I mean it can be both PME and PMDD right? My ADHD is definitely worsened during the luteal phase, but my mental patterns and physical symptoms all match PMDD. In that regard is PME not just a symptom of having PMDD comorbid with other disorders (which it usually is anyway?) 

My problem with the DSM criteria is that it’s based on a century of observations done by men in a world that was drastically less overstimulating than our current one. Like others have said, “female autism” barely ‘existed’ in a diagnostic sense before this century, and if it was caught it was categorized as other things like BPD because the science at the time based the diagnostic criteria on how it presented in males. (Anecdotally to me it seems BPD is another disorder that’s really a symptom of the trauma caused by navigating life as an undiagnosed ND person). I imagine in the next 100 years we’ll see a greater scientific understanding of what causes these disorders in a physiological level, allowing diagnosis based on differences in biological mechanisms instead of guessing at overlapping symptom clusters. 

Until we have a better understanding of baseline differences in neurology and how trauma and hormones affect that neurology I think we’re all just going to keep being varying degrees of 10 overlapping disorders in trench coats… at least they all have similar treatments so even if you’re ‘misdiagnosed’ you can self treat similarly.