Premenstrual Dysphoric Disorder
Severe Premenstrual Syndromes

Premenstrual Dysphoric Disorder (PMDD) is a condition whereby women notice severe cyclical changes in their mood or the development of psychological symptoms and/or physical symptoms, in the second half of the menstrual cycle, usually 1-2 weeks before their period starts. It is sometimes referred to as a very severe form of Premenstrual Syndrome (PMS).


It is common for many women to experience some mild symptoms of PMS but in PMDD the symptoms are severe and can have a significant impact on these women’s quality of life.


There are lots of different symptoms that can be experienced by women with PMDD. Commonly experienced psychological symptoms can include: mood swings; anxiety and depression; irritability or short-temperedness; feeling tense or nervous; poor concentration; tearfulness; low libido; or problems with sleep. Commonly experienced physical symptoms can include: tiredness, clumsiness; bloated feelings and puffiness; headaches; breast tenderness; muscle or joint pains; or changes in bowels. These symptoms would need to be present for several cycles in order to consider PMDD as a diagnosis. 


There are several treatment options for PMDD including non hormonal and hormonal options. 


Dr Scott has experience in treating PMDD and is a member of The National Association of Premenstrual Syndromes (NAPS). Appointments can be made in the clinic for advice and treatment of this condition.  The fees for consultations about PMDD are the same as for menopause consultations. When you book your appointment please advise the receptionist that you wish to have a hormone appointment in the Menopause Clinic.




If you feel you may have PMDD it is helpful to complete a symptom diary for at least 2 cycles and bring it to your appointment, for example the printable tracker available on the International Association for Premenstrual Disorders website.

Book an

Appointments can only be booked via telephone


All the facts to help you make the best choices