ABSTRACT
The true prevalence rate is not known because of the great variation in the criteria for diagnosis. About 3%-8% of women suffer from a severe condition called premenstrual dysphoric disorder. More than 150 symptoms have been reported to be associated with premenstrual syndrome. Diagnosis depends not on the type or severity of the symptoms but on their timing. Criteria of diagnosis: Symptoms can be physical, psychological or behavioural. A small percentage of women with severe psychological symptoms will also fulfil the American Psychiatric Association criteria for premenstrual dysphoric disorder. Physical symptoms: Psychological and behavioural symptoms: It is important to make a correct diagnosis as this is a prerequisite for successful management. A pelvic examination is not needed unless clinically indicated, especially if there is a history of heavy menstrual bleeding.
