These symptoms include irritability, tension, and dysphoria (unhappiness), stress, anxiety, difficulty in falling asleep (insomnia), headache, fatigue,
mood swings, increased emotional sensitivity, changes in libido, bloating, abdominal cramps, constipation, swelling or tenderness in the breasts, cyclic acne, and joint or muscle pain.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided.