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).
The exact cause is not known.
Factors that may increase your chance of PMDD include:
Menstruation causes many hormonal changes, which may play a role in PMDD.
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PMDD may cause:
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:
Talk with your doctor about the best treatment plan for you. Treatment options include:
These steps can help manage symptoms of PMDD:
PMDD may be treated with:
To help reduce your chance of PMDD, take these steps:
American Congress of Obstetricians and Gynecologists
Office on Women's Health
The Society of Obstetricians and Gynaecologists of Canada
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.
Last reviewed September 2018 by EBSCO Medical Review Board Beverly Siegal, MD, FACOG Last Updated: 9/30/2013