Premenstrual dysphoric disorder (PMDD), a severe form of
premenstrual syndrome (PMS), causes physical and mood-related symptoms that
seriously disrupt a woman's life and relationships. PMDD symptoms develop
during the latter half of each menstrual cycle, after ovulation, and go away
during the first few days of each menstrual period.
PMDD symptoms are related to hormone changes during the menstrual
cycle. Emotional symptoms include feelings of sadness, hopelessness, anxiety,
irritability and sensitivity, anger, being overwhelmed, and the need to
withdraw from others. Physical and behavioral symptoms include lack of energy,
problems with concentrating, sleep problems, food cravings or binge eating,
breast tenderness, bloating and weight gain, headaches, and joint or muscle
Women diagnosed with PMDD are typically encouraged to use healthy
lifestyle choices and prescription medicine to manage their symptoms.