
Premenstrual dysphoric disorder (PMDD) is a severe condition in which most women develop depression, irritability and tension before menstruation. The U.S. Department of Health and Human Services stated that, premenstrual dysphoric disorder is more severe and serious compared to premenstrual syndrome (PMS). Exact cause for premenstrual dysphoric disorder is unknown however researchers demonstrated that few factors are associated with it that includes depression, vitamin deficiency, changes in hormone related to menstrual cycle, drinking alcohol and eating salty food. Possible signs and symptoms for premenstrual dysphoric disorder includes feeling sadness or hopelessness, fatigue or low energy, food cravings, panic attacks and change in appetite. Other symptoms of premenstrual dysphoric disorder can be sleep problems, difficulty in concentration and physical problems such as bloating, breast tenderness, swelling, headaches, joint or muscle pain. Women with unhygienic lifestyle are at high risk for developing premenstrual dysphoric disorder. Currently no diagnosis test is available in the market for detection of premenstrual dysphoric disorder but sometimes psychiatric evaluation might be performed to rule out the other conditions associated with premenstrual dysphoric disorder. Treatment and management of premenstrual dysphoric disorder includes good nutrition, exercise and medication (Sarafem, Paxil CR, and Zoloft).