PMS involves the emotional and physical symptoms that typically occur in the week leading up to a woman’s menstrual period.
PMS symptoms usually end a few days after the period begins. They include:
- Appetite changes
- Decreased coordination
- Diminished libido (sex drive)
- Fluid retention
- Food cravings
- Gastrointestinal symptoms
- Hot flashes
- Neurological and vascular symptoms
- Painful menstruation
- Psychological symptoms
PMDD is a debilitating condition marked by a depressed mood and increased anxiety. Women who have PMDD primarily have emotional symptoms, especially difficulty in relationships.
Diagnosis and next steps
Your health care provider may consider recommending a psychiatric evaluation to rule out other possible conditions. In addition, he or she may ask that you keep a journal or diary of your symptoms for several months to better assess the timing, severity, onset and duration of your symptoms.
Treatment for PMS and PMDD includes:
- Diet modification
- Hormone therapy
- Oral contraceptives