Back

Premenstrual Dysphoric Disorder

(PMDD)

Definition

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).

Causes

The exact cause is not known.

Risk Factors

Factors that may increase your chance of PMDD include:
Microscopic View of Hormone Receptor
molecule and receptor
Menstruation causes many hormonal changes, which may play a role in PMDD.
Copyright © Nucleus Medical Media, Inc.

Symptoms

PMDD may cause:
Symptoms typically begin 10-14 days prior to the start of menstruation.

Diagnosis

Your doctor will diagnose PMDD 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:

Treatment

Talk with your doctor about the best treatment plan for you. Treatment options include:

Lifestyle Changes

These steps can help manage symptoms of PMDD:
  • Exercise throughout the week.
  • Get plenty of rest.
  • Eat a balanced diet with plenty of fruits, vegetables, and whole grains.
  • Avoid alcohol, tobacco, and caffeine.
  • Learn stress management techniques.
  • Improve your sleep habits.

Medications

PMDD may be treated with:
  • Antidepressants
  • Oral contraceptives
  • Nutritional supplements

Prevention

To help reduce your chance of PMDD, take these steps:

RESOURCES

American Congress of Obstetricians and Gynecologists http://www.acog.org

Office on Women's Health http://www.womenshealth.gov

CANADIAN RESOURCES

Health Canada http://www.hc-sc.gc.ca

The Society of Obstetricians and Gynaecologists of Canada http://www.sogc.org

References

PMS and PMDD. MGH Center for Women's Health website. Available at: http://womensmentalhealth.org/specialty-clinics/pms-and-pmdd. Accessed September 25, 2014.

Premenstrual dysphoric disorder (PMDD). American Academy of Family Physicians Family Doctor website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/premenstrual-dysphoric-disorder.html. Updated April 2014. Accessed September 25, 2014.

Premenstrual syndrome. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated July 8, 2014. Accessed September 25, 2014.

Revision Information