Table 1. Classification of premenstrual disorders (PMD).
| PMD category | Characteristics |
|---|---|
| Core PMD | Symptoms occur in ovulatory cycles |
| Symptoms are not specified—they may be somatic and/or psychological | |
| The number of symptoms is not specified | |
| Symptoms are absent after menstruation and before ovulation | |
| They must recur in luteal phase | |
| They must be prospectively rated (two cycles minimum) | |
| Symptoms must cause significant impairmenta | |
| Variants of PMD | |
| Premenstrual exacerbation | Symptoms of an underlying psychological or somatic disorder significantly worsen premenstrually |
| PMD due to non-ovulatory ovarian activity | Symptoms arise from continued ovarian activity even though menstruation has been suppressed |
| Progestogen induced PMD | Symptoms result (rarely) from ovarian activity other than those of ovulation |
| PMD with absent menstruation | Symptoms result from exogenous progestogen administration |
Work, school, social activities, hobbies, interpersonal relationships, distress