---
title: Are there different types of PMDD based on when symptoms appear and disappear?
description: Yes. Some women have PMDD symptoms only in the week before their period, others have severe symptoms for the full two weeks before menstruation, and others ha
url: https://niyora.com/research/papers/are-there-temporal-subtypes-of-premenstrual-dysphoric-disorder-using-group-based-2020/
---

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- Are there different types of PMDD based on when symptoms appear and disappear?

Lab study, 2020

# Are there different types of PMDD based on when symptoms appear and disappear?

Yes. Some women have PMDD symptoms only in the week before their period, others have severe symptoms for the full two weeks before menstruation, and others have premenstrual symptoms that take a long time to improve.

 Moderate study design

74 women with PMDD

## What they did

Followed 74 women with PMDD daily across 23 days of their menstrual cycle: 14 days before their period started through 9 days after. They tracked emotional and physical symptoms in different cycle phases.

## What they found

Three main patterns appeared: 65% had moderate symptoms only in the premenstrual week, 17.5% had severe symptoms across the full 2 weeks of the luteal phase, and 17.5% had severe symptoms in the premenstrual week that were slow to resolve.

## What it means for you

Women with PMDD may experience it in three different patterns. This might matter for treatment because different patterns could need different approaches. The main limit: only 74 women were studied.

74

Women with PMDD studied

65%

Moderate symptoms only in premenstrual week

17.5%

Severe symptoms across full 2 weeks

## About the study

Original title Are there temporal subtypes of premenstrual dysphoric disorder?: using group-based trajectory modeling to identify individual differences in symptom change Authors Eisenlohr-Moul TA, Kaiser G, Weise C et al. Journal Psychological medicine Year 2020 Study design Lab study Participants 74 What was tested No intervention - observational study tracking natural cycle Open access Yes Read the paper [doi.org/10.1017/s0033291719000849](https://doi.org/10.1017/s0033291719000849)

## Topics

[Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Premenstrual dysphoric disorder (PMDD)](https://niyora.com/research/topics/condition-pmdd/)[Menstrual cycle and mood](https://niyora.com/research/topics/condition-cycle-mood/)[Low mood and depression](https://niyora.com/research/topics/symptom-depression-mood/)

Research tells you what helps on average. Niyora helps on the day it hits.

Calm down, see it another way, and decide what to say, with a PMS and PMDD app built by a doctor.

## Related studies

Cohort study, 2026

What genetic factors are linked to premenstrual symptoms?

Study, 2026

How do women with PMDD process emotions differently in their brains?

Systematic review, 2026

Why do some women experience mood changes linked to their menstrual cycle?

Case-control study, 2026

Do women with PMS handle emotions differently at different times of the cycle?

Systematic review, 2025

Do people with PMDD and severe PMS have difficulties with emotion regulation?

Cohort study, 2025

Do women with a history of PMS or PMDD have more depression during pregnancy and after birth?

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