The evaluation of premenstrual syndrome begins with a history and physical exam, including a pelvic exam.

The physical exam is usually normal in a woman with premenstrual syndrome.

Physical findings in a woman with premenstrual syndrome may include:

• Abdominal tenderness:
• Tender uterus
• Tender ovaries
• Vaginal discharge

Tests that may be used to evaluate premenstrual syndrome include:

• Pregnancy test
• PAP smear
• Urinalysis
• Vaginal cultures
• Gonorrhea testing
• Chlamydia testing
• Pelvic ultrasound