Does anyone have issues with their PMDD when they’re NOT luteal?

I just had the worst PMDD episode ever six days into my cycle. Just finished my period and haven’t even ovulated yet. It was bad. I’m kind of worried I have something other than PMDD now, because this has never happened to me before. All my episodes have been during luteal.

Does anyone else also have episodes when they’re not luteal? Or should I consider the possibility I have something else on top of PMDD?