Premenstrual Syndrome (PMS) &
Premenstrual Dysphoric Disorder (PMDD)

Storm or Tsunami ?

Premenstrual Syndrome​ (PMS) is a chronic condition experienced by menstruating women, and is characterised by distressing physical, behavioural and psychological symptoms that regularly recur during the luteal phase of the menstrual cycle and that disappear or significantly diminish by the end of the period. ​​​.

Premenstrual Dysphoric Disorder​ (PMDD) is a cyclical, hormone-based mood disorder​. Symptoms arise during the premenstrual, or luteal phase of the menstrual cycle and subside within a few days of menstruation. ​It affects an estimated 5.5% of women and AFAB individuals of reproductive age. ​It is not a hormone imbalance. It is a severe negative reaction in the brain to the natural rise and fall of oestrogen & progesterone.  ​

Symptoms of PMDD can include…
  • Mood/emotional changes (e.g. mood swings, feeling suddenly sad or tearful, or increased sensitivity to rejection)
  • Irritability, anger, or increased interpersonal conflict
  • Depressed mood, feelings of hopelessness, feeling worthless or guilty
  • Anxiety, tension, or feelings of being keyed up or on edge
  • Decreased interest in usual activities (e.g., work, school, friends, hobbies)
  • Difficulty concentrating, focusing, or thinking – brain fog
  • Tiredness or low-energy
  • Changes in appetite, food cravings, overeating, or binge eating
  • Hypersomnia (excessive sleepiness) or insomnia (trouble falling or staying asleep)
  • Feeling overwhelmed or out of control
  • Physical symptoms such as breast tenderness or swelling, joint or muscle pain, bloating or weight gain


Treatment options

Treatment options should be discussed in detail assessing individual needs, previous history and lifestyle.