Who is at risk of premenstrual dysphoric disorder?

    Last Updated: October 13, 2024

    Some people have an increased risk of PMDD. Certain genes, like the estrogen receptor alpha (ESR1) gene and ESC/E(Z) gene complex, are associated with PMDD and may increase a person’s sensitivity to sex hormone fluctuations. Genetic causes for PMDD are an area of ongoing research.[1][2] Other factors associated with an increased risk of PMDD include: a history of anxiety or of a depressive disorder; having experienced traumatic events; smoking; and lower education status.[3][4]