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National Association for Premenstrual Syndrome

About PMS (cont)

Diagnostic criteria for Premenstrual Syndromes:

Organisation Criteria Diagnostic Term No of Mood & Physical Symptoms required
Can include the exacerbation of another psychiatric disorder?
Requires significant functional dysfunction? Prevalence in women of reproductive age
American Psychiatric Association (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM-V). Premenstrual Dysphoric Disorder (PMDD) 5/11 symptoms, (one of which must be from a list of four specific mood symptoms). No Yes 5%
American Congress of Obstetricians and Gynecologists (ACOG) N/A Premenstrual Syndrome (PMS) 1/6 mood symptoms, and 1/4 physical symptoms. Yes Yes 30%
The World Health Organisation (WHO) International Statistical Classification of Diseases and Related Health Problems (ICD-10) Premenstrual Tension Syndrome (PMTS) 1/9 mood symptoms or one physical symptom. Yes No 80%
With permission of Dr. Michael Craig PhD FRCOG FRCPsych


There is considerable concern, particularly amongst severely affected sufferers, that the ICD-10 terminology for PMTS is over-inclusive, and consequently results in the condition not being taken seriously by the public, media and health professionals.
Conversely, there is a concern by other sufferers, that premenstrual symptoms required for a diagnosis of PMDD based on the DSM-V criteria are too strict and leave many women with significant dysfunction without a clinical diagnosis and effective management.