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Review, 2011

What are PMS and PMDD, and how common are they?

PMS affects 20-32% of women before menopause with moderate mood and physical symptoms. PMDD is more severe and affects 3-8% of women, causing significant problems at work or socially.

Strong study design Premenopausal women with PMS and PMDD

What they did

This is a review article that summarizes what is known about PMS and PMDD, including their definitions, how common they are, possible causes, and treatments.

What they found

PMS affects 20-32% of premenopausal women. PMDD affects 3-8% and causes severe dysfunction in work and social life. Possible causes include sensitivity to normal hormone changes and serotonin abnormalities. Calcium, vitamin D, and vitamin B6 have limited evidence. Serotonin antidepressants are first-line therapy.

What it means for you

PMDD is much rarer than PMS but much more disabling. Serotonin antidepressants are the most evidence-based treatment. The evidence for supplements is weak.

20-32%

premenopausal women with PMS

3-8%

premenopausal women with PMDD

About the study

Original title
Premenstrual syndrome and premenstrual dysphoric disorder
Authors
Biggs WS, Demuth RH
Journal
American family physician
Year
2011
Study design
Review
What was tested
Various treatments including vitamin supplements and antidepressants

Topics