor will ask detailed questions about your symptoms and when they occur.

You may also be asked to keep a chart or record of your symptoms. Record when they occur and the severity of each. Your doctor will compare your symptoms to days of your menstrual cycle. This will help to determine if you suffer from PMDD.

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. Copyright © 2023 EBSCO Publishing All rights reserved.

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