Skip to main content

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

Jeremy Golding, MD, FAAFP Reviewed 06/2018
 


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

  • 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...

TREATMENT

GENERAL MEASURES

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

MEDICATION

First Line

  • SSRIs show a small to ...

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
Hofmeister S, Bodden S. Premenstrual syndrome and premenstrual dysphoric disorder. Am Fam Physician.  2016;94(3):236–240. [View Abstract on OvidMedline]
2
Marjoribanks J, Brown J, O’Br...

ADDITIONAL READING

  • 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...

CODES

ICD10

N94.3 Premenstrual tension syndrome 

ICD9

625.4 Premenstrual tension syndromes 

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.

×