Premenstrual Syndrome: Classification

Classification according to main symptoms

Classification Dominant symptoms
PMS-A (Anxiety = Anxiety) Anxiety, nervousness, irritability, anger and aggression.
PMS-C (Craving = craving) Cravings (especially for sweets)/carbohydrate cravings, increase in appetite, fatigue, lassitude, and headaches
PMS-D (depression) Depressed mood, tearfulness, lethargy, and sleep disturbance (insomnia)
PMS-H (hyperhydration = water retention. Edema (water retention), weight gain, and cycle-related breast tenderness or breast pain (mastodynia)
PMS-O (Other = Other) The leading symptoms do not correspond to any of the types listed above.
PMS-T (Total Overall Symptoms). Various symptoms from several groups occur.

Migraine and International Classification of Headache Disorders (ICHD).

  • Purely menstrual migraine, on the days of menses only (PMM).
  • Menstruation-dependent migraine: migraine during menses and also at other times (MRM).
  • Migraine not dependent on menses (NMRM).

Note: Women with MRM suffer the most