(HealthDay News) -- Many women are uncomfortable before and during the monthly menstrual cycle, but more intense symptoms may be more than just premenstrual syndrome (PMS).

A more severe form is called premenstrual dysphoric disorder, and its symptoms can be disabling.

The Womenshealth.gov Web site notes these primary symptoms of premenstrual dysphoric disorder:

• Feeling very sad, depressed or suicidal.
• Experiencing anxiety, tension or having panic attacks.
• Crying often or having frequent mood swings.
• Losing interest in relationships and regular activities.
• Having difficulty thinking and staying focused.
• Feeling tired, not having enough energy and having difficulty sleeping.
• Binging on food or having strong cravings.
• Having sore breasts, joint and muscle pain, headaches and bloating.