Skip to main content

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

Andrew Lutzkanin, MD and Madie D Hartman, DO Reviewed 06/2022
 


BASICS

DESCRIPTION

  • 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...

DIAGNOSIS

HISTORY

  • Criteria for the diagnosis of PMS has been established by the International Society for Premenstrual Disorders (ISPMD) and include:

    • Physical or emotional symptoms

    • Symptoms ...

TREATMENT

GENERAL MEASURES

Exercise increases beta-endorphins in the brain, but the role of physical activity in the treatment of premenstrual disorders remains unclear (3). 

MEDICATION

First Line

  • SSRIs ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

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

REFERENCES

1
Yonkers KA, Simoni MK. Premenstrual disorders. Am J Obstet Gynecol. 2018 Jan;218(1):68-74.
2
Carlini SV, Deligiannidis KM. Evidence-Based Treatment of Premenstrual Dysphoric Disorder: A Conc...

CODES

ICD10

N94.3 Premenstrual tension syndrome 

SNOMED

  • 82639001 Premenstrual tension syndrome (disorder)

  • 596004 Premenstrual dysphoric disorder (disorder)

CLINICAL PEARLS

  • 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...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×