Meno Martha, PMS and Perimenopause

During Perimenopause our Premenstrual Syndrome (PMS) symptoms may get worse. Have you noticed a change in your PMS, Premenstrual Dysphoric Disorder (PMDD) or Premenstrual Exacerbation (PME) symptoms?

Premenstrual Syndrome (PMS)

What is Premenstrual Syndrome (PMS)?

Depending on the Source (DotS), the definition of PMS may vary. In Premenstrual Syndrome: Summary – What Is Premenstrual Syndrome? the (United States) Medline Plus’s definition is:

“Premenstrual syndrome, or PMS, is a group of physical and emotional symptoms that start one to two weeks before your period. Most women have at least some symptoms of PMS, and the symptoms go away after their periods start. The symptoms may range from mild to severe”.

Premenstrual Disorders (PMDs)

What is Premenstrual Disorders  (PMDs)?

DotS the definition of PMDs may vary. In What Are Premenstrual Disorders? the International Association for Premenstrual Disorders (IAPMD) include their definitions of Premenstrual Dysphoric Disorder (PMDD) and Premenstrual Exacerbation (PME).

“Premenstrual Disorders (PMDs), including Premenstrual Dysphoric Disorder (PMDD) and Premenstrual Exacerbation (PME), are cyclical neuroendocrine conditions in which individuals have an abnormal sensitivity to the natural hormonal fluctuations of the menstrual cycle. This heightened sensitivity can trigger a wide range of debilitating emotional, cognitive, physical, and even cellular-level symptoms that significantly affect daily functioning, relationships, and quality of life”.

Meno Martha, PMS and PerimenopausePerimenopause PMS

During perimenopause may our PMS symptoms get worse?

In Premenstrual Syndrome (PMS): Does PMS Change With Age? last updated 26 September 2025, the Office on Women’s Health,  United States Department of Health and Human Services, Womenshealth.gov explain:

“Yes. PMS symptoms may get worse as you reach your late 30s or 40s and approach menopause and are in the transition to menopause, called perimenopause.

This is especially true for women whose moods are sensitive to changing hormone levels during the menstrual cycle. In the years leading up to menopause, your hormone levels also go up and down in an unpredictable way as your body slowly transitions to menopause. You may get the same mood changes, or they may get worse.

PMS stops after menopause when you no longer get a period”.

Menstrual Diary

Meno Martha, PMS and PerimenopauseMay keeping a menstrual diary help?

In Menstrual Diary the (United Kingdom) National Association for Premenstrual Syndrome explain:

“A completed menstrual chart is the first step towards understanding your own menstrual health. Download the menstrual diary.

Our chart helps you to record accurately your menstrual cycle, to note related symptoms as they occur, to define when you are symptom-free, to plot your days of menstruation and to note the duration of your cycle”.

In Premenstrual Syndrome – Self-Care: Keep A Diary of Symptoms the (United States) MedlinePlus explain:

“Keeping a calendar or diary of your symptoms can help you identify the symptoms that are causing you the most trouble. Writing down your symptoms on a calendar can help you understand possible triggers for your symptoms. It can also help your health care provider choose an approach that is most helpful for you. In your diary or calendar, be sure to record:

  • The type of symptoms you are having
  • How severe your symptoms are
  • How long your symptoms last
  • Whether your symptoms respond to a treatment you tried
  • At what point during your cycle your symptoms occur

You may need to try different things to treat PMS. Some things you try may work, and others may not. Keeping track of your symptoms may help you find the treatments that work best for you”.

Health Care ProviderMeno Martha, PMS and Perimenopause

What if I would like help with PMS or PMDD or PME?

In Premenstrual Syndrome (PMS): Living With – When Should I See My Healthcare Provider?, last reviewed 01 January 2025, the (United States) Cleveland Clinic explain:

“See your provider if you’re unable to get relief from your PMS symptoms. To get the most out of your visit, come to your appointment prepared to discuss your symptoms and your period in detail. Track your period and symptom history on a calendar, planner or app. Be prepared to share information about your period start and stop dates and your symptoms (including how mild or severe) for at least two consecutive periods”.

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Last Updated: 30 October 2025 – Last Revised: 30 October 2025
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