A trans woman is someone who was AMAB (assigned male at birth) but their gender identity is female. Someone who was born without ovaries cannot have PMDD as there is no menstrual cycle to trigger the cyclical symptoms.

However, some transgender women do report PMS like symptoms when using hormone therapy, which typically involves taking some form of estrogen and possibly progesterone and/or testosterone-blocking medications. It is possible that hormone therapy may induce PMDD-like symptoms if the individual has a neural hormone sensitivity, similar to those that cause PMDD in AFAB individuals. Further research is needed as this is currently not well understood.

Learn more about transgender and PMDD here: