Here we talk more about the symptoms and causes of PMDD, and how it is diagnosed.

We also discuss premenstrual dysphoric disorder treatments and self-care options which are helpful for managing this condition.

Symptoms include severe mood swings, sadness, irritability, and low energy, and may increase suicide risk.

pmdd illustration

Verywell / Brianna Gilmartin

Medication, therapy, and lifestyle changes are all treatment options, along with engaging in self-care.

Causes of Premenstrual Dysphoric Disorder

The cause of PMDD is complex.

Other evidence supports the role of reproductive steroids in PMDD.

One’s environment can also have an impact on how PMDD appears.

For example, research has shown that experiencinghigh levels of stresscan increase the severity of this condition.

If you are having suicidal thoughts, contact theNational Suicide Prevention Lifelineat988for support and assistance from a trained counselor.

If you or a loved one are in immediate danger, call 911.

For more mental health resources, see ourNational Helpline Database.

PMDD is generally confirmed by having patients track their symptoms over at least two menstrual cycles.

U.S. Department of Health & Human Services Office on Women’s Health.Premenstrual dysphoric disorder (PMDD).

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National Library of Medicine.Table 1: Diagnostic criteria for premenstrual dysphoric disorder (PMDD).

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Hofmeister S, Bodden S.Premenstrual syndrome and premenstrual dysphoric disorder.Am Fam Physician.

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