PMDD period symptoms

Emotional symptoms may include irritability, anger, sadness, anxiety, rejection sensitivity, tearfulness, difficulty concentrating, or feeling out of control. Physical symptoms can include breast tenderness, bloating, headaches, joint or muscle aches, low energy, appetite changes, and sleep problems. PMDD is assessed by the pattern and the degree of disruption, not by one symptom during one period. Premenstrual symptoms can overlap with depression, anxiety, migraine, or other health problems.

Use a calendar or phone note to record symptoms every day, including their start, severity, effect on activities, and when they ease. Note medicines, contraception, sleep, and major stressors too. Gentle exercise, regular meals, sufficient sleep, and planned quiet time may make difficult days more manageable. Share the record with a clinician rather than trying to diagnose yourself from a symptom list. Hormonal treatment, psychological support, or medicines may be discussed, including the [Combined Pill](/treatments/contraception-and-family-planning/combined-pill/).

Seek a routine review when symptoms impair work, relationships, or self-care, or when physical symptoms are unusually severe. Get immediate help for thoughts of self-harm, suicide, or not being able to keep yourself safe. Tell the clinician about pregnancy, recent birth, or breastfeeding because mood symptoms in that setting may need [Perinatal Mental Health Support](/treatments/medical-gynaecology/perinatal-mental-health-support/).

Which symptoms are most relevant to PMDD? How long should I track them? Could another condition explain the physical symptoms? What treatments can address mood and body symptoms together?