--- title: What are women's experiences getting healthcare for PMS and PMDD? description: Many women with PMS and PMDD face long delays and see multiple doctors. They often report poor quality care and poor mental health outcomes. url: https://niyora.com/research/papers/hormonal-mood-disorders-in-women-health-care-delivery-experiences-across-the-2025/ --- - [Niyora](https://niyora.com/) - [Research](https://niyora.com/research/) - [Library](https://niyora.com/research/library/) - What are women's experiences getting healthcare for PMS and PMDD? Survey study, 2025 # What are women's experiences getting healthcare for PMS and PMDD? Many women with PMS and PMDD face long delays and see multiple doctors. They often report poor quality care and poor mental health outcomes. Early or limited evidence 467 women with self-reported PMS, PMDD, or depression around menopause who completed an online survey ## What they did Researchers surveyed 467 women with PMS, PMDD, or depression around menopause. They asked about experiences with healthcare providers, how quickly they got diagnosed, and their mental health. The survey was done online from June to September 2023. ## What they found About 62% of women with PMS/PMDD consulted more than one healthcare provider. About 58% experienced delays in diagnosis and treatment lasting more than one year. Women with PMS/PMDD were almost three times more likely to report poor mental health outcomes. ## What it means for you Many women struggle to get timely diagnosis and treatment for PMS and PMDD. The study relied on women's own memories and reports, and only included women who took an online survey, so the findings may not represent all women. 467 women surveyed 62% of women with PMS/PMDD who saw multiple providers 58% of women with PMS/PMDD with diagnostic delays over one year ## About the study Original title Hormonal Mood Disorders in Women: Health Care Delivery Experiences Across the Reproductive Life Course and Associations with Mental Health Outcomes Authors Julia M. Lehnert, S. Marie Harvey, Jonathan Garcia et al. Journal Women s Health Reports Year 2025 Study design Survey study What was tested Healthcare experience survey Open access Yes Read the paper [doi.org/10.1177/26884844251405068](https://doi.org/10.1177/26884844251405068) Original abstract Purpose: The aims of this study were to (1) examine experiences of health care delivery and quality of care among women with hormonal mood disorders across the reproductive life course, and (2) investigate the associations of these factors with mental health status related to their hormonal mood disorder. Methods: Participants (467) with a self-reported diagnosis of premenstrual syndrome (PMS)/premenstrual dysphoric disorder (PMDD) or perimenopausal depression completed an online survey between June 2023 and September 2023. We performed a factor analysis to explore the underlying structure of items measuring perceptions of health care experiences. Descriptive statistics and logistic regression models were conducted to examine reported health care delivery and quality of care for hormonal mood disorders across the reproductive life course and associations with mental health status related to their hormonal mood disorder. Results: Nearly two-thirds of women with PMS/PMDD (62%) and over one in three with perimenopausal depression (41%) consulted more than one provider for medical help and underwent delays in diagnosis and treatment for more than one year (58% and 35%, respectively). Patients indicated negative health care experiences and quality of care across the reproductive life course. Among those, both patients with PMS/PMDD and patients with perimenopausal depression were almost three and four times more likely, respectively, to report fair/poor reproductive mental health outcomes. Discussion: This research offers insight into understanding reported deficiencies in health care delivery and quality of care for hormonal mood disorders and strategies for how to improve women’s mental health outcomes across the reproductive life course. Reproduced under CC-BY. ## Topics [Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Premenstrual dysphoric disorder (PMDD)](https://niyora.com/research/topics/condition-pmdd/)[Low mood and depression](https://niyora.com/research/topics/symptom-depression-mood/)[Perimenopause and menopause](https://niyora.com/research/topics/comorbidity-perimenopause/)[Work and productivity](https://niyora.com/research/topics/life-area-work/) Research tells you what helps on average. Niyora helps on the day it hits. Calm down, see it another way, and decide what to say, with a PMS and PMDD app built by a doctor. ## Related studies Systematic review, 2026 Why do some women experience mood changes linked to their menstrual cycle? Survey study, 2026 Does a history of mood problems with your period predict depression during menopause? Review, 2016 How do reproductive hormones affect mood and behavior in women? Review, 2012 Is depression linked to hormonal changes during the menstrual cycle, pregnancy, and menopause? Review, 2002 What are the reproductive-related mood disorders and how are they connected? Survey study, 2026 Do women with ADHD have worse menstrual, pregnancy, and menopause symptoms? Ask AI about this page Copy prompt ChatGPT ↗ Claude ↗ Perplexity ↗ Google AI Mode ↗ Grok ↗