A woman is diagnosed with premenstrual syndrome if she has at least one emotional and one physical symptom during the five days before the onset of her period for three consecutive menstrual cycles. The specific symptom is not as important for diagnosis as is the cyclic fashion in which it appears. Emotional symptoms include minor fatigue, depression, angry outbursts, irritability, anxiety, confusion, social withdrawal, mood swings, and crying spells. Physical symptoms include headaches, bloating, acne, appetite changes and cravings, breast tenderness, and swelling of extremities.
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