PMS Symptom Checker

Premenstrual syndrome (PMS) encompasses a wide range of physical, emotional, and behavioral symptoms that occur during the luteal phase of the menstrual cycle, typically in the one to two weeks before your period begins. ACOG estimates that at least 85 percent of menstruating people experience at least one PMS symptom per cycle. The exact cause is not fully understood, but symptoms are linked to the hormonal shifts, particularly the rise and fall of progesterone and its metabolites, that occur after ovulation.

PMS symptoms vary widely in type and severity. Physical symptoms like bloating, breast tenderness, and headaches are common, as are emotional symptoms like irritability, anxiety, and mood swings. For most people, symptoms are mild to moderate and manageable with lifestyle changes. Regular aerobic exercise, stress reduction techniques, adequate calcium intake (1,000 to 1,200 mg daily), and limiting caffeine and alcohol during the luteal phase have all been shown to help. Some people benefit from vitamin B6, magnesium, or evening primrose oil, though evidence varies.

When symptoms are severe enough to interfere with work, relationships, or daily activities, and follow a clear pattern of appearing in the luteal phase and resolving with menstruation, the condition may meet the criteria for premenstrual dysphoric disorder (PMDD). PMDD is a clinical diagnosis recognized in the DSM-5, and treatment options include SSRIs, hormonal therapies, and cognitive behavioral therapy. This tool is not a diagnostic instrument. If you suspect you have PMDD or if your PMS symptoms are worsening over time, consult your OB-GYN or a mental health professional.