---
title: What makes diagnosing severe PMS (PMDD) difficult? | Niyora
description: Diagnosing PMDD is difficult because it requires doctors from multiple specialties and there is no single standard diagnostic tool.
url: https://niyora.com/research/papers/an-integrative-approach-in-the-diagnosis-of-premenstrual-dysphoric-disorder-2024/
---

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- What makes diagnosing severe PMS (PMDD) difficult?

Survey study, 2024

# What makes diagnosing severe PMS (PMDD) difficult?

Diagnosing PMDD is difficult because it requires doctors from multiple specialties and there is no single standard diagnostic tool.

 Early or limited evidence

PMDD diagnosis and prevalence discussion

## What they did

The authors reviewed information about premenstrual dysphoric disorder (PMDD), the most severe form of PMS, including how common it is and why diagnosis is challenging.

## What they found

PMDD affects 6-80% of people, with variation depending on which studies you look at. PMDD significantly affects women's physical health, emotions, social relationships, and work or school performance. Diagnosis requires doctors from multiple fields including general practice, gynecology, and mental health care. There is no unified diagnostic questionnaire used in Russia.

## What it means for you

PMDD is serious and complex to diagnose because it requires doctors from different specialties working together. A standard diagnostic tool would help more women receive accurate diagnosis and appropriate treatment.

6-80%

PMDD prevalence across studies

Multiple

Medical specialties needed

## About the study

Original title AN INTEGRATIVE APPROACH IN THE DIAGNOSIS OF PREMENSTRUAL DYSPHORIC DISORDER Authors Kristina Olegovna Kudrina, Ildana Olegovna Kuzmina, Valeria Yuryevna Schelok Journal SCIENTIFIC MEDICAL BULLETIN OF UGRA Year 2024 Study design Survey study What was tested None Open access Yes Read the paper [doi.org/10.25017/2306-1367-2024-40-8-93-95](https://doi.org/10.25017/2306-1367-2024-40-8-93-95)

## Topics

[Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Premenstrual dysphoric disorder (PMDD)](https://niyora.com/research/topics/condition-pmdd/)[Low mood and depression](https://niyora.com/research/topics/symptom-depression-mood/)[Psychotherapy, counselling and education](https://niyora.com/research/topics/treatment-psychotherapy/)

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## Related studies

Review, 2024

What are the most effective treatments for PMDD?

Review, 2023

What treatments help mental and physical health problems linked to the menstrual cycle?

Systematic review, 2012

How effective are cognitive-behavioral therapy and antidepressants for PMS and PMDD?

Review, 2001

What causes PMS and PMDD, and how are they treated?

Systematic review, 2026

What types of talking therapy have been studied for PMS and PMDD?

Study, 2026

How often do people have both PMDD and bipolar disorder together, and how do they affect each other?

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