Table 1: PMDD symptoms

  • Marked irritability and agitation
  • Marked depression or feeling of hopelessness
  • Marked anxiety or tension
  • Labile mood (sudden tearfulness, overly sensitiveness)
  • Decrease or loss of interests in usual activities or hobbies
  • Decrease or loss of energy and easily tired out
  • Decrease concentration or attention
  • Significant change of appetite and body weight (increase or decrease)
  • Significant change of sleep pattern (too much or too little)
  • Feeling overwhelmed or out of control
  • Physical symptoms e.g. breast tenderness or swelling, headache, sensations of "bloating" or weight gain, with tightness of clothing, shoes or rings, joint or muscle pain.
N.B. The DSM-IV requires a minimum of 5 of the above symptoms for a diagnosis of PMDD, and that these symptoms be present in most of the cycles during the last week of the luteal phase within the past year. Furthermore, these symptoms begin to remit several days after the onset of menses (the follicular phase), and are always absent in the week following menses.