Medical history for PMS

Examination Overview

Your medical history is an important tool for your health professional in determining whether you have premenstrual syndrome (PMS). Your medical history includes your:

• Record of your PMS symptoms, menstrual dates, and ovulation dates, if possible. It may help to keep a menstrual diary(What is a PDF document?).
• History of PMS-like symptoms.
• Menstrual history (age when you had your first period, problems related to menstruation such as cramping).
• Pregnancy history (whether you've had children, what your pregnancies and deliveries were like, and what kinds of birth control you've used).
• Family health history (female relatives with PMS).
• Sexual history, including sexually transmitted infections (STIs). STIs are also sometimes called sexually transmitted diseases (STDs).

Based on the length and regularity of your menstrual cycles, your health professional will try to determine whether you are releasing an egg from the ovaries each month (ovulation).

Your health professional may also ask you about your mental health history, including:

• Past episodes of depression, bipolar disorder or mania, anxiety, panic attacks, or other mental illness.
• Current symptoms of depression, anxiety, panic attacks, personality disorder, or attention deficit disorder (ADD).
• Family history of mental illness.
• History of depression after childbirth (postpartum depression).

PMS can cause emotional and behavioural symptoms similar to those of depression or attention deficit disorder, so it's important to find out whether you have one of these problems. Some of these problems can get worse during the premenstrual phase. If you have PMS as well as another disorder, you may need treatment for both conditions.

Why It Is Done

Your health professional will take your medical history if you are having any symptoms of PMS. If your symptoms affect your mood or behaviour, a mental health history is important.

Results

A diagnosis of PMS is indicated when:

• Your symptoms consistently occur (or get worse) between the day you ovulate and the first days of your period. While just over 50% of women ovulate around 2 weeks before their period, ovulation has been known to happen as early as day 10 to as late as day 22 of a cycle.¹ Use a menstrual diary(What is a PDF document?) to keep track of when your symptoms occur.
• Your medical history does not suggest any other conditions that may be causing your symptoms.

What To Think About

No single test can diagnose PMS. A diagnosis of PMS is usually based on your symptoms and medical history. Tests to check for other medical conditions that might be causing symptoms should be done only as necessary.

Complete the medical test information form (PDF)(What is a PDF document?) to help you prepare for this test.

Author:	Kathe Gallagher, MSW Carrie Henley	Last Updated: August 25, 2006
Medical Review:	Renée M. Crichlow, MD - Family Medicine Adam Husney, MD - Family Medicine Deborah A. Penava, BA, MD, FRCSC, MPH - Obstetrics and Gynecology
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