{"id":50368,"date":"2025-04-25T21:27:26","date_gmt":"2025-04-26T01:27:26","guid":{"rendered":"https:\/\/www.hancockhealth.org\/mayo-health-library\/premenstrual-dysphoric-disorder-different-from-pms\/"},"modified":"2026-02-04T11:41:03","modified_gmt":"2026-02-04T16:41:03","slug":"premenstrual-dysphoric-disorder-different-from-pms","status":"publish","type":"mayo","link":"https:\/\/www.hancockhealth.org\/de\/mayo-health-library\/premenstrual-dysphoric-disorder-different-from-pms\/","title":{"rendered":"Premenstrual dysphoric disorder: Different from PMS?"},"content":{"rendered":"<div class=\"container mx-auto   wordpress-block wordpress- core-\">\n<p>Premenstrual dysphoric disorder (PMDD) is a severe, sometimes disabling extension of premenstrual syndrome (PMS). Although <abbr title=\"premenstrual syndrome\">PMS<\/abbr> Und <abbr title=\"premenstrual dysphoric disorder\">PMDD<\/abbr> both have physical and emotional symptoms, <abbr title=\"premenstrual dysphoric disorder\">PMDD<\/abbr> causes extreme mood shifts that can disrupt daily life and damage relationships.<\/p>\n<p>In both <abbr title=\"premenstrual dysphoric disorder\">PMDD<\/abbr> Und <abbr title=\"premenstrual syndrome\">PMS<\/abbr>, symptoms usually begin seven to 10 days before your period starts and continue for the first few days of your period.<\/p>\n<p>Both <abbr title=\"premenstrual dysphoric disorder\">PMDD<\/abbr> Und <abbr title=\"premenstrual syndrome\">PMS<\/abbr> may cause bloating, breast tenderness, fatigue, and changes in sleep and eating habits. In <abbr title=\"premenstrual dysphoric disorder\">PMDD<\/abbr>, however, at least one of these emotional and behavioral symptoms stands out:<\/p>\n<ul>\n<li>Sadness or hopelessness<\/li>\n<li>Anxiety or tension<\/li>\n<li>Extreme moodiness<\/li>\n<li>Marked irritability or anger<\/li>\n<\/ul>\n<p>The cause of <abbr title=\"premenstrual dysphoric disorder\">PMDD<\/abbr> isn&#8217;t clear. Underlying depression and anxiety are common in both <abbr title=\"premenstrual syndrome\">PMS<\/abbr> Und <abbr title=\"premenstrual dysphoric disorder\">PMDD<\/abbr>, so it&#8217;s possible that the hormonal changes that trigger a menstrual period worsen the symptoms of mood disorders.<\/p>\n<p>Treatment of <abbr title=\"premenstrual dysphoric disorder\">PMDD<\/abbr> is directed at preventing or minimizing symptoms and may include:<\/p>\n<ul>\n<li><strong>Antidepressants.<\/strong> Selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine (Prozac, Sarafem, others) and sertraline (Zoloft), may reduce emotional symptoms, fatigue, food cravings and sleep problems. You can reduce symptoms of <abbr title=\"premenstrual dysphoric disorder\">PMDD<\/abbr> by taking <abbr title=\"selective serotonin reuptake inhibitors\">SSRIs<\/abbr> all month or only during the interval between ovulation and the start of your period.<\/li>\n<li><strong>Birth control pills.<\/strong> Taking birth control pills with no pill-free interval or with a shortened pill-free interval may reduce <abbr title=\"premenstrual syndrome\">PMS<\/abbr> Und <abbr title=\"premenstrual dysphoric disorder\">PMDD<\/abbr> symptoms.<\/li>\n<li><strong>Nutritional supplements.<\/strong> Consuming 1,200 milligrams of calcium daily may possibly reduce symptoms of <abbr title=\"premenstrual syndrome\">PMS<\/abbr> Und <abbr title=\"premenstrual dysphoric disorder\">PMDD<\/abbr>. Vitamin B-6, magnesium and L-tryptophan also may help, but talk with your doctor for advice before taking any supplements.<\/li>\n<li><strong>Herbal remedies.<\/strong> Some research suggests that chasteberry (Vitex agnus-castus) may possibly reduce irritability, mood swings, breast tenderness, swelling, cramps and food cravings associated with <abbr title=\"premenstrual dysphoric disorder\">PMDD<\/abbr>, but more research is needed. The U.S. Food and Drug Administration doesn&#8217;t regulate herbal supplements, so talk with your doctor before trying one.<\/li>\n<li><strong>Diet and lifestyle changes.<\/strong> Regular exercise often reduces premenstrual symptoms. Cutting back on caffeine, avoiding alcohol and stopping smoking may ease symptoms, too. Getting enough sleep and using relaxation techniques, such as mindfulness, meditation and yoga, also may help. Avoid stressful and emotional triggers, such as arguments over financial issues or relationship problems, whenever possible.<\/li>\n<\/ul>\n<p>If you have symptoms of <abbr title=\"premenstrual dysphoric disorder\">PMDD<\/abbr>, talk with your doctor about testing and treatment options.<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Extreme moodiness, intense sadness or marked irritability in the days before your period &mdash; along with your usual PMS symptoms &mdash; could be PMDD.<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","tags":[1686,1685,1682,1684],"class_list":["post-50368","mayo","type-mayo","status-publish","hentry","tag-anatomical-structure","tag-condition","tag-person-group-concept","tag-theme-of-focus","content_type-answers"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Premenstrual dysphoric disorder: Different from PMS? 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