You might know your cycle in and out, you might have used a chart or an app to track your symptoms. OR you might be unsure if your symptoms fit into a premenstrual disorder.
In any case, if you have already tracked your symptoms for at least two cycles, then you might have started noticing patterns in your symptoms. If you suspect you may have a premenstrual disorder, then we definitely recommend tracking symptoms daily for at least two months.
Symptom patterns can vary a LOT between people, and even between your cycles. Sometimes it also gets blurred because we might have one really bad rage episode, which led to a break up, while in some other cycles we might have had some arguments but also experienced some decent days in between.
Our memories are funny that way. We tend to remember emotionally charged events more than other relatively mild or neutral events. More recent studies have found that menstrual cycle phase plays a role in the things we remember. People who experienced trauma when they were in their luteal phase were more likely to experience flashback memories. Those with PMDD may also experience more intense emotions and take a longer time to recover from negative emotions, especially during their symptomatic days.
All of this to say, we can be really bad historians. When we attempt to recall symptoms, our brains have a way of filling the gaps to present a whole story rather than specific details. Or we may recall some details while forgetting others. This may affect how you present your symptoms to your doctor and what you would like to do. Or you might focus on one specific symptom, and miss out on talking about a cluster of symptoms.
In those who report moderate to severe premenstrual symptoms, only a few tend to receive a diagnosis of PMDD using daily symptom tracking.
This is not to say that those who do not get a PMDD diagnosis experience less symptoms. It is just that in the historical context, clinicians and researchers had to agree to a specific set of strict criteria to diagnose PMDD.
Regardless of diagnostic labels, tracking your symptoms daily can help in identifying patterns that you can then present to a doctor for diagnosis or follow-up.
It can also help you identify the days of the cycle that you are likely to be at high-risk and use strategies to manage your symptoms or stay better prepared. It can also help to track whether any of your strategies like lifestyle changes or treatments are helping with your symptoms.
If you are new to tracking your symptoms or unsure how to go about it, we have a downloadable symptom tracker that you can print and use. We also have a recorded webinar that talks about cycle tracking if you would like to dive a bit deeper.
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Eisenlohr-Moul, T. (2019). Premenstrual Disorders: A Primer and Research Agenda for Psychologists. Clin Psychol, 72(1), 5-17. https://pmc.ncbi.nlm.nih.gov/articles/PMC7193982/
Lambert, E., Hunter, M., Cocker, H., Gurvich, C., & Chalder, T. (2025). Emotion regulation in Premenstrual Dysphoric Disorder and Premenstrual Syndrome: a systematic review. BMC Psychology, 13(1), 1289. https://doi.org/10.1186/s40359-025-03587-y
Tonon, A. C., Ramos-Lima, L. F., Kuhathasan, N., & Frey, B. N. (2024). Early Life Trauma, Emotion Dysregulation and Hormonal Sensitivity Across Female Reproductive Life Events. Current Psychiatry Reports, 26(10), 530-542. https://doi.org/10.1007/s11920-024-01527-y
Additional Resources
PMDD or PME cannot be diagnosed through blood, hormone, or saliva tests. While these tests may help rule out other conditions (such as thyroid disorders or hormone imbalances), they cannot confirm a diagnosis of PMDD. The only current method for diagnosing PMDD is by tracking symptoms daily throughout at least two complete menstrual cycles.
This downloadable tracker includes the Daily Record of Severity of Problems (DRSP), the gold-standard, clinically validated tool used by healthcare providers, clinicians, and researchers, alongside additional IAPMD-designed worksheets.
Please print out the tracking sheets and complete them daily to capture how symptoms change throughout your cycle. Bring the completed charts to healthcare appointments to support evaluation, diagnosis, and treatment planning.
Led by Laura Federico and Morgan Miller, this two-part workshop offers a supportive and practical approach to understanding and tracking your hormonal cycle.
Part 1: Unlocking Hormones, Health, and What Truly Matters
This empowering workshop is designed to support you in better understanding your body. We will learn to identify hormonal phases, the role of hormones in our bodies, the systemic and historical limitations that necessitate self-advocacy, how to cycle track in an inclusive and whole-body manner, and how to use the data we gather during cycle tracking to best support ourselves.
We will explore how the hormonal cycle interacts with mood, sexuality, and emotions, and how shame, stigma, and dismissal may contribute to undue distress. We will explore practical pathways to body literacy, de-pathologize hormonal shifts, and co-create safe and affirming spaces for you to reconnect with your body on your own terms.
Disclaimer: This event is for educational purposes and is not intended as medical advice. IAPMD does not endorse, sponsor, or encourage your use of the information or services presented and we accept no liability for the content. Please consult your trusted health professionals and your own values and beliefs when making decisions about your treatment and care.
Recorded: May 20, 2025
Led by Laura Federico and Morgan Miller, this two-part workshop offers a supportive and practical approach to understanding and tracking your hormonal cycle.
Part 2: Cycle Tracking for PMDD - Charting for Insight, Advocacy, and Healing
This supportive, practical workshop is designed to help you decode your body’s patterns. We will explore how tracking your cycle can provide powerful insight into the hormonal shifts and emotional fluctuations that impact your well-being. We will get specific about ways to track PMDD symptoms to best evaluate your chosen treatment options and gain clarity.
You’ll learn to identify key biomarkers, understand the phases of your cycle, and discover how charting can become a tool for self-advocacy when navigating systems of care (and educating providers about your PMDD). We highlight how tracking can help pinpoint when the hormonal shift occurs which would indicate to you the start of PMDD symptoms in that cycle, giving you a longer runway to plan for support and care for your wellbeing.
Disclaimer: This event is for educational purposes and is not intended as medical advice. IAPMD does not endorse, sponsor, or encourage your use of the information or services presented and we accept no liability for the content. Please consult your trusted health professionals and your own values and beliefs when making decisions about your treatment and care.
Recorded: May 27, 2025