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What is Premenstrual Dysphoric Disorder (PMDD)?

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What is Premenstrual Dysphoric Disorder (PMDD)?

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There is evidence that a brain chemical called serotonin plays a role in a severe form of PMS, called Premenstrual Dysphoric Disorder (PMDD). The main symptoms, which can be disabling, include: • feelings of sadness or despair, or possibly suicidal thoughts • feelings of tension or anxiety • panic attacks • mood swings, crying • lasting irritability or anger that affects other people • disinterest in daily activities and relationships • trouble thinking or focusing • tiredness or low energy • food cravings or binge eating • having trouble sleeping • feeling out of control • physical symptoms, such as bloating, breast tenderness, headaches, and joint or muscle pain You must have five or more of these symptoms to be diagnosed with PMDD. Symptoms occur during the week before your period and go away after bleeding starts. Making some lifestyle changes may help ease PMDD symptoms. See the question, “What is the treatment for PMS?” above for more information.

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PMDD is a severe form of a common problem called premenstrual syndrome, or PMS. About 75 percent of women of childbearing age have some PMS problems. About 2 to 10 percent of women in this age group have PMDD.

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A much more severe form of the collective symptoms known as premenstrual syndrome (PMS), premenstrual dysphoric disorder (PMDD) affects approximately 5 percent of women of reproductive age and is considered a severe and chronic medical condition that requires attention and treatment.

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