PMDD Before Your Period

People with PMDD may notice marked irritability, tearfulness, anxiety, anger, rejection sensitivity, low energy, concentration problems, or feeling out of control before menstruation. Physical symptoms can include bloating, breast soreness, headaches, appetite changes, sleep disturbance, and aches. Symptoms are usually followed by a more settled interval, which helps clinicians assess whether the pattern is cycle-related rather than a condition present all month.

Use a daily record for mood, physical symptoms, bleeding, sleep, medicines, and effects on normal activities. Protect time for rest, regular food, movement, and supportive contact during the days you expect symptoms. Arrange a consultation with the diary; treatment might include psychological support, medicines, or hormonal treatment such as the [Combined Pill](/treatments/contraception-and-family-planning/combined-pill/).

Seek a medical review when premenstrual symptoms affect work, school, relationships, or personal care, especially if the pattern is worsening. Get urgent help if you have thoughts of suicide or self-harm, feel unable to remain safe, or experience severe confusion. Mood symptoms linked to pregnancy or the post-birth period may need [Perinatal Mental Health Support](/treatments/medical-gynaecology/perinatal-mental-health-support/).

How can I confirm the cycle pattern? What symptoms should I record? Which options fit my medical history and contraception needs? What should I do during a severe mood episode?