Menstrual Diary to Monitor Premenstrual Symptoms

Menstrual Diary to Monitor Premenstrual Symptoms

Topic Overview

A menstrual diary is a helpful tool for better understanding your premenstrual symptoms and then deciding how to treat them. Regardless of whether you have full-blown, diagnosable premenstrual syndrome (PMS), your menstrual diary can help you plan ahead for, prevent, and better cope with your premenstrual symptoms. You can plan to take extra good physical and emotional care of yourself during these difficult days. It also helps others to know that these premenstrual days are not a good time to expect you to be at your best.

If your PMS symptoms are mild, you can try home treatment measures. Many women find that making small changes in their lifestyle will improve their symptoms. If your PMS symptoms are more severe or persist with home treatment, talk with your health professional about treatment options. Many health professionals will want to see a menstrual diary of at least two menstrual cycles so they can determine which symptoms are most bothersome and recommend an effective treatment plan.

There are several types of menstrual diaries that record the following information every day:

  • Daily physical symptoms
  • How you feel and behave
  • Your weight, especially if your symptoms include bloating, water retention, or food cravings

Results of menstrual diary

Mild physical symptoms that occur just before menstrual bleeding and end when bleeding is done are considered a normal part of the menstrual cycle.

Symptoms that are present any time during your menstrual cycle, even if they get worse before bleeding begins, are not considered PMS; another condition, such as depression or anxiety, is likely to be present. However, it is useful for your health professional to know about such conditions, so that you can have the best possible treatment.

Symptoms that may indicate PMS:

  • Occur between ovulation and the first days of menstrual bleeding.
  • Stop after bleeding begins.
  • Are not present for at least 7 days after your menstrual period.

It is important to keep a daily record of your symptoms to get an accurate diagnosis of PMS. It may take several months to see a pattern. Try some home treatment measures and note in your diary if they had any effect on your symptoms.

Below is an example of a daily calendar for recording your PMS symptoms for each day of the month. Be sure to record the precise dates of your period (menstrual bleeding) and ovulation, if possible, and the symptoms you have on those days. Mark whether your symptom is mild, moderate, or severe on each day.

Physical changes include:

  • Breast swelling and tenderness.
  • Bloating, water retention, weight gain.
  • Changes in bowel habits.
  • Acne.
  • Nipple discharge when nipples or breasts are pressed. (Any nipple discharge that occurs when you aren't pressing on a nipple should be checked by a health professional.)
  • Decreased sexual desire.
  • Food cravings, especially for sweet or salty foods.
  • Sleep pattern changes.
  • Fatigue, lack of energy.

Emotional and cognitive symptoms include:

  • Depression, sadness, hopelessness.
  • Anger, irritability.
  • Anxiety.
  • Mood swings.
  • Decreased alertness, inability to concentrate.

Changes in actions toward others include:

  • Aggression.
  • Withdrawal from family and friends.

Pain includes:

  • Headaches or migraines.
  • Breast tenderness.
  • Aching muscles and joints.
  • Cramps and low back pain prior to menstrual bleeding.

Next to each PMS symptom noted, record its daily severity with a score from 0 to 3 (0 being the absence of that symptom, 3 being most severe).

Day of month

Physical changes

Emotional changes

Actions toward others

Pain

1





2





3





4





5





6





7





8





9





10





11





12





13





14





15





16





17





18





19





20





21





22





23





24





25





26





27





28





29





30





31





Credits

Current as of: February 11, 2021

Author: Healthwise Staff
Medical Review:
Sarah Marshall MD - Family Medicine
Martin J. Gabica MD - Family Medicine
Kathleen Romito MD - Family Medicine
Kirtly Jones MD - Obstetrics and Gynecology

Disclaimer: The information contained in this website, and its associated websites, is provided as a benefit to the local community, and the Internet community in general; it does not constitute medical advice. We try to provide quality information, but we make no claims, promises or guarantees about the accuracy, completeness, or adequacy of the information contained in or linked to this website and its associated sites. As medical advice must be tailored to the specific circumstances of each patient and healthcare is constantly changing, nothing provided herein should be used as a substitute for the advice of a competent physician. Furthermore, in providing this service, Adventist HealthCare does not condone or support all of the content covered in this site. As an Adventist health care organization, Adventist HealthCare acts in accordance with the ethical and religious directives for Adventist health care services.

Find a Doctor

Find an Adventist HealthCare affiliated doctor by calling our FREE physician referral service at 800-642-0101 or by searching our online physician directory.

View Doctors

Set Your Location

Setting your location helps us to show you nearby providers and locations based on your healthcare needs.