The symptoms of PMDD are similar to but more severe than those experienced in PMS. Symptoms are typically present during the week before menses and resolve within the first few days after menstrual onset. Those who experience PMDD are often unable to function at their normal capacity while symptoms are present. The condition can affect relationships and disrupt routines at home and work. Symptoms of PMDD, both common and rare, include:

severe fatigue
mood changes, including irritability, depression, and anxiety
crying and emotional sensitivity
difficulty concentrating
heart palpitations
paranoia and issues with self-image
coordination difficulties
forgetfulness
abdominal bloating, increased appetite and gastrointestinal upset
headaches
backache
muscle spasms, numbness or tingling in the extremities
hot flashes
dizziness
fainting
sleeplessness
vision changes and eye complaints
respiratory complaints, such as allergies and infections
painful menses
decreased libido
easy bruising
heightened sensitivity