Many women experience changes in mood, energy, and physical symptoms before their periods, but not all premenstrual symptoms are the same.
Some experience mild discomfort that resolves once menstruation begins, while others face intense emotional and physical challenges each month.
Understanding the difference between premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) can help you recognize your symptoms and find the appropriate support.
At Salem Women’s Clinic, Inc., in Salem, Oregon, Elizebeth Rose Harmon, MD, FACOG, and the team help you manage your symptoms.
PMS affects a large number of people and typically appears in the week or two before your period. Symptoms can include irritability, fatigue, bloating, headaches, and mild mood swings. These changes may slightly impact your daily life and tend to improve once your period starts.
PMS is often manageable with lifestyle adjustments such as regular exercise, balanced nutrition, adequate sleep, and stress-reduction techniques. Some women also benefit from over-the-counter pain relief or supplements.
Tracking your symptoms can help you predict when they occur and make minor adjustments to feel better each month.
PMDD is a more severe condition that affects a smaller percentage of those with menstrual cycles. Its symptoms are similar to PMS but more intense and can interfere with work, relationships, and overall quality of life.
Emotional symptoms like depression, extreme irritability, or anxiety may be pronounced, along with physical symptoms such as severe cramps, breast tenderness, and fatigue.
Unlike PMS, PMDD often requires professional treatment. Our team may recommend therapy, medications, or hormonal treatments to help manage symptoms. Early recognition is key because PMDD can significantly impact your mental health and daily functioning if untreated.
The main differences between PMS and PMDD lie in the severity and impact of the symptoms. PMS usually causes mild to moderate discomfort that resolves quickly. PMDD causes severe emotional and physical symptoms that interfere with your life.
Timing also matters. PMDD symptoms typically start a week or two before your period and disappear within a few days after it begins.
Keeping a symptom diary can help identify patterns; note the timing, intensity, and type of symptoms you experience each month. The information is useful when discussing your symptoms with our team and determining whether PMS or PMDD is the cause.
PMS and PMDD can share physical and emotional symptoms. Physical changes may include bloating, breast tenderness, headaches, and joint or muscle pain. Emotional symptoms can include irritability, mood swings, and difficulty concentrating.
For PMS, these symptoms tend to be mild and manageable. For PMDD, the same symptoms can become intense, overwhelming, and interfere with daily activities. Understanding which category your symptoms fall into is key to finding effective treatment.
Reach out to our team if your premenstrual symptoms are severe or disruptive. Persistent depression, extreme irritability, or anxiety may indicate PMDD. We can assess your symptoms, offer treatment options, and provide strategies to improve your quality of life.
Treatment may include lifestyle changes, counseling, or medications that target hormonal or mood-related aspects of the condition. We can also help you track your cycles and symptoms to tailor a plan that works best for you.
With the right care and support, you can reduce the impact of premenstrual challenges and feel more in control of your health. Call Salem Women’s Clinic or book an appointment online today.