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PMDD statistics worldwide

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TherapyRoute

Clinical Editorial

Cape Town, South Africa

Reviewed by TherapyRoute
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❝How common premenstrual dysphoric disorder is worldwide and in countries in Europe, Asia and Africa, how it differs from premenstrual syndrome, and what comes with it.❞

Updated October 2026

Premenstrual dysphoric disorder (PMDD) is a severe form of premenstrual distress that affects a minority of women and people who menstruate. Across studies worldwide, 3.2% met the criteria when two cycles of symptom monitoring confirmed the diagnosis 1.

Premenstrual syndrome (PMS) is milder and far more common. The sections below give figures for the two separately, and each figure names the group it covers. For what PMDD is and how treatment works, see our guide to PMDD.

Key figures

  • Across forty-four pooled studies, 3.2% of participants met the criteria for premenstrual dysphoric disorder when monitoring symptoms over two cycles confirmed the diagnosis. (pooled from prevalence studies, published 2024, study years not stated) 1
  • In a random sample of women aged thirteen to fifty-five in urban and rural homes in the United States, 1.3% met all the criteria for premenstrual dysphoric disorder. (survey published 2008, fieldwork year not stated) 2
  • Among women aged eighteen to sixty-four with premenstrual dysphoric disorder in a nationwide sample in South Korea, 59.3% had at least one other psychiatric illness, compared with 21.8% of the comparison group. (survey published 2012, fieldwork year not stated) 3

Getting help

If something on this page reflects what you are going through, you do not have to manage it alone. Our guide to finding the right therapist explains how to choose someone qualified, and the TherapyRoute directory lists therapists in many countries.

If you are in crisis or thinking about suicide, our list of helplines and crisis lines worldwide gives free services by country. In an emergency, call your local emergency number.

If you're struggling with low mood or depression, talking to a professional can make a real difference. Find a therapist who understands.

Find a therapist for depression

How common PMDD is worldwide

Estimates depend on the method behind the diagnosis. A confirmed diagnosis needs symptoms monitored as they happen over two cycles, and it gives lower figures than a provisional diagnosis made without that monitoring 1.

  • When the diagnosis was provisional, without monitoring symptoms over two cycles, 7.7% of participants met the criteria for premenstrual dysphoric disorder. (pooled from prevalence studies, published 2024, study years not stated) 1
  • In community samples with a confirmed diagnosis, 1.6% of women had premenstrual dysphoric disorder. (pooled from prevalence studies, published 2024, study years not stated) 1
  • In a community sample of young women aged fourteen to twenty-four, 5.8% had premenstrual dysphoric disorder in the past year. (cohort study, past 12 months, published 2002, data year not stated) 4
  • In a community sample of young women aged fourteen to twenty-four followed for four years, 7.4% had premenstrual dysphoric disorder at some point by the end of follow-up. (cohort study, lifetime (ever), published 2002, data year not stated) 4

PMDD by country

These figures come from national, population and student samples, using different methods. Student samples and questionnaire screens give much higher figures than population studies with a confirmed diagnosis. Read each with its label and do not rank them.

CountryFindingStudy typeYearSource
South KoreaIn a nationwide sample of women aged eighteen to sixty-four in South Korea, 2.4% had premenstrual dysphoric disorder in the past year.Survey, past 12 monthsnot stated (published 2012)3
SwitzerlandIn a population-based sample of women aged fifteen to fifty-four in Switzerland, 3.1% met the criteria for premenstrual dysphoric disorder.Survey20075
ChinaIn a population-based sample of women aged eighteen to forty-five in China, 2.1% met the criteria for premenstrual dysphoric disorder.Surveynot stated (published 2012)6
SpainIn a representative sample of women aged fifteen to forty-nine in Spain, 1.1% met the criteria for premenstrual dysphoric disorder.Survey20087
PolandIn a population sample of women aged eighteen to forty-five in the Upper Silesia region of Poland, 2.1% had premenstrual dysphoric disorder.Surveynot stated (published 2010)8
IndiaIn pooled studies of females of reproductive age in India, 8% had premenstrual dysphoric disorder.Pooled from prevalence studiespublished 20219
NigeriaAmong female university students in Nigeria assessed with a diagnostic interview, 6.1% had premenstrual dysphoric disorder.Surveynot stated (published 2008)10
EgyptAmong female students at one university in Egypt, 21.1% met DSM-5 criteria for premenstrual dysphoric disorder on self-completed questionnaires.Survey, at one point in time202011
EthiopiaIn pooled studies of female students in Ethiopia, 54.5% had premenstrual dysphoric disorder.Pooled from prevalence studiespublished 202012
TürkiyeAmong female college students aged eighteen to twenty-five in Türkiye, 48.0% met DSM-5 criteria for premenstrual dysphoric disorder across three consecutive menstrual cycles.Survey2022-202313

PMDD and other mental health conditions

Many people with PMDD also have another mental health condition, such as anxiety or depression 3. In some, PMDD comes with thoughts of suicide. If that is happening to you, our helplines and crisis lines worldwide list free services by country.

  • Among young women with premenstrual dysphoric disorder recruited from the community and assessed with a diagnostic interview, 28.1% were at current risk of suicide. (cross-sectional study, diagnostic interview, published 2024, data year not stated) 14

Premenstrual syndrome (PMS)

Premenstrual syndrome is much more common than PMDD and usually less severe. Rates vary widely with the questions each study asked about symptoms.

CountryFindingStudy typeYearSource
IndiaIn pooled studies of females of reproductive age in India, 43% had premenstrual syndrome, which is more common than premenstrual dysphoric disorder.Pooled from prevalence studiespublished 20219
NigeriaIn pooled studies of women of reproductive age in Nigeria, 57.3% had premenstrual syndrome.Pooled from prevalence studiespublished 202415
EthiopiaIn pooled studies of women of reproductive age in Ethiopia, 43.8% had premenstrual syndrome.Pooled from prevalence studiespublished 202415
IranIn pooled studies of women of reproductive age in Iran, including high school and university students, 70.8% had premenstrual syndrome.Pooled from prevalence studiespublished 201716
ChinaIn pooled studies of women in urban China, 48% had premenstrual syndrome.Pooled from prevalence studiespublished 202517

How to read these figures

A confirmed diagnosis needs symptoms monitored as they happen over two cycles. Without that monitoring the diagnosis is provisional, and studies using it are likely to give figures that are too high.

PMS and PMDD are different conditions. PMS figures here are not PMDD figures.

Several studies used students, not national samples. Each row says which.

Tracking symptoms for two cycles and taking the record to a doctor or therapist is a good first step. Our guide on finding the right therapist explains how to choose someone qualified.

Cite this page: TherapyRoute. PMDD statistics worldwide. https://www.therapyroute.com/article/premenstrual-dysphoric-disorder-pmdd-statistics-worldwide-by-therapyroute. Last updated 26 October 2026.

References
  1. [1] The prevalence of premenstrual dysphoric disorder: Systematic review and meta-analysis. Journal of affective disorders (Reilly TJ et al.), 2024 europepmc.org.
  2. [2] The prevalence of premenstrual dysphoric disorder in a randomly selected group of urban and rural women. Psychological medicine (Gehlert S et al.), 26 March 2008 europepmc.org.
  3. [3] Prevalence, correlates, comorbidities, and suicidal tendencies of premenstrual dysphoric disorder in a nationwide sample of Korean women. Social psychiatry and psychiatric epidemiology (Hong JP et al.), 2012 europepmc.org.
  4. [4] Prevalence, incidence and stability of premenstrual dysphoric disorder in the community. Psychological medicine (Wittchen H -U et al.), 2002 europepmc.org.
  5. [5] Prevalence and predictors of premenstrual syndrome and premenstrual dysphoric disorder in a population-based sample. Archives of women's mental health (Tschudin S et al.), 2010 europepmc.org.
  6. [6] Prevalence of premenstrual syndrome and premenstrual dysphoric disorder in a population-based sample in China. European journal of obstetrics, gynecology, and reproductive biology (Qiao M et al.), 2012 europepmc.org.
  7. [7] Prevalence of premenstrual syndrome and premenstrual dysphoric disorder in a representative cohort of Spanish women of fertile age. European journal of obstetrics, gynecology, and reproductive biology (Dueñas JL et al.), 2011 europepmc.org.
  8. [8] The complexity of premenstrual dysphoric disorder--risk factors in the population of Polish women. Reproductive biology and endocrinology : RB&E (Skrzypulec-Plinta V et al.), 2010 europepmc.org.
  9. [9] Prevalence of premenstrual syndrome and premenstrual dysphoric disorder in India: A systematic review and meta-analysis. Health promotion perspectives (Dutta A et al.), 2021 europepmc.org.
  10. [10] Premenstrual dysphoric disorder amongst Nigerian university students: prevalence, comorbid conditions, and correlates. Archives of women's mental health (Adewuya AO et al.), 2008 europepmc.org.
  11. [11] Prevalence, phenomenology and personality characteristics of premenstrual dysphoric disorder among female students at Zagazig University, Egypt. African journal of primary health care & family medicine (Eldeeb SM et al.), 2021 europepmc.org.
  12. [12] The prevalence of premenstrual dysphoric disorder among adolescents in Ethiopia: a systematic review and meta-analysis. Irish journal of medical science (Duko B et al.), 6 June 2020 europepmc.org.
  13. [13] Prevalence and correlates of premenstrual syndrome and premenstrual dysphoric disorder among women aged 18-25 in Turkey. International journal of psychiatry in medicine (Turan A et al.), 2024 europepmc.org.
  14. [14] Factors associated with suicide risk in young women with premenstrual dysphoric disorder: a population-based study. Trends in psychiatry and psychotherapy (Machado FZ et al.), 5 February 2024 europepmc.org.
  15. [15] Prevalence of premenstrual syndrome and its associated factors in Africa: a systematic review and meta-analysis. Frontiers in psychiatry (Andualem F et al.), 2024 europepmc.org.
  16. [16] Prevalence of premenstrual syndrome in Iran: A systematic review and meta-analysis. International journal of reproductive biomedicine (Ranjbaran M et al.), 2017 europepmc.org.
  17. [17] The prevalence of premenstrual syndrome in China: a systematic review and meta-analyses. Frontiers in psychiatry (Yang Y et al.), 2025 europepmc.org.

Important: TherapyRoute does not provide medical advice. All content is for informational purposes and cannot replace consulting a healthcare professional. If you face an emergency, please contact a local emergency service. For immediate emotional support, consider contacting a local helpline.

About The Author

TherapyRoute

TherapyRoute

Cape Town, South Africa

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