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22 years
Is it normal for PMS to start the next day after ovulation?
Apr 21, 2015

Dr. Zakia Dimassi Pediatrics
How do you know when the day of ovulation is? It's not something that you can easily determine, and some women think they can actually see the ovule with the naked eye - this is not possible simply because the ovule is microscopic.That being said, let me clarify a few points regarding PMS, or premenstrual syndrome. Symptoms of PMS occur during the so called luteal phase of the menstrual cycle (days 14–28 in a 28-day cycle) and start to wane within 2–3 days after the start of the menstrual cycle.According to the American College of Obstetritians and Gynecologists (ACOG), the criteria that must be met to make the official diagnosis of PMS are:
The affected patient should report least one of each of the following psychological and physical symptoms during the 5 days before her period. Symptoms must appear in three consecutive menstrual cycles
Psychological symptoms: Depression, angry outbursts, irritability, anxiety, confusion, social withdrawal
Physical symptoms: Breast tenderness, abdominal bloating, headache, swelling of extremities
Symptoms must also meet the following criteria:
- Fade away within 4 days of the start of the menstrual period, without recurrence until at least cycle day 13
- Be present in the absence of any medications, taking hormones, or drugs or alcohol use
- Be severe enough to lead to remarkable impairment in normal daily functions (like absenteeism from study or work)
- Happen again in the following two cycles