Premenstrual dysphoric disorder mimics

Symptoms of premenstrual dysphoric disorder (PMDD) recur during the premenstrual phase of the cycle and disappear to the beginning or after last menstruation. The main symptoms are emotional liability, dysphoria and anxiety.



Dysmenorrhea is a menstrual condition characterized by severe and frequent menstrual cramps and pain associated with menstruation. Symptoms of dysmenorrhea may include: cramping in the lower abdomen, pain in the lower abdomen, low back pain, pain radiating down the legs, nausea, vomiting, diarrhea, fatigue, weakness, fainting, headaches.more

From the beginning and usually lifelong; severe and frequent menstrual cramping caused by severe and abnormal uterine contractions. more

secondary dysmenorrhea - due to some physical cause and usually of later onset; painful menstrual periods caused by another medical condition present in the body (i.e., pelvic inflammatory disease, endometriosis).more

irregular menstrual cycles, heavy or a scarcity of menstrual bleeding, headaches, breast swelling and tenderness, mood swings, anxiety and depressed mood. can last 3-8 years. more

Some studies suggest link with depression, but well-designed large studies are lacking. Associated with progestins

Weakness, fatigue, somnolence, cold intolerance, weight gain, constipation, hair loss, hoarseness, stiffness, muscle aches, bradycardia, facial puffiness, slowed speech. more

Symptoms include nervousness, anxiety, irritability, sweating, fatigue, heat intolerance, weight loss, muscle weakness. Signs include arrhythmias, e.g. atrial fibrillation, myxedema, proptosis. more

The menstrual migraine’s symptoms are similar to migraine without aura. It begins as a one-sided, throbbing headache accompanied by nausea, vomiting, or sensitivity to bright lights and sounds. An aura may precede the menstrual migraine.more

PMS headache can be differentiated from migraine by headache accompanied by fatigue, acne, joint pain, decreased urination, constipation and lack of coordination. Also presence of increase in appetite and a craving for chocolate, salt, or alcohol.

In its purest form, a woman with catamenial epilepsy may have seizures only at the time of menstruation, but this form is not very common. More typically, the woman may tend to have more seizures at particular times during her menstrual cycle, usually just before or during the onset of menstruation or at the time of ovulation. more, management

Accurate diagnosis is dependent on a detailed history and the demonstration of premenstrual dip in peak expiratory flow. more

Accurate diagnosis is dependent on a detailed history. more

Severe fatigue more then 6 months, headache, myalgia, arthralgia, forgetfulness, tender LN, nonrefreshing sleep. more

Altered bowel habits, recurrent or chronic abdo pain, flatulence, nausea or vomiting. Increased symptoms in female IBS patients with dysmenorrhea and PMS. more, more

several psychiatric disorders as bipolar disorder, major depression, dysthymia, and anxiety disorders could get worse on the premenstrual phase.