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For women with PMS or PMDD who also desire contraception, taking the birth control pill and shortening or eliminating the typical 'week off' (in which you get your period) can be very effective. Some women find that cutting back on sodium decreases bloating and swelling. My first recommendation for mild PMS is to encourage regular exercise and relaxation techniques.

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It can take time, as well as trial and error, to find effective relief. But there is no one-size-fits-all approach. The good news is that PMDD can be treated. She or he will review the pattern of your symptoms and try to rule out other causes for them. (Start with your next period - don't try to recap the symptoms of your last cycle.) The next step is to meet with your doctor. Keep track of the dates of your period, and note when your symptoms occur and how severe they are. How do you know if you have PMDD or PMS? A symptom diary can help. For these reasons, PMDD is an official psychiatric diagnosis. In especially severe cases, women may even feel suicidal. Severe depression and feelings of hopelessness may occur. It is characterized by extreme moodiness, irritability, depression, and anxiety that appear the week before a woman gets her period and go away a few days after it starts.

While the physical symptoms of both PMDD and PMS are the same - fatigue, swollen breasts, backache, headache, food cravings, bloating, constipation, diarrhea - PMDD includes emotional symptoms that are much more severe that the mood swings associated with PMS. Premenstrual dysphoric disorder (PMDD) is PMS with a twist. Nearly 75% of women experience symptoms of PMS during the two weeks before their menstrual periods. Most women are at least somewhat familiar with the miseries of premenstrual syndrome (PMS).

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