If you have any of the PMDD (premenstrual dysphoric disorder) symptoms, you should see your doctor. He or she will review your symptoms and medical history and give you a thorough medical exam. A psychiatric evaluation may also be included.
Before a doctor makes a diagnosis of PMDD, he or she will rule out other emotional problems, such as depression or panic disorder, as the cause of the symptoms. In addition, underlying medical or gynecological conditions, such as endometriosis, fibroids, menopause, and hormonal problems that could account for symptoms, also must be ruled out.
PMDD is diagnosed when at least five of the symptoms occur for most of the time during the seven days before menstruation and go away within a few days of the start of the menstrual period. If these symptoms are present every day and do not improve with menstruation, they are unlikely due to PMDD.
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