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