Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD)

Jeremy Golding, MD, FAAFP Reviewed 06/2020

BASICS

Premenstrual syndrome (PMS), a complex of physical and emotional symptoms sufficiently severe to interfere with everyday life, occurs cyclically during the luteal phase of menses.
Pre...

DSM-5 criteria (1):
Symptoms occur 1 week before menses, improve in the first few days after menses begin, and are minimal/absent in the week following menses (over most menstrual cycl...

Although evidence is lacking for aerobic exercise in treating PMS/PMDD, it is often recommended as part of an integrated care plan.

Increased risk of suicidal thinking and behavior in children and adolescents with depressive disorders on initiation of SSRIs; uncertain if this...

Hofmeister S, Bodden S. Premenstrual syndrome and premenstrual dysphoric disorder. Am Fam Physician. 2016;94(3):236–240.

Marjoribanks J, Brown J, O’Brien PM, et al. Selective seroton...

Borenstein JE, Dean BB, Yonkers KA, et al. Using the daily record of severity of problems as a screening instrument for premenstrual syndrome. Obstet Gynecol. 2007;109(5):1068...

N94.3 Premenstrual tension syndrome

625.4 Premenstrual tension syndromes

Have the patient keep a daily log of her symptoms and menses. Symptoms beginning in the week before menses and abating before the end of menses, occurring over at least 2 months, and s...

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