Journal of South Asian Federation of Obstetrics and Gynaecology

Register      Login

VOLUME 11 , ISSUE 1 ( January-February, 2019 ) > List of Articles


Premenstrual Dysphoric Disorder: Prevalence, Predictors and Challenges in Diagnosis

Mona Asnani, Shipra Kunwar, Ajay Kohli, Ayesha Ansari, Kumkum Srivastava, Tamkeen Rabbani

Keywords : Predictors, Premenstrual syndrome, Prevalence

Citation Information : Asnani M, Kunwar S, Kohli A, Ansari A, Srivastava K, Rabbani T. Premenstrual Dysphoric Disorder: Prevalence, Predictors and Challenges in Diagnosis. J South Asian Feder Obs Gynae 2019; 11 (1):44-49.

DOI: 10.5005/jp-journals-10006-1648

License: CC BY-NC 4.0

Published Online: 01-12-2017

Copyright Statement:  Copyright © 2019; The Author(s).


Introduction: Premenstrual syndrome (PMS) is a cluster of mood, behavioral and physical symptoms occurring during the late luteal phase of the menstrual cycle that are all relieved after the onset of menstruation. A severe form of PMS is known as a premenstrual dysphoric disorder (PMDD). Aim and objectives: The study was aimed to assess the prevalence of PMS and PMDD among young Indian Medical undergraduate students and also to analyze predictors of PMS and PMDD in terms of health status and health-behavioral factors, family history, increased physical and mental stress, body mass index (BMI), age at menarche and duration of menstrual flow Materials and methods: The study was conducted at Era's Lucknow Medical College between July and September 2011, a total 73 students were analyzed for with the help of premenstrual symptoms screening tool and presence and severity of PMS were assessed the results were analyzed by Chi-square test taking p value <0.05 as significant. Results: The mean age of the students was 21.71 years with a standard deviation (S.D) of ±1.3.Mean age of menarche was 13.16 years with S.D ± 1.21 years. Analysis revealed around 97.2% of students had at least one symptom of PMS (86.3%– mild PMS; 9.6%–moderate-severe PMS). One student qualified for PMDD. Conclusion: Premenstrual syndrome (PMS) is a common problem with young urban women which may be debilitating both at work and in interpersonal relationships in its severe form. The premenstrual screening tool is an easy and simple way of diagnosis of clinically significant premenstrual syndrome so that they can be managed appropriately improving their quality of life.

PDF Share
  1. Endicott J. History, evolution and diagnosis of premenstrual disphoric disorder. J Clin Psychiatry. 2000;61:5-87.
  2. Bickers W, Woods M. Premenstrual Tension. Rational Treatment. Tex Rep Bio Med. 1951;9:406-407.
  3. Frank RT. The hormonal causes of premenstrual tension. Arch Neurol Psych. 1931 Nov 1;26(5):1053-1057.
  4. Yonkers KA, O'Brien PM, Eriksson E. Premenstrual syndrome. Lancet 2008;371:1200-1210.
  5. Hurt SW, Schnurr PP, Severino SK, Freeman EW, Gise LH, Rivera-Tovar A, et al. Late luteal phase dysphoric disorder in 670 women evaluated for premenstrual complaints. American Journal of Psychiatry 1992;149:525-530.
  6. Woods NF, Most A, Dery GK. Prevalene of perimenstrual symptoms. American Journal of Public Health. 1982 Nov;72(11):1257-1264.
  7. Balaha M, Amr MA, Moghannum M, Muhaida N. The phenomenology of premenstrual syndrome in female medical students: a cross sectional study. Pan Afr Med J. 2010;5(1):4.
  8. Tschudin S, Bertea PC, Temp E. Prevalence and predictors of premenstrual syndrome and premenstrual dysphoric disorder on a population-based sample. Arch Women's Men. Health. 2010;13:485-497.
  9. Halbriech U. The etiology, biology and evolving pathology of premenstrual syndromes. Psychoneuroendocrinology 2003; 2003;28(suppl 3):55-99.
  10. Endicott j, Nee J, Harrison W. Daily Record of Severity of Problems (DSRP): reliability and validity. Arch Womens Men. Health. 2006;9:41-49.
  11. Steiner M, Macdougall M, Brown E. The premenstrual symptoms screening tool (PSST) for clinicians. Archives of Women's Mental Health. 2003 Aug 1;6(3):203-209.
  12. Sharma A, Taneja DK, Sharma P, Saha R. Problems related to menstruation and their effect on daily routine of students of a medical college in Delhi, India. Asia Pac J Public Health. 2008;20:234-241.
  13. Petta CA, Maria JDO, Karla SP, Luis B, Maria YM. Premenstrual syndrome as reported by Brazilian women. Int J Gyn Obs 2010;108:40-43.
  14. Takeda T, Koga S, Yaegashi N. Prevalance of premenstrual syndrome and premenstrual dysphoric disorder in Japanese high-school students. Arch Womens Ment Health. 2010; 13:535-537.
  15. Issa BA, Yussuf AD, Olatinwo AW, Ighodalo M. Premenstrual dysphoric disorder among Medical students of a Nigerian university. Ann Afr Med. 2010;9:118-122.
  16. Isar N, Zehra N, Haider G, Munir AA, Sohoo NA. Frequency, intensity and impact of premenstrual syndrome in medical students. J Coll Physicians Surg Pak. 2008;18:481-487.
  17. Eke AC, Akabuike JC, Maduekwe K. Predictors of premenstrual syndrome among Nigerian university students. Int J Gynaecol Obstet. 2011;112:63-64:
  18. Delara M, Ghofranipour F, Azadfallah P, Tavafian SS, Kazemnejad A, Montazeri A. Health-related quality of life among adolescents with premenstrual disorders: a cross sectional study. Health and Quality of Life Outcomes 2012;10:1.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.