USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

Symptoms may vary, but they include fluid retention (bloating, edema, breast
tenderness), autonomic changes (insomnia, fatigue, heart pounding), emotional
symptoms (crying, anxiety, depression, mood swings), and musculoskeletal
complaints (headache, muscle aches, joint aches). The most common affective
symptom is mood swings, and the most common physical symptom is
abdominal bloating.

Figure II-12-2. Premenstrual    Syndrome    Diagnosis   by  Symptoms

Figure II-12-3. Premenstrual    Syndrome    Diagnosis   by  Timing