What should you know about premenstrual dysphoric disorder deutsch?

PMDD symptoms usually appear in the late part of the menstrual cycle and ease after bleeding starts. They may include marked irritability, sadness, anxiety, mood swings, feeling overwhelmed, reduced interest, trouble concentrating, tiredness, sleep changes, appetite changes, breast tenderness, bloating, headaches, or muscle and joint pain. The key concern is the effect on relationships, study, work, or ordinary activities. A clinician will also consider depression, anxiety, thyroid problems, and other causes that can overlap.

Keep a daily record of mood, physical symptoms, bleeding, sleep, and the impact on your activities for several cycles. Bring it to a doctor or gynaecologist. Treatment may include structured psychological support, lifestyle adjustments, or prescribed medicines such as an antidepressant or a hormonal option. Do not start, stop, or change these medicines without medical guidance, especially if pregnancy is possible.

Arrange an appointment when symptoms repeatedly disrupt daily life or cause conflict, withdrawal, or difficulty functioning. Seek urgent help if you feel unsafe, think about harming yourself, or cannot manage basic needs. Contact emergency services or a trusted person immediately if there is an immediate danger.

Ask how to distinguish PMDD from another mood condition, how long to track symptoms, which treatment fits your health and contraception needs, and what to do if symptoms become severe. Discuss whether [Menopausal Mood Changes](/symptoms/menopausal-mood-changes/) could explain symptoms if your cycle is changing.