Premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) are two conditions that affect many women during certain phases of their menstrual cycle. They are often confused and used interchangeably, but there are significant differences between the two. It is important to understand these differences in order to properly identify and treat each condition. In this article, we will explore how premenstrual syndrome and premenstrual dysphoric disorder are different.

Premenstrual syndrome (PMS)

The syndrome Premenstrual syndrome (PMS) refers to a series of physical, emotional, and behavioral symptoms that occur cyclically in the second half of the menstrual cycle, approximately one to two weeks before menstruation. These symptoms can vary in intensity and duration, and affect about 85% of women of reproductive age.

PMS Symptoms

Symptoms of PMS may include mood changes , irritability, fatigue, swelling, breast tenderness, headaches, changes in appetite, difficulties concentrating, among others. These symptoms usually disappear with the arrival of the menstrual period and do not significantly interfere with the woman's daily life.

Premenstrual Dysphoric Disorder (PMDD)

On the other hand, premenstrual dysphoric disorder (PMDD) is a more severe and debilitating form of premenstrual syndrome. Approximately 3-8% of women of reproductive age experience PMDD, and it is characterized by severe emotional symptoms that significantly interfere with a woman's social, work, and personal functioning.

PMDD Symptoms

Symptoms of premenstrual dysphoric disorder usually include extreme mood swings, depression, anxiety, intense irritability, feeling overwhelmed, difficulty concentrating, extreme fatigue, among others. These symptoms can be so severe that they can negatively affect a woman's quality of life and her ability to perform daily activities effectively.

Key Differences

While both PMS Since PMDD occurs in the second half of the menstrual cycle, the difference lies in the severity and nature of the symptoms. While PMS typically produces mild to moderate symptoms that can be managed with lifestyle changes and non-pharmacological therapies, PMDD often requires more specific medical interventions, such as hormone therapy, antidepressant medication, or cognitive behavioral therapy.

Diagnosis and Treatment

The diagnosis of PMDD is made through the evaluation of the symptoms and their impact on the woman's life, using tools such as the Premenstrual Dysphoric Syndrome Diary (PMDD). Treatment may include pharmacological measures, hormone therapy, cognitive behavioral therapy, lifestyle changes, and stress management techniques. It is essential that women experiencing severe symptoms seek help from a health professional specialized in mental health and gynecology.

Conclusion

In summary, premenstrual syndrome (PMS) and Premenstrual dysphoric disorder (PMDD) are two related but distinct conditions that affect women during certain phases of their menstrual cycle. While PMS is characterized by milder, more manageable symptoms, PMDD involves more severe and debilitating symptoms that require specific medical interventions. It is crucial to differentiate between both conditions in order to provide appropriate treatment and improve the quality of life of women who experience them.