PDFPMDD POWER · GLOBAL RESEARCH MAP
The Global
PMDD Landscape
A patient-first guide to how PMDD is recognised, diagnosed and supported around the world.
health systems
A NOTE FROM LUCY — PLEASE READ
“When somebody looks for PMDD help in their country, what can they actually find?”
This map follows the path from public recognition to diagnosis, treatment and referral — showing where information becomes practical, and where the route remains hard to see.
A labour of love,
not a finished answer.
This map began as something I wanted to understand for myself: how PMDD is recognised, advocated for and supported around the world — and how unevenly that lands. Being a menstruating person looking for support should not be a lottery of geography and nationality. Right now, it often is.
This is not an exhaustive resource, and it is never finished — research on more countries is being added all the time. It is the result of my own unpaid work: one human doing her best to collate information to the best of her capacity. It is not definite, and it should not be relied on. It is a guide, and an entry point into doing your own research.
Please treat this information in the good faith it is shared, and use it as a tool to start your own research journey. The sources listed with each country are the real evidence.
Lucy Hutchings Hunt · pmddpower.com
THE PICTURE TODAY
Recognition is growing.
Routes to care lag behind.
Many countries now recognise PMDD publicly or professionally. Far fewer make the whole journey clear: how to track symptoms, distinguish PMDD from PME, try evidence-based treatment and access specialist help.
The gaps shown here are gaps in discoverable evidence — never proof that skilled care does not exist.
See it at a glance
The global picture
Tap a highlighted country to see how visible its PMDD pathway is. Shading reflects this first-pass review of public information, not the quality of care.
COUNTRY EXPLORER
Find your country.
See what’s visible.
Open a country to compare public information, tracking, treatments, referral pathways, caveats and original sources.
PLAIN-LANGUAGE GUIDE
A few terms,
made clearer.
- Prospective tracking
- Recording symptoms every day, before you know how the cycle will unfold. Two cycles are commonly referenced.
- DRSP
- Daily Record of Severity of Problems — a validated tool for recording symptoms each day.
- PME
- Premenstrual exacerbation — when an existing condition worsens premenstrually rather than symptoms being confined to that phase.
- Ovarian suppression
- Treatment that temporarily suppresses ovarian cycling and generally requires specialist oversight.
READ THIS CAREFULLY
A working map,
not a league table.
This is a living project — research on more countries is added all the time, and entries are revised as new sources emerge. This first-pass review prioritises official health services, government sources, professional guidance and supporting academic research. Search depth, language access, regional variation and publication timing all affect the picture.
“Not found” means no easily discoverable evidence was identified in this search. It does not mean care, expertise or local pathways are absent. This resource is not medical advice, and it is not exhaustive.
Research last reviewed 24 September 2026 · Created by Lucy Hutchings Hunt
THIS SITE IS THE RESEARCH HUB
Looking for personal support?
That lives at pmddpower.com.
The Global PMDD Landscape is a reference resource — deliberately kept separate from PMDD Power's coaching. For guidance and working with Lucy directly, the main site is the place to go.