Premenstrual Syndrome: Symptoms and Treatments
Women’s health is an important topic area to guide a woman through the stages of her life, as well as knowing the conditions and diseases that may occur. Researchers do not know exactly what causes PMS. Changes in hormone levels during the menstrual cycle may play a role. These changing hormone levels may affect some women more than others. Many feel physical or mood changes during the days before menstruation.
Premenstrual Syndrome (PMS) is a collection of emotional and physical symptoms that some women experience in the few days leading up to their period. Women who experience these premenstrual symptoms every menstrual cycle may find them tedious and uncomfortable. PMS symptoms may range from mild to severe, but luckily there are a few relatively simple methods that can relieve PMS.
Common Symptoms of PMS
Each patient experiences PMS in different ways, but there are common PMS symptoms that typically mark the onset of PMS.
- Mood swings
- Crying easily
- Short temper
- Difficulty concentrating
- Social withdrawal
- Increase or decrease in sexual desire
Many patients report physical symptoms as well as emotional. These mild to severe symptoms can include:
- Food cravings
- Increased or decreased appetite
- Breast tenderness and swelling
- Abdominal bloating
- Weight gain (less than 4 lbs)
- Abdominal pain
- Back pain
- Gastrointestinal problems
- Swollen hands and feet
- Skin problems
Furthermore, PMS can aggravate the symptoms of other disorders. Women who suffer from depression, anxiety, migraines, allergies, and asthma all report worsening symptoms in the few days before their menstrual period starts.
Although many women casually claim experiences with PMS, the syndrome can be diagnosed by a doctor. In order to diagnose PMS, a consistent pattern of symptoms must:
- Start within the 5 days leading up to, and the 4 days following, the first day of your period
- Disturb your normal routine for at least 3 consecutive months
Your doctor will be able to make a diagnosis more easily if you keep a diary of your symptoms in the months leading up to your appointment. Be sure to record the date your period starts and ends, and any emotional and physical symptoms.
PMS is often mistaken for other serious health conditions with similar symptoms. If you are experiencing the symptoms listed here, please make an appointment with your gynecologist or general practitioner. He or she will want to rule out other illnesses such as depression, anxiety, chronic fatigue syndrome, thyroid problems, irritable bowel syndrome, and perimenopause. It’s actually quite common for women to misdiagnose themselves. About half of the women who seek treatment for PMS will be diagnosed with depression or anxiety disorder.
Most cases of PMS can be treated with some simple lifestyle changes and home remedies in daily life. Your doctor can provide you with some tips for daily activities and changes in diet and routine, such as:
- Avoid drinks that contain alcohol or caffeine.
- Replace simple sugars with complex carbohydrates. Choose whole grain bread, cereals, brown rice, beans, barley, oats, and lentils.
- Take a calcium dietary supplement or add calcium-rich foods to your diets, such as dairy and leafy greens. Try to get about 1,200mg per day, unless otherwise instructed by your doctor.
- Take a magnesium dietary supplement to help with bloating, tenderness, and emotional symptoms.
- Cut down on salty and fatty foods.
- Try eating several small meals each day instead of three large ones. This will help your blood sugar remain stable throughout the day and may help reduce irritability and uncomfortable gastrointestinal symptoms.
- Get enough sleep and set a regular sleeping routine to combat fatigue and insomnia.
- Teach yourself relaxation methods. Some women find that meditation, yoga, stretching, and massage therapy can help them deal with the aches and stresses of PMS.
- Exercise regularly. Daily aerobic exercise, even when you’re not experiencing PMS, can help with emotional as well as physical symptoms. Any type of physical activity that comes with aerobic exercise is beneficial. While many women enjoy high-intensity exercises like running, other women might prefer low-impact activities like walking, biking, or swimming.
Some vitamins and other pills such as evening primrose oil, vitamin B6, vitamin E, magnesium, and calcium may help relieve PMS. Some may interact with other medications you take, causing various side effects. It’s important that you talk to your doctor before trying any supplements or herbal treatments.
Medical Treatment for PMS
If lifestyle changes aren’t helping your symptoms, you can ask your doctor about medical treatment options.
Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
Ibuprofen, found in Advil and Motrin, and naproxen is common pain reliever associated with PMS. You can buy these over-the-counter or you can talk to your health care doctor about prescription-strength doses.
Birth control pills and other oral contraceptive methods have been helpful for reducing symptoms in many women. These methods work by stabilizing your hormones, which cut down on the monthly fluctuations that can promote PMS. For some women, certain birth control methods may not help or can even aggravate symptoms. You may need to try a few different options before finding one that works for your body.
Taking antidepressants in the two weeks leading up to your period can reduce the emotional symptoms of PMS. One example is called Sarafem (fluoxetine). Anti-anxiety medications have also been helpful. Your doctor may have you try a few before finding one that helps.
Also known as “water pills,” diuretics help with fluid retention (water retention) that causes bloating. Ask your doctor before taking NSAIDs with diuretics as this combination may lead to kidney problems.
Premenstrual Dysphoric Disorder
A premenstrual dysphoric disorder is a rare illness related to PMS. If your premenstrual symptoms are so severe that they regularly interfere with work or your personal relationships, your doctor may have you evaluated for PMDD. Medical treatment for PMDD is typically similar to that of depression and may require a prescription for SSRIs (selective serotonin reuptake inhibitors).