Premenstrual dysphoric disorder-Gynecological diagnostics and treatment in an interdisciplinary context

Premenstrual dysphoric disorder (PMDD) is a gynecologically relevant illness and typical features are predominantly severe emotional and sometimes physical symptoms that occur in the luteal phase. The PMDD is the most severe form of the premenstrual syndrome (PMS). As approximately 3-8% of women in childbearing age are affected, it represents an important challenge in gynecological practices. The PMDD is still a little known, underdiagnosed and insufficiently treated disorder. This article provides an overview of the symptoms (as demarcation from PMS) and the diagnostic criteria of PMDD according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and the International Statistical Classification of Diseases and Related Health Problems (ICD-11). It illuminates evidence-based treatment approaches, which encompass hormone therapy, the use of certain antidepressant agents and psychotherapeutic procedures. Even if the etiology is not yet completely clarified, there are effective treatment approaches. An interdisciplinary approach is recommended for the successful treatment of this disease.