Premenstrual Syndrome and Premenstrual Dysphoric Disorder in Adolescence

Faith Claman, MSN, CPNP, WHNP; Terri Miller, MSN, WHNP


J Pediatr Health Care. 2006;20(5):329-333. 

In This Article

Patient Evaluation

A general medical history and review of systems is augmented with a detailed reproductive history. Critical in the evaluation is the utilization of the patient's symptom assessment using a "symptoms calendar" (Figure 1), which accurately measures a daily rating of the symptoms and their severity for 2 to 3 cycles.

Sample Daily Symptom Calendar for Monitoring PMS Symptoms.

FIGURE. Sample Daily Symptom Calendar for Monitoring PMS Symptoms. Reprinted with permission from Endicott, J., & Harrison, W. Daily Record of Severity of Problems Calendar. Retrieved June 7, 2006, from the Facts for Health Web site:

  1. Vital signs

  2. Weight

  3. Thyroid examination

  4. Breast, abdominal, and pelvic examination if indicated as part of routine reproductive health care

  5. Additional physical examination components as indicated by history

  6. Assessment of affect

  1. No physiological or hormonal tests confirm PMS/PMDD

  2. Laboratory tests may be in order to rule out alternative diagnoses.

    1. This includes such conditions as anemia, autoimmune disorders, endocrine and thyroid disorders (hyperprolactinemia, hypothyroidism, diabetes mellitus), chronic fatigue syndrome, endometriosis, and psychiatric disorders.


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