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Criteria for diagnosing the core premenstrual disorder

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Criteria for diagnosing the core premenstrual disorder

The International Society for Premenstrual Disorders (ISPMD) has defined the following criteria for the diagnosis of core premenstrual disorder:

  • it is precipitated by ovulation
  • symptoms are not defined, although typical symptoms exist
  • any number of symptoms can be present
  • physical and psychological symptoms are important
  • symptoms recur in the luteal phase
  • symptoms disappear by the end of menstruation
  • a symptom-free week occurs between menstruation and ovulation
  • symptoms must be prospectively rated
  • symptoms are not an exacerbation of an underlying psychological or physical disorder
  • symptoms cause significant distress and impairment of daily activities, such as work commitments, social interactions and family activities (1).

Note:

  • some patients with severe psychological symptom may fulfil the American Psychiatric Association (APA) criteria for premenstrual dysphoric disorder
  • the criteria for premenstrual syndrome and premenstrual dysphoric disorder (PMDD) fulfil the ISPMD criteria for core premenstrual disorder (2)

Reference:

  1. Walsh S, Ismaili E, Naheed B, O'Brien S. Diagnosis, pathophysiology and management of premenstrual syndrome. The Obstetrician &Gynaecologist 2015;17:99-104
  2. O'Brien S et al. Diagnosis and management of premenstrual disorders. BMJ. 2011;342:d2994.

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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