From everything I have learned from people on this site it's not too uncommon. I have also read a lot of articles that indicate many women experience flares with PMS.
Like you, my symptoms worsen about a week before. Especially achy joints, fatigue, and migraines. I have a male rheumy as well and as much as I like him I am probably going to find a female doctor. I have too many issues that are female related that are difficult to discuss with a male doctor who hasn't a clue.
One thing that may help: I have found that if I work through the fatigue and joint pain and try to exercise at least a little bit during that PMS week, the worsened symptoms don't seem to last as long. If I don't exercise it could last up to two weeks.