What if I only have one cycle of notes?

Bring what you have. One cycle can still help. If the visit is not urgent, keep tracking daily symptoms across more cycles.

Should I list supplements too?

Yes. List supplements, vitamins, herbs, and over-the-counter medicines. FDA says dietary supplements are not approved for safety before they reach consumers in the same way drugs are.

What if I feel unsafe before the appointment?

Do not wait for the visit. Use emergency services if danger is immediate. If you are in suicidal, mental health, or substance use crisis and not in immediate physical danger, call or text 988.

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PMDD Appointment Prep Checklist

A plain PMDD appointment checklist for cycle timing, daily function, safety concerns, medicines, supplements, and visit questions.

Use this checklist before a PMDD visit. It helps you bring the facts that are hard to say from memory.

This page is educational. It is not a diagnosis. It is not a treatment plan.

If you already track daily symptoms, bring your PMDD two cycle symptom tracker or PMDD DRSP daily log. If you are still learning what to track, use the PMDD period tracking guide.

Safety first

Some people with PMDD feel unsafe before a period. Tell your clinician if this happens, even if it feels hard to say.

Get urgent help now if you:

May hurt yourself. May hurt someone else. Feel unable to stay safe. Cannot eat, sleep, or do basic care. Feel out of control or scared by your thoughts.

If there is immediate danger, use emergency services now. If you are in suicidal, mental health, emotional distress, or substance use crisis and not in immediate physical danger, call or text 988.

Fast visit summary

Fill this in before the visit.

Field Your notes Main reason for the visit Last period start date Usual cycle length When symptoms usually start Worst days in the cycle When symptoms ease Symptoms that affect daily life Safety concerns Current medicines and supplements What you most want help with

Start with the part that disrupts life most. Work, school, care tasks, sleep, food, conflict, and safety all count.

Cycle timing to bring

PMDD care depends on timing. ACOG and the Office on Women's Health describe PMS and PMDD symptoms as symptoms that happen before a period and improve after the period starts.

Bring dates if you can:

First day of full period flow. Day symptoms begin. Day symptoms get worst. Day symptoms ease. Days when symptoms are low. Any months when the pattern changed.

If you do not know the cycle day, write the date. Your clinician can help map it.

Function impact

Write what changed in daily life. Use plain words.

Area What happened How often Work or school Care tasks Relationships Sleep Eating Driving or errands Basic hygiene Social plans

Good notes sound simple. "Missed class twice" helps. "Could not reply to texts for 3 days" helps. "Fought with partner on day 24" helps if it fits your pattern.

Medicines and supplements

Bring a full list. Include prescribed medicine, over the counter medicine, vitamins, herbs, and supplements.

Name Type Dose How often Start date Who told you to take it? Notes Prescribed / over the counter / supplement Prescribed / over the counter / supplement Prescribed / over the counter / supplement

Do not start, stop, or change a medicine or supplement because of this checklist. Use it to ask better questions.

FDA says dietary supplements are not approved for safety before they reach consumers in the same way drugs are. Tell your clinician about all supplements, even if they feel mild or natural.

What to ask

Pick the questions that fit.

Does my symptom timing fit PMS, PMDD, or something else? What other causes should we check? How many cycles of daily tracking do you want? Should I use a daily rating tool like the DRSP? What safety plan should I use on my worst days? Which symptoms mean I should call before the next visit? Could any medicine or supplement on my list affect mood, sleep, or bleeding? What side effects should I watch for? When should we meet again to review the pattern? What should I track in Floriva for PMDD tracking or on paper?

If treatment options come up, ask what each option is meant to help, what risks to watch for, and how you will judge response. You can also read the PMDD treatment options guide before or after the visit.

Short script

Use this if you freeze in the room.

"My worst symptoms happen around . They affect . My period usually starts on . Symptoms ease around . I am worried about . I need help making a plan for ."

Bring the checklist even if it is messy. A few true notes are better than a clean page that hides the hard parts.

Privacy note

PMDD notes can include mental health, sex, conflict, medicines, and safety concerns. Store them with care.

Paper can work. A local file can work. Floriva can also help you keep cycle and symptom notes on your device. Keep safety notes short if another person can access your phone.