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Understanding
PMDD and PMS

Premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) are two common conditions that affect many women during their menstrual cycles. While PMS is experienced by approximately 3 out of 4 women, PMDD affects around 1-2% of women and is often more severe and disabling. Understanding the differences between these two conditions can help women identify their symptoms and seek appropriate support.

What Is PMS?

PMS, or premenstrual syndrome, encompasses a range of emotional and physical symptoms that typically occur in the days leading up to a woman’s menstrual period. These symptoms can disrupt daily life and are often mistaken as a trivial part of the menstrual cycle, but they can be quite serious.

Symptoms of PMS May Include:
Emotional Symptoms
  • Increased anxiety
  • Tension
  • Depressed mood
  • Mood swings
  • Crying episodes
  • Insomnia (difficulty sleeping)
  • Hypersomnia (oversleeping)
  • Appetite changes
  • Social withdrawal
  • Trouble concentrating
  • Low libido
Physical Symptoms
  • Bloating
  • Water retention/weight gain
  • Breast swelling or tenderness
  • Headaches
  • Backaches
  • Fatigue
  • Joint pain
  • Constipation/diarrhea
  • Acne flare-ups

What Is PMDD?

PMDD, or premenstrual dysphoric disorder, is a more severe form of PMS that can significantly impair daily functioning. Symptoms usually arise 7-14 days before menstruation and can continue into the first few days of the period. Women with PMDD often experience intense emotional and physical symptoms that can be misdiagnosed as other mental health disorders.

Symptoms of PMDD May Include:
Emotional Symptoms
  • Depressed mood
  • Sadness or hopelessness
  • Feelings of worthlessness
  • Increased anxiety
  • Overwhelm
  • Severe mood swings
  • Self-critical thoughts
  • Increased sensitivity to rejection
  • Crying spells
  • Irritability or anger
  • Conflicts with family or friends
  • Decreased interest in normal activities
  • Trouble concentrating
  • Fatigue or lack of energy
  • Appetite changes
  • Insomnia (difficulty sleeping)
  • Hypersomnia (oversleeping)
  • Suicidal thoughts
Physical Symptoms
  • Breast swelling or tenderness
  • Headaches
  • Backaches
  • Joint aches
  • Water retention/weight gain
  • Bloating
  • Constipation/diarrhea/ upset stomach

Causes of PMDD and PMS

While research is ongoing, studies suggest that PMS and PMDD are linked to hormonal fluctuations throughout the menstrual cycle, particularly changes in estrogen and progesterone. These hormonal shifts can impact neurotransmitters like serotonin, which plays a crucial role in mood regulation. Factors such as genetics, family history, and existing mental health conditions may also contribute to the severity of symptoms.

What Can You Do?

If you are experiencing symptoms of PMS or PMDD, know that you are not alone. Here are some steps you can take:

Seek Support: Find healthcare professionals knowledgeable about PMDD and women’s health issues. A collaborative approach with doctors and therapists can be beneficial.​

Consider Therapy: Learning emotional management techniques, identifying triggers, and developing coping strategies can be invaluable.

Explore Medication Options: Antidepressants and hormonal treatments, such as birth control, may help stabilize mood and alleviate symptoms.

Lifestyle Modifications: Reducing alcohol and caffeine intake during your menstrual cycle can improve sleep quality. Eating a balanced diet and exercising regularly can also help manage symptoms.

Monitor Your Symptoms: Use apps like “Me v PMDD” or resources like IAMPMD.org/self-screen to track symptoms and cycles for better understanding and treatment options.

Advocate for Yourself: Don’t hesitate to seek out specialists who can help you track and diagnose your condition effectively.

Additional Resources

For more information on PMDD and PMS, consider exploring:

Understand the difference between PMDD and PMS
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