During Perimenopause our Premenstrual Syndrome (PMS) symptoms may get worse. Have you noticed a change in the pattern of 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: What Is PMS? the (Australian) Jean Hailes for Women’s Health definition is:
Most women have one or 2 symptoms. Once your period starts, the symptoms usually go away.
PMS is very common in teenage years and during perimenopause.
PMS is different to premenstrual dysphoric disorder (PMDD), which is a condition that causes severe emotional and psychological distress”.
Premenstrual Disorders (PMDs)
What are Premenstrual Disorders (PMDs)?
DotS the definition of PMDs may vary. In What Are Premenstrual Disorders (PMDs)? the International Association for Premenstrual Disorders’ definition is:

Perimenopause 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:
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
May keeping a menstrual diary help?
In Menstrual Diary the (United Kingdom) National Association for Premenstrual Syndrome explain:
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:
- 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 Provider
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 20 January 2025, the (United States) Cleveland Clinic explain:
Health Topics A-Z
Where may I find Health Topics A-Z related to Meno Martha, PMS and Perimenopause?
In Health Topics A-Z you may find:
Links
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- EMAS On-Demand Webinars [European Menopause and Andropause Society] [Multiply Languages]: Menopause and Mental Health: Managing Anxiety, Depression, and Cognitive Changes [19 February 2026]
- Health.gov.au/perimenopause [Australia] [22 May 2026]
- Menopause and Mental Health
- PMS and PMDD: Live Q&A With Dr Louise Newson [10 August 2025]
- Perimenopause, PMS, and PCOS: All About the Period [18 December 2025]
- Your Daily Dose: Perimenopause, Don’t Suffer In Silence [29 March 2026]
- A Man’s Guide To Menopause
- Complementary & Alternative Therapies: Non-Hormonal Treatments for Menopause Symptoms
- Complementary Medicines and Therapies: Options for Menopausal Symptoms

- Consumer Video and Podcast Series: 2024 Consumer Videos and Podcasts – Preparing for Your Menopause Healthcare Visit
- Could It Be Perimenopause? How Hormones Influence the Brain
- EMAS On-Demand Webinars [European Menopause and Andropause Society] [Multiply Languages]: Menopause and Mental Health: Managing Anxiety, Depression, and Cognitive Changes
- Find A Member [Australasian Menopause Society i.e. Australia and New Zealand]
- Find A Menopause Practitioner [United States and Other]
- Find Your Nearest BMS Menopause Specialist [British Menopause Society]
- FREE IAPMD Premenstrual Disorders (PMDs) Symptom Tracker

- HRT Questions Answered
- HRT – Types, Doses and Regimens
- Health.gov.au/perimenopause [Australia]
- Hormone Replacement Therapy (HRT): A Summary
- Iapmd.org [International Association For Premenstrual Disorders [IAPMD]]

- International Menopause Society (IMS) Recommendations and Key Messages on Women’s Midlife Health and Menopause
- Is There A Link Between PMDD & Endometriosis!?
- Menopause
- Menopause Depression
- Menopause Map: Downloadable Resources – My Personal Path Print Tools: Questions for Your Health Care Provider

- Menopause Map: Downloadable Resources – My Personal Path Print Tools: Symptom Tracker

- Menopause and Mental Health
- Menopause and Mental Health
- Menopause [Multiply Languages]
- Menstrual Diary
- Mymenoplan.org [My Menoplan, United States]
- Navigating Menopause Care Resource Guide

- Online Events [International Menopause Society]: Past Webinars – 2025: Lifestyle Medicine
- Online Events [International Menopause Society]: Past Webinars – 2026: New IMS Recommendations – Lifestyle, Diet, Exercise
- Online Events [International Menopause Society]: Past Webinars – 2026: New IMS Recommendations – Midlife Body Changes
- Our Best Mental Health Tips – Backed By Research

- PMD Awareness Month [April 2026]

- PMDD # PMS
- PMDD / PME – Understanding and Coping With Premenstrual Anger, Irritability, & Hypersensitivity
- PMS (Premenstrual Syndrome)
- PMS and PMDD | Dr Louise Newson
- PMS and PMDD: Live Q&A With Dr Louise Newson
- Perimenopause
- Perimenopause
- Perimenopause and Menopause Checklist: Translated Checklists
- Perimenopause and Menopause Symptom Checklist

- Perimenopause, PMS, and PCOS: All About the Period
- Periods Information Hub
- Pms.org.uk [National Association for Premenstrual Syndromes, United Kingdom]
- Premenstrual Dysphoric Disorder (PMDD)
- Premenstrual Dysphoric Disorder: Different From PMS?
- Premenstrual Syndrome
- Premenstrual Syndrome (PMS)
- Premenstrual Syndrome (PMS)
- Premenstrual Syndrome (PMS)
- Premenstrual Syndrome (PMS)
- Premenstrual Syndrome (PMS) [+ Video]
- Premenstrual Syndrome – Self-Care: Keep A Diary of Symptoms
- Provider Directory
- Resources: Fact Sheets [Multiply Languages]

- Self-Help Tool: Periods and Mental Wellbeing
- Supplements: What Works, What Doesn’t and the Truth About Menowashing
- Surprising Menopause Symptoms Revisited | Dr Louise Newson
- The Menstrual Cycle With PMDs
- Transgender and PMDD
- Treating Premenstrual Disorders – With Dr. Tori Eisenlohr-Moul & Brett Buchert
- Understanding Perimenopause and Menopause With Dr Ramya Raman
- Understanding Premenstrual Disorders – PMDD and PME Explained [Video]
- What Are Premenstrual Disorders (PMDs)?
- What Is PMDD?
- What Is PME?
- What Is the Difference Between Perimenopause, Menopause and Postmenopause?
- When Hormones Are Missed In Mental Health
- World Menopause Day [18 October 2025]

- Your Daily Dose: Perimenopause, Don’t Suffer In Silence
- Your Daily Dose: Perimenopause, Here’s What To Know

