PMS (Premenstrual Syndrome) and PMDD (Premenstrual Dysphoric Disorder) both involve physical and emotional symptoms before a period—but PMDD is much more severe and disruptive.
Here’s how they differ:
🩸 PMS (Premenstrual Syndrome)
-
Affects up to 75% of menstruating women
-
Symptoms begin 1–2 weeks before a period and fade after it starts
-
Common symptoms:
-
Bloating
-
Breast tenderness
-
Cramps
-
Mood swings
-
Irritability or sadness
-
Fatigue
-
Food cravings
-
➡️ Impact: Uncomfortable, but usually manageable and doesn't disrupt daily life.
⚠️ PMDD (Premenstrual Dysphoric Disorder)
-
Affects about 3–8% of women
-
Involves extreme mood and behavioral symptoms
-
Begins the same time as PMS, but with greater intensity
-
Common symptoms:
-
Severe depression or anxiety
-
Intense irritability or anger
-
Mood swings that feel out of control
-
Panic attacks
-
Difficulty concentrating
-
Insomnia or extreme tiredness
-
Physical symptoms like PMS but with stronger emotional impact
-
➡️ Impact: Can seriously interfere with work, school, and relationships
🧠 Key Differences
| Feature | PMS | PMDD |
|---|---|---|
| Emotional Impact | Mild to moderate | Severe, disabling |
| Daily Life | Usually manageable | Disrupts normal functioning |
| Diagnosis | Based on symptom tracking | Clinical diagnosis (criteria-based) |
| Treatment | Lifestyle changes, OTC relief | May need antidepressants, therapy, or hormone treatments |
🧡 What to Do If You Suspect PMDD
-
Track symptoms for 2–3 cycles
-
Speak to a doctor or mental health provider
-
Treatments can include:
-
SSRIs (antidepressants)
-
Hormonal birth control
-
Nutrition & lifestyle support
-
Therapy
-