---
title: What are the most common premenstrual symptoms and how severe are they?
description: The most common symptoms are bloating, cramps, breast tenderness, irritability, and mood swings. Symptoms varied widely: 40.8% of women had mild symptoms, 28.
url: https://niyora.com/research/papers/premenstrual-symptoms-severity-duration-and-typology-an-international-cross-2009/
---

- [Niyora](https://niyora.com/)
- [Research](https://niyora.com/research/)
- [Library](https://niyora.com/research/library/)
- What are the most common premenstrual symptoms and how severe are they?

Survey study, 2009

# What are the most common premenstrual symptoms and how severe are they?

The most common symptoms are bloating, cramps, breast tenderness, irritability, and mood swings. Symptoms varied widely: 40.8% of women had mild symptoms, 28.7% had moderate mental symptoms, 21.9% had moderate physical symptoms, and 8.6% had severe symptoms.

 Moderate study design

4,085 women aged 14-49 in France, Germany, Hungary, Italy, Spain, UK, Brazil, and Mexico.

## What they did

Researchers randomly called 4,085 women aged 14-49 in eight countries (France, Germany, Hungary, Italy, Spain, UK, Brazil, and Mexico). Over the phone, each woman was asked about 23 different premenstrual symptoms.

## What they found

The most frequent symptoms were abdominal bloating, cramps or abdominal pain, breast tenderness, irritability, and mood swings. The severity of symptoms was directly linked to how long they lasted. Women could be grouped into four types: 40.8% mild, 28.7% moderate with mostly mental symptoms, 21.9% moderate with mostly physical symptoms, and 8.6% with severe symptoms of both kinds.

## What it means for you

Premenstrual symptoms are very common and range from mild to severe. How long symptoms last is strongly linked to how bad they are. The main limit: this captured what women reported at one point in time rather than tracking symptoms day by day, and symptom patterns may differ by country.

4,085

women surveyed across 8 countries

40.8%

women with mild symptoms

8.6%

women with severe symptoms

## About the study

Original title Premenstrual symptoms -- severity, duration and typology: an international cross-sectional study Authors Dennerstein L, Lehert P, Bäckström TC et al. Journal Menopause international Year 2009 Study design Survey study Participants 4,085 What was tested None - descriptive symptom survey Read the paper [doi.org/10.1258/mi.2009.009030](https://doi.org/10.1258/mi.2009.009030)

## Topics

[Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Bloating, breast tenderness and physical symptoms](https://niyora.com/research/topics/symptom-physical-symptoms/)[Pain and headache](https://niyora.com/research/topics/symptom-pain/)

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

Randomised trial, 2024

Does estetrol/drospirenone birth control improve PMS symptoms?

Randomised trial, 2023

Does zinc supplementation reduce PMS symptoms in women?

Systematic review, 2021

Does damask rose help reduce menstrual pain, headache, fatigue, anxiety, and bloating?

Systematic review, 2020

Does Vitex agnus-castus help cyclic breast pain?

Randomised trial, 2014

Does the combination of sumatriptan and naproxen sodium reduce menstrual symptoms and migraine?

Survey study, 2011

What premenstrual symptoms do women experience around the world and how much do they affect daily life?

Ask AI about this page

Copy prompt

ChatGPT

↗

Claude

↗

Perplexity

↗

Google AI Mode

↗

Grok

↗
