What Are PMS and PMDD?

Premenstrual syndrome, or PMS, involves physical and emotional symptoms that occur before your period and usually ease after menstruation begins.

Premenstrual dysphoric disorder, or PMDD, involves more severe symptoms—particularly changes in mood—that significantly disrupt daily life, work, or relationships. PMDD is a recognized medical condition, and its impact deserves to be taken seriously.

Why Do These Symptoms Happen?

The exact causes are not fully understood. PMS and PMDD are thought to involve sensitivity to the normal hormonal changes that occur during the menstrual cycle, rather than simply having “too much” or “too little” of a hormone.

These changes can affect brain systems involved in mood and stress response. Symptoms are not a sign of weakness or something you should be expected to manage through willpower alone.

Recognizing the Symptoms

Premenstrual symptoms may include:

• Irritability, anxiety, or mood changes

• Low mood or feeling overwhelmed

• Breast tenderness and bloating

• Headaches or physical discomfort

• Fatigue and changes in sleep

• Changes in appetite or difficulty concentrating

  
  

With PMDD, emotional symptoms can be especially intense. The timing matters: symptoms typically follow a recurring pattern before menstruation, with a period of relief afterward.

How Acupuncture May Help

Acupuncture may help reduce some physical and mood-related PMS symptoms and improve overall well-being.

Research suggests possible benefits, but the available studies are small and the evidence remains limited. Benefits for PMS should not be assumed to establish acupuncture as a treatment for PMDD. For severe mood symptoms, acupuncture is best considered as complementary support alongside appropriate medical and mental health care.

Understanding Your Monthly Pattern

Keeping a daily record of symptoms for at least two menstrual cycles can help your healthcare provider distinguish PMS or PMDD from conditions that persist throughout the month.

Record mood, sleep, physical symptoms, and how they affect your activities—not just the date your period begins. This can also help guide acupuncture appointments around the times when support is most useful.

Care That Responds to Your Symptoms

Acupuncture appointments can focus on your priorities, including premenstrual discomfort, physical tension, and opportunities for relaxation.

Dr. Michiko considers your symptom pattern, current treatment, and comfort when planning sessions. Your response is reviewed over time so care can be adjusted to your needs.

Alongside Medical Care

Treatment options may include antidepressants such as SSRIs, certain hormonal contraceptives, and cognitive behavioral therapy. Your healthcare provider can help you choose an approach based on your symptoms and preferences.

Severe depression or thoughts of self-harm require urgent support rather than waiting for a routine appointment.

Begin With What Affects You Most

Whether your main concern is physical discomfort or the emotional changes that return each month, you deserve care that acknowledges the impact on your life.