When Does PMS Cross Over to PMDD?

If you’re like most women, the days leading up to your period come with mood swings, bloating, fatigue, and irritability — all classic signs of premenstrual syndrome (PMS).

While PMS is unpleasant on its own, some women experience monthly changes that become even more severe, both emotionally and physically. If your PMS seems next-level, you might not be dealing with PMS at all. You might have crossed over to premenstrual dysphoric disorder (PMDD).

But how do you know what’s what?

Our team of expert providers at Marietta OB-GYN Affiliates understands that both PMS and PMDD can zap your quality of life, but the key to finding relief is knowing which condition you’re dealing with so you can tackle it head-on. 

Here’s what you need to know about PMS and PMDD and how to tell the difference between the two.

What’s the difference between PMS and PMDD?

PMS and PMDD both occur in the luteal phase of your menstrual cycle. This is the part of your cycle between ovulation and the start of menstruation. The primary difference between the two lies in the severity of your symptoms and how they impact your life.

PMS symptoms

PMS affects up to 75% of menstruating women. It involves mild to moderate symptoms such as bloating, fatigue, mood changes, and food cravings. While uncomfortable, these symptoms typically subside once menstruation begins.

PMDD symptoms

PMDD, however, affects 1.6% of women, but its symptoms are much more intense. In addition to physical symptoms like PMS, PMDD includes debilitating emotional symptoms such as extreme irritability, sadness, or anger. You might constantly feel “on edge” or overwhelmed.

Not surprisingly, these symptoms can lead to disruptions at work, in your personal relationships, and in your family. In severe cases, PMDD can even trigger anxiety, depression, or suicidal thoughts.

4 signs you’ve moved from PMS to PMDD

Here are some important signs that PMS might have crossed into PMDD territory:

You have emotional distress

With PMDD, the emotional symptoms are intense. It’s not just about feeling “moody” or irritable. Women with PMDD may experience episodes of severe depression, anxiety, or feelings of hopelessness. You might also experience panic attacks.

This could be a red flag if your emotional state becomes overwhelming and interferes with your ability to function. 

Your physical symptoms are getting worse

PMDD often amplifies the physical symptoms of PMS, including more severe bloating, fatigue, joint or muscle pain, and headaches. In addition to food cravings, PMDD can also contribute to binge eating as well as changes in your appetite. 

Your symptoms affect your ability to function

If you find yourself unable to complete routine activities, withdraw from social situations, call off from work, or struggle to maintain relationships because of how you feel before your period, PMDD may be the cause.

You have severe mental health concerns

If premenstrual mood swings are leading to thoughts of self-harm, hopelessness, or depression, this is a clear indication that you may be dealing with PMDD rather than typical PMS. These mental health symptoms require immediate attention.

If you’re in crisis, call 988 Suicide and Crisis Lifeline or visit the nearest emergency room.

Getting help for PMDD

If you suspect your PMS has crossed over into PMDD, talk to us! Your Marietta OB-GYN Affiliates team is here to help you get to the bottom of your symptoms so you can feel like yourself again.

Diagnosis typically involves tracking your symptoms over two or more menstrual cycles to distinguish between PMS and PMDD. If your symptoms indicate that you’re dealing with PMDD, we may recommend: 

• Antidepressants (SSRIs) 
• Hormonal birth control pills that contain drospirenone and ethinyl estradiol
• Psychotherapy
• Exercise
• Calcium, magnesium, or vitamin B6 supplements
• Dietary modifications, including high-protein foods and complex carbs
• Stress management 

To get help with PMS or PMDD, call the closest location and set up your appointment. You can also use our online scheduling system to request an appointment.