Symptoms of premenstrual dysphoric disorder (PMDD)

The symptoms of PMDD are similar to premenstrual syndrome (PMS). But if you have PMDD, these symptoms are much worse. They can have a significant impact on your life.

This page lists common symptoms. But PMDD is different for different people. So you might have other experiences as well. 

In the depths of PMDD I tend to just retreat to my bed. I get very depressed and my anxiety goes sky high. I get hugely fatigued and can't keep my eyes open. I sleep for about 18 hours a day.

Emotional and behavioural PMDD symptoms

• Mood swings
• Feeling upset or tearful, for example if you feel that others are rejecting you
• Lack of energy
• Less interest in activities you normally enjoy
• Feeling hopeless
• Feeling angry or irritable
• Coming into conflict with people around you
• Feeling anxious, tense or on edge
• Feeling overwhelmed or out of control
• Difficulty concentrating
• Suicidal thoughts

If you have suicidal feelings as part of PMDD, this can feel very distressing. Visit our pages on suicidal thoughts to learn more, including where to get help. 

Physical PMDD symptoms

• Breast tenderness or swelling
• Pain in your muscles and joints
• Headaches
• Feeling bloated
• Changes in your appetite, such as overeating or having specific food cravings
• Sleep problems

As PMDD is linked to your menstrual cycle, it's unlikely you'll experience symptoms if you're pregnant. But the symptoms may return once you begin ovulating again.