"To make a PMS diagnosis, the doctor will review the patient's symptoms in detail. Symptoms must occur within the 5 day period just prior to menstruation and cease within 4 days after the period begins. To qualify as PMS, these symptoms must occur for a minimum of 3 consecutive menstrual cycles. PMS can also interfere significantly with a person's ability to live their life normally, so missed work or social activities are considered when making this diagnosis. If patients keep a journal of their symptoms and the dates that they occurred, it can be very helpful in making the diagnosis."
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