What is the difference between PMDD and PMS?

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    Igor Deoli, Louie Neri
    Last Updated: May 16, 2025

    Premenstrual dysphoric disorder (PMDD) is a more severe and less common condition than premenstrual syndrome (PMS); it affects 1% to 8% of people and is characterized by intense emotional and behavioral symptoms that substantially affect daily life and relationships. Unlike PMS, PMDD is often life altering and less responsive to lifestyle and herbal treatments.

    While PMDD and PMS share similarities, PMDD is both much more severe than PMS and less common, affecting an estimated 1% to 8% of people.[1][2] The intense emotional and behavioral symptoms of PMDD are usually what sets it apart from PMS. During the luteal phase, people with PMDD report “not feeling like themselves,” significant psychological distress, difficulty engaging in daily life, and damaged personal and work relationships.[3][4] This does not mean that PMS is not a challenging condition. However, PMDD is life-altering and often devastating without treatment. It is also less likely to respond to lifestyle and herbal interventions when compared to PMS.[5]

    What is the difference between PMDD and PMS? - Examine