Can this tracker diagnose PMDD?

No. It helps you collect the daily record a clinician may need. A clinician still has to review the pattern and rule out other causes.

Should I track symptoms after my period starts?

Yes. Track the first few days of bleeding too. The timing of relief helps separate PMDD from symptoms that last all month.

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PMDD Two-Cycle Symptom Tracker

Q: What if symptoms are present all cycle?

That may point to another mood or health condition that gets worse before a period. Bring the log to a clinician.

Use this 2-cycle PMDD tracker to log daily mood, body symptoms, function, period start, and recovery for a clinician visit.

Track daily, not from memory

PMDD is about timing and impact. Symptoms usually rise before a period and ease after bleeding starts. That pattern is hard to prove from memory.

Use this tracker once a day for 2 full cycles. Keep going for a few days after each period starts. Those recovery days matter.

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

Safety first

Some people with PMDD have thoughts of self harm. Some feel strong anger or feel unsafe.

Get urgent help now if you:

May hurt yourself May hurt someone else Feel unable to stay safe Cannot do basic care, like eating or sleeping

If there is immediate danger to you or someone else, use emergency services now. If you are in suicidal, mental health, or substance use crisis and not in immediate physical danger, contact 988 or a local crisis line.

The daily PMDD tracker

Copy this table for each day. Make one copy for Cycle 1 and one for Cycle 2.

Date Cycle day Period bleeding Mood 0 to 4 Anxiety 0 to 4 Anger 0 to 4 Low mood 0 to 4 Body symptoms 0 to 4 Function 0 to 4 Safety note Context None, spotting, flow

Use the same time each day if you can. Night is often easiest.

Rating scale

Use 0 to 4 for each symptom.

0: not present 1: mild 2: clear, but manageable 3: hard to function 4: severe or unsafe

For function, use the same scale:

0: normal day 1: slower than usual 2: some tasks dropped 3: work, school, care, or relationships were disrupted 4: could not function safely

What to include in body symptoms

Use the body symptoms column for:

Breast tenderness Bloating Headache Cramps Fatigue Sleep changes Food cravings

You do not need perfect detail every day. Daily scores matter more than long notes.

The 2 cycle summary

After 2 cycles, fill this out.

Question Cycle 1 Cycle 2 First day symptoms rose Worst symptom days First day of period flow First day symptoms eased Highest mood score Highest anxiety score Highest anger score Highest low mood score Highest function score Safety concerns

Then write a short note:

1. My worst days were: fill in . 2. Symptoms eased after bleeding started: yes or no. 3. The main issue was: mood, anxiety, anger, low mood, body symptoms, or function. 4. I need help with: fill in .

Bring this summary and the daily grid to your clinician.

How a clinician may read the pattern

ACOG describes PMS and PMDD as symptoms that happen before a period and improve after the period starts. PMDD is more severe and can disrupt daily life.

The log helps answer 3 questions:

Do symptoms cluster before the period? Do they improve after bleeding starts? Do they disrupt work, school, self care, or relationships?

If symptoms stay high all month, the answer may not be PMDD alone. It may be another mood or health condition that gets worse before a period. That still deserves care. The tracker helps show the full pattern.

Privacy note

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

You can keep this tracker on paper, in a local file, or in an app that you have reviewed. If you use Floriva, keep the note short and check your settings before you add sensitive details.