Introduction: Premenstrual syndrome refers to a wide range of physical or emotional symptoms that most often occur about 5 to 11 days before starting of menstrual cycle, and PMDD are more severe than symptoms seen in premenstrual syndrome (PMS). Premenstrual dysphoric disorder mostly affects 5% of childbearing age women’s. Causes The exact cause of PMDD is still unclear but Hormonal changes in the course of the menstrual cycle may play a role. A brain chemical called serotonin, levels change in the course of the menstrual cycle may also play a role in PMDD. Identification: As per DSM-V Diagnostic Criteria at least five symptoms must be present in the final week before the onset of menses, start to improve within a few days after the onset of menses, and become minimal or absent in the week post menses. Confirmation is done by prospectively daily ratings during minimum two symptomatic cycles, and not attributable to other physiological effects of a substance or medical condition. Comorbidity: A major depressive episode is the most frequently reported previous disorder in individuals presenting with premenstrual dysphoric disorder.Treatment: Lifestyle changes may helpful to relieve symptoms of PMS and PMDD in many women, but doctor may prescribe one or more medications if symptoms is severe, these is based on severity of premenstrual symptoms. Antidepressants drug such as citalopram and fluoxetine which slow the reuptake of serotonin are effective for PMDD in many women’s. Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen sodium can ease cramping and breast discomfort. Diuretics When exercise and limiting salt intake aren't enough to reduce the weight gain, swelling and bloating, it can help to shed excess fluid through kidneys which can help ease some of the PMS symptoms. Recommendations: There is need for community awareness activates for early identification and prevention of premenstrual syndrome and premenstrual dysphoric disorder there is need to teach self-evaluation technique to women under age of 18-45 years. Conclusion: Based on the review, the following conclusions were drawn: There is need to teach self-evaluation technique, there is need to assess knowledge attitude and practices of women about premenstrual syndrome and premenstrual dysphoric disorder. There is need to organise tanning program for women under age of 18-45 years. This review give basis for adding this valuable topic in women’s health program run by state or central government. Keyword: PMS; PMDD; Mental health in menstruation; Mood swing in menstruation: Lifestyle change in PMS.