criteria for diagnosing the core premenstrual disorder

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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).


  • some patients with severe psychological symptom may fulfil 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)


Last edited 09/2018