Which symptom is typically NOT associated with premenstrual syndrome?

Prepare for the Psychiatry Core Exam. Enhance your knowledge with flashcards and multiple choice questions, each offering hints and explanations for a better understanding. Ace your test with confidence!

Severe fatigue is typically not considered one of the hallmark symptoms of premenstrual syndrome (PMS). PMS is primarily characterized by emotional and physical symptoms that occur in the luteal phase of the menstrual cycle and resolve shortly after the onset of menstruation. Common symptoms include mood swings, depression, anxiety, irritability (often linked to the emotional dysregulation), breast tenderness, headaches, and abdominal bloating.

While some individuals may experience fatigue as part of their menstrual symptoms, it is not as specifically associated with PMS as the symptoms of depression, breast tenderness, and headaches are. These latter symptoms are frequently discussed and are part of the diagnostic criteria used to classify PMS, making severe fatigue less representative and more of an incidental finding rather than a defining characteristic of the syndrome.

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