Premenstrual%20dysphoric%20disorder Signs and Symptoms

Premenstrual Syndrome (PMS)

• PMS is a group of recurrent mild to moderate physical and/or emotional symptoms occurring during the late luteal phase of the ovulatory cycle that do not usually interfere with the patient’s usual level of function
  • Occurs in approximately 75% of women of reproductive age, among whom 20-50% report moderate to severe symptoms

Premenstrual Dysphoric Disorder (PMDD)

• PMDD is a cyclical disorder presenting with distressing mood and behavioral symptoms that occur during the late luteal phase of the ovulatory cycle; it is a severe form of PMS
• PMDD results in considerable impairment of the patient’s personal functioning
  • Occurs in approximately 5% of women of reproductive age

• Allergies
• Anemia
• Asthma
• Autoimmune or collagen vascular disorders
• Chronic fatigue syndrome
• Endometriosis
• Endocrine disorders [diabetes mellitus (DM), hypothyroidism]
• Epilepsy
• Hyperprolactinemia
• Irritable bowel syndrome
• Migraine
• Panhypopituitarism
• Polycystic ovarian disease

The following psychiatric conditions may mimic PMDD with premenstrual exacerbation:

• Anxiety disorders
• Bipolar disorder
• Bulimia
• Cyclothymic disorder
• Depression
• Dysthymic disorder
• Posttraumatic stress disorder
• Psychosocial (current victim of physical abuse or history of sexual abuse)
• Panic disorder