Built on C-PASS Clinical Methodology

Finally, a PMDD tracker your clinician can actually use

Track 18 symptoms daily across all 11 DSM-5-TR diagnostic domains. Get diagnostic-quality analysis in under 60 seconds a day. Share printable clinician reports. Free forever.

No account needed 100% private, on-device data Free, no ads ever

Not another period tracker

Most cycle apps track periods. Symcycle tracks the specific symptom patterns clinicians need to evaluate PMDD.

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Built for PMDD, not periods

18 symptom items mapped to all 11 DSM-5-TR PMDD diagnostic domains. Not a general mood diary with a cycle overlay. Every element is designed for premenstrual pattern evaluation.

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C-PASS scoring methodology

The only consumer app implementing scoring aligned with the Carolina Premenstrual Assessment Scoring System. Four validated criteria evaluate each domain: severity, duration, clearance, and relative change.

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Clinician-ready reports

Generate a printable report with raw data, domain analysis, pre/post comparison, and interpretation guide. Designed for the clinical encounter, not just personal insight.

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Total data privacy

All data stays on your device. No accounts. No servers. No tracking. No ads. No data monetization. Period. You own your data completely.

Under 60 seconds daily

Tap a severity rating for each symptom, mark your menstrual flow, and save. Daily tracking takes less than a minute. Consistency is what makes the analysis meaningful.

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Works on any device

Symcycle is a progressive web app. Use it in your browser or add it to your home screen for the full app experience. No app store download required. iPhone, Android, tablet, or desktop.

Three steps to diagnostic clarity

Symcycle turns daily symptom ratings into the structured data your clinician needs.

1

Rate daily

Each day, rate 18 symptoms on a 1-6 severity scale and mark your menstrual flow. Takes under 60 seconds.

2

Track 2+ cycles

The DSM-5-TR requires at least 2 prospectively tracked menstrual cycles. Three or more cycles increase diagnostic confidence.

3

Review with your clinician

Symcycle runs C-PASS-aligned scoring and generates a printable clinician report with domain analysis, phase comparisons, and multi-cycle trends.

Scoring you can trust

Symcycle implements scoring aligned with the most validated PMDD assessment system in psychiatric research.

The Carolina Premenstrual Assessment Scoring System (C-PASS) was developed to standardize the evaluation of prospective daily symptom ratings against DSM-5 PMDD criteria. Published by Eisenlohr-Moul et al. in the American Journal of Psychiatry (2017), it provides a systematic, reproducible framework for determining whether daily ratings meet diagnostic thresholds.

Symcycle applies this methodology to evaluate each of the 11 DSM-5-TR PMDD symptom domains independently. For a domain to meet criteria, it must satisfy all four scoring dimensions. The app then synthesizes domain-level results into an overall assessment: PMDD Likely, PMS/MRMD, or Non-cyclical pattern.

Symcycle also flags Premenstrual Exacerbation (PME), where postmenstrual symptoms remain elevated, suggesting an underlying condition that worsens premenstrually rather than a standalone premenstrual disorder.

C-PASS Four-Criterion Evaluation

Absolute Severity: At least one premenstrual day reaches a severity of 4 or higher (moderate or worse).
Duration: Two or more premenstrual days reach clinically significant severity (4+).
Clearance: Maximum postmenstrual severity drops to 3 or below (mild or less).
Relative Change: The difference between premenstrual and postmenstrual mean scores, divided by the scale range, is at least 30%.
Eisenlohr-Moul TA, et al. Toward the reliable diagnosis of DSM-5 premenstrual dysphoric disorder: the Carolina Premenstrual Assessment Scoring System (C-PASS). Am J Psychiatry. 2017;174(1):51-64.

How Symcycle compares

We built what the existing apps don't offer: clinical-grade PMDD evaluation.

Feature Symcycle Flo/Clue Me v PMDD Bearable
All 11 DSM-5-TR PMDD domains
C-PASS scoring methodology
Printable clinician report
PME detection
Multi-cycle trend analysis
100% on-device data
No account required
Free core features

Your data stays yours

In a world where health apps monetize your most personal data, Symcycle takes a different approach.

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On-device storage only

All symptom data is stored in your browser's local storage. Nothing leaves your device. Ever.

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No server, no cloud

Symcycle has no backend. There is no server to hack, no database to breach, no cloud account to compromise.

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No account, no email

Start tracking immediately. No signup, no email, no phone number. Zero personal information collected.

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Backup on your terms

Export your data as JSON backup or CSV for spreadsheets. You control when, where, and how your data moves.

The prospective daily data you've been asking patients to keep

Symcycle gives your patients a structured tool that outputs the data you need for DSM-5-TR PMDD evaluation.

Structured daily ratings

Patients rate 18 items on a standardized 1-6 scale daily, replacing inconsistent retrospective recall with prospective data collection.

Printable clinician report

One-click report generation with raw data tables, C-PASS domain results, phase comparison charts, and an interpretation guide. Print or PDF for the chart.

Domain-level analysis

Each of the 11 DSM-5-TR domains evaluated independently with pre/post comparison. Core emotional domains flagged separately per PMDD criteria.

PME flag

Automatically flags when postmenstrual symptom severity remains elevated (average > 2.5/6), alerting to possible premenstrual exacerbation of an underlying condition.

Common questions

What is PMDD?
Premenstrual Dysphoric Disorder (PMDD) is a hormone-sensitive mood disorder recognized in the DSM-5-TR as a distinct depressive disorder (F32.81). It affects an estimated 3-8% of women and people who menstruate, causing severe emotional and physical symptoms during the luteal phase (approximately 1-2 weeks before menstruation begins) that significantly impair daily functioning, work, relationships, and quality of life. Unlike typical PMS, PMDD symptoms are severe enough to disrupt normal activities and require clinical evaluation.
How is Symcycle different from other period trackers?
Most cycle tracking apps focus on period prediction, fertility, and general wellness. Symcycle is purpose-built for PMDD evaluation. It tracks all 18 symptom items across the 11 DSM-5-TR diagnostic domains, applies C-PASS-aligned scoring methodology, and generates clinician-ready reports. It's not a period tracker with mood features added. It's a clinical assessment tool designed from the ground up for premenstrual pattern evaluation.
What is C-PASS and why does it matter?
The Carolina Premenstrual Assessment Scoring System (C-PASS) is a validated scoring methodology published by Eisenlohr-Moul et al. in the American Journal of Psychiatry (2017). It provides a standardized, reproducible way to determine whether prospective daily symptom ratings meet DSM-5 PMDD criteria. C-PASS evaluates four dimensions for each symptom domain: absolute severity, duration, absolute clearance, and relative change. Without a structured scoring system, daily ratings are just numbers. C-PASS turns them into clinically meaningful assessments.
How long do I need to track before getting results?
The DSM-5-TR requires prospective daily ratings across a minimum of 2 symptomatic menstrual cycles for confirmatory PMDD evaluation. Symcycle will generate analysis once it detects at least one complete cycle with sufficient premenstrual and postmenstrual data. Three or more tracked cycles increase diagnostic confidence and allow Symcycle to show domain consistency trends across cycles.
Does Symcycle diagnose PMDD?
No. Symcycle is a screening and tracking tool, not a diagnostic instrument. It evaluates whether your daily symptom patterns meet C-PASS-aligned scoring thresholds and provides structured data for clinical discussion. A PMDD diagnosis requires a comprehensive evaluation by a qualified healthcare provider, including clinical history, differential diagnosis, and consideration of other conditions that may present with similar symptoms.
Is my data safe?
Yes. All data is stored locally on your device using your browser's storage. Symcycle has no server, no cloud storage, and no backend of any kind. Your symptom data never leaves your device unless you explicitly choose to export it (via backup, CSV, or the printable report). There is no account to create, no email to provide, and no personal information collected.
Can I use Symcycle on my iPhone?
Yes. Open Symcycle in Safari, then tap the Share button (square with arrow) at the bottom of the screen, scroll down, and tap "Add to Home Screen." This installs Symcycle as a full-screen app on your iPhone. On Android, your browser will prompt you to install it automatically, or you can use the same Add to Home Screen method from Chrome's menu.

Start tracking today

Under 60 seconds a day. No account, no cost, no data collected. Just the structured tracking your clinician needs.

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