Premenstrual dysphoric disorder (PMDD) occurs just prior to
menstruation and is characterized by significant: PMDD is much
more severe and less common than PMS . Factors that may increase
the risk of PMDD include: - Having hormonal changes - Having a
family history of PMDD - Experiencing a lot of stress or a
traumatic life event - Having depression or another mental
health condition - Extreme sadness - Frequent crying - Unusually
strong cravings for certain foods - Difficulty concentrating or
paying attention - Panic attacks - Mood swings - Fatigue or lack
of energy - Physical symptoms (eg, sore breasts, headaches,
joint or muscle pain, swelling, bloating) Symptoms typically
begin 10-14 days prior to the start of menstruation. Your doctor
will diagnose PMDD based on your symptoms. You may be asked to
keep a record of when your symptoms occur and how severe they
are. Your doctor may also order: - Blood tests - Tests to check
hormone levels Talk with your doctor about the best treatment
plan for you. Treatment