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It's not surprising your PMS symptoms are getting worse as you get older. This often happens, particularly with the more severe form of PMS called PMDD, or premenstrual dysphoric disorder. If you think of PMS as a continuum, at the far left is mild PMSâbloating, headaches, some irritability, maybe some other symptoms.
Your doctor will also want to make sure you don't have one of the following conditions that shares symptoms with PMS: 1  Depression. 2  Anxiety. 3  Menopause. Chronic fatigue syndrome (CFS)  Irritable bowel syndrome 1  (IBS) Problems with the endocrine(EN-doh-kryn) system, which makes hormones.