Published on: 3/5/2025
Menstrual dysphoric disorder (also known as premenstrual dysphoric disorder or PMDD) causes severe mood changes and physical symptoms that happen in the days before your period and then get better once it starts.
With menstrual dysphoric disorder, you may feel very sad, angry, or anxious before your period. You might cry easily and feel stressed or out of control. These mood changes can include irritability and extreme mood swings. Along with these feelings, you can also experience trouble sleeping, feel very tired, or have difficulty concentrating on day-to-day tasks. Some people also have physical symptoms. These might include headaches, tummy pain, bloating, breast tenderness, or muscle aches. These symptoms usually start about a week or two before your period and then fade away once the bleeding begins. Because the symptoms can feel very strong and make it hard to go to school, work, or do your normal activities, it is important to speak with a healthcare provider if you think you might have this condition. They can help figure out what treatments might work best to make you feel better.
(References)
Mishra S, Elliott H, Marwaha R. Premenstrual Dysphoric Disorder. [Updated 2023 Feb 19]. In: StatPearls [Internet].
Steiner M, Born L. Diagnosis and treatment of premenstrual dysphoric disorder: an update. Int Clin Psychopharmacol. 2000 Nov;15 Suppl 3:S5-17. PMID: 11195269.
Itriyeva K. Premenstrual syndrome and premenstrual dysphoric disorder in adolescents. Curr Probl Pediatr Adolesc Health Care. 2022 May;52(5):101187. doi: 10.1016/j.cppeds.2022.101187. Epub 2022 May 6. PMID: 35534402.
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