Premenstrual Syndrome (PMS)

Premenstrual Syndrome (PMS) is the term used to describe the many forms of physical discomfort and emotional distress experienced by women in the run up to menstruation. By definition, this occurs only in women who have reached puberty, and usually happens in the 14 days before the period starts. Often it is a shorter time than this, sometimes lasting just a few days or a week before the period starts. To make this diagnosis, all the symptoms should disappear within a day of the period starting.

Premenstrual Syndrome (PMS) Self- Help

• Keeping a diary and being aware of when your symptoms may occur is essential. Reducing activities and avoiding stress at this time can be especially beneficial.
• The diet needs to be well balanced, and rich in vegetables and fruit. Eat small, regular meals with good quantities of starches and proteins and try to consume as few sugary foods as possible (which can make the symptoms worse). Bananas, brown bread, rice and chicken are all beneficial foods. It is wise to avoid fatty foods and coffee, tea and cola.
• Anticipate your difficult days by minimising stress and travel and avoiding making vital decisions. Try resting or meditating for a period each day with a relaxation tape.
• Exercise can be helpful because it improves the circulation, relieves fluid retention and reduces stress levels but it is important to do regular and controlled exercise. It should be something you do regularly and easily each day, such as brisk walking or swimming.
• Extra vitamins and minerals may help with some of your symptoms but if your diet is sensible you should not need nutritional supplements.
• Take evening primrose oil every day for a minimum period of three months to assess whether it will help you. For some people the relief it brings is miraculous. For others the benefits are minimal.

Another form of Premenstrual Syndrome (PMS) is Premenstrual Dysphoric Syndrome (PMS).

Premenstrual Syndrome (PMS) Treatment

There is no one miracle medication that suits all. The following may be tried for a minimum of three months and frequently one of these will produce great improvements in symptoms.

• the contraceptive pill
• oestrogen patches before the period . progesterone, often in pessary form
• antidepressants for a week before the period
• particularly high doses of evening primrose oil
• some women respond well to vitamin B 6 supplements

PMS Symptom and sign