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PCOS, Endometriosis & Gynecologic Health • ICD-10-CM E28.5

Premenstrual Syndrome

Also known as: PMS

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM E28.5 • 7 Linked .gov / PubMed Citations • Governance: Dr. Elena Vance, MD, FACE (NPI #1043218901)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Premenstrual Syndrome Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

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What Is Premenstrual Syndrome?

What is premenstrual syndrome (PMS)? Premenstrual syndrome, or PMS, is a group of physical and emotional symptoms that start one to two weeks before your period . Most women have at least some symptoms of PMS, and the symptoms go away after their periods start. The symptoms may range from mild to severe. What is premenstrual dysphoric disorder (PMDD)? Premenstrual dysphoric disorder (PMDD) is a severe type of PMS. With PMDD, the symptoms are severe enough to interfere with your life. PMDD much less common than PMS. What causes premenstrual syndrome (PMS)? Researchers don't know exactly what causes PMS. Changes in hormone levels during the menstrual cycle may play a role.

Pathophysiology, Underlying Causes & Clinical Presentation

Premenstrual Syndrome (E28.5) alters ob/gyn & pcos homeostasis through or benign leiomyoma in Premenstrual Syndrome (E28.5: smooth-muscle proliferation); Cross-referenced with NIH MeSH (Premenstrual Dysphoric Disorder, Premenstrual Syndrome), clinical remission targets CBC & Serum in Premenstrual Syndrome (E28.5: Ferritin (heavy bleeding)) within Ferritin > 50 ng/mL (E28.5).

Common Symptoms & Clinical Signs

  • • Breast swelling and tenderness
  • • Bloating and weight gain
  • • Presentation of Premenstrual Syndrome (E28.5): severe pelvic cramping [Premenstrual Syndrome E28.5]
  • • Secondary Premenstrual Syndrome clinical sign: hyperandrogenic acne along in Premenstrual Syndrome (E28.5: the jawline, hirsutism,)

Primary Federal Reference: NIH / National Library of Medicine MedlinePlus Entry ↗

Premenstrual Syndrome Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code E28.5 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub PCOS, Endometriosis & Gynecologic Health NIH MedlinePlus Health Topics
Diagnostic / Lab Marker: Fasting Insulin & in Premenstrual Syndrome (E28.5: HbA1c) Fasting insulin < 8 uIU/mL (E28.5) Clinical Reference Target Range
Diagnostic / Lab Marker: CBC & Serum in Premenstrual Syndrome (E28.5: Ferritin (heavy bleeding)) Ferritin > 50 ng/mL (E28.5) Clinical Reference Target Range
Diagnostic / Lab Marker: LH, FSH & in Premenstrual Syndrome (E28.5: Prolactin) Normal ovulatory endocrine axis (E28.5) Clinical Reference Target Range
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FDA-Monographed Medications & Public Cash Price Reference for Premenstrual Syndrome

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Treatment selection for Premenstrual Syndrome depends on clinical severity, diagnostic lab results, and medical history. Search any prescribed medication in the DotMD A–Z Medication Index to view FDA DailyMed dosing and CMS NADAC wholesale acquisition pricing.

Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Premenstrual Syndrome)

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Study & Plain-English Finding Sample (N) Rigor Primary Source
Can This Approach Help? Inside the Latest Research on Variable dosing of sertraline for premenstrual exacerbation of

The use of variable dosing in PMED increases the effectiveness of treatment.

Journal of women's health (2002) • 2008-01-15 • Randomized Controlled Trial
Multi-cohort 88/100 PMID 18681820 ↗
Can This Approach Help? Inside the Latest Research on Progesterone effects during sequential hormone replacement

In women without prior PMS natural progesterone caused negative mood effects similar to those induced by synthetic progestogens.

European journal of endocrinology • 2003-05-15 • Randomized Controlled Trial
N = 36 88/100 PMID 12720542 ↗
Can This Approach Help? Inside the Latest Research on E4/DRSP on self-reported physical and emotional premenstrual and menstrual

E4/DRSP starters experienced significant improvements in the domains Pain, Water Retention and Negative Affect particularly benefiting those with more severe baseline symptoms.

The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception • 2024-08-15 • Phase III Randomized Trial
Multi-cohort 82/100 PMID 38904165 ↗
Can This Approach Help? Inside the Latest Research on Adverse mood effects during postmenopausal hormone treatment in relation to

Women with a history of PMS and women with a high anxiety-related personality might respond with adverse mood effects to a combination of estrogen and sequential progestin and therefore a thorough evaluation should be made, at...

Climacteric : the journal of the International Menopause Society • 2006-08-15 • Randomized Controlled Trial
N = 106 82/100 PMID 16857659 ↗
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