The Notorious Premenstrual Syndrome (PMS)


Premenstrual syndrome, better known as premenstrual tension or PMS, signifies emotional, physical and behavioral symptoms associated with the menstrual period. As per the World Health Organization (WHO), over 250 million women experience PMS at least once in their period.

Causes and Symptoms of PMS

PMS usually starts after ovulation which enables it to work for one week or longer in many women.?Several of the common grounds for PMS add the following:

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  • Hormone cycling: Throughout the luteal phase, progesterone levels are high and estrogen may be low, contributing to most of the warning signs of PMS.
  • Serotonin:?Serotonin provides neurotransmitter and also a fluctuation in?its levels may result in enhancing PMS. Less amount of serotonin?is owned by depression, dizziness, fatigue and problems with sleep.
  • Depression:?Severe depression may be linked to many PMS incidents.

Women with PMS often experience symptoms determined by their menstrual period. These symptoms?could possibly be severe and frequently subside in one week or two.?Consistent symptoms can also be observed in some females and the condition is called premenstrual dysphoric disorder (PMDD).

Behavioral signs of PMS include:

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  • Lack of concentration
  • Long spells of unnecessary crying
  • Anxiety and depression
  • Insomnia
  • Alteration in eating habits
  • Extreme mood swings
  • Increased anger

Physical signs and symptoms of PMS include:

  • Bloating
  • Headaches
  • Muscle pain and joint stiffness
  • Constipation
  • Acne
  • Tenderness and swelling in the breasts
  • Heart palpitations

Treatment Strategies?for?PMS

Various treatment strategies are available according to the seriousness of the signs and symptoms. Probably the most common strategies are:

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  • Diuretics: Drugs like?Aldactone?are most reliable in managing an increase in weight, inflammation and bloating.
  • Antidepressants: Selective serotonin reuptake inhibitors (SSRIs)?like sertraline, fluoxetine and paroxetine?are?prescribed to women with severe moodiness and depression.
  • Contraceptives:?Various contraceptives can be bought that may reduce or inhibit ovulation however are rarely utilized in managing PMS as they don’t provide any reduced the symptoms.

Alternative treating of PMS include:

  • Lemon Balm:?It?might help lessen the symptoms related to problems with sleep, depression and anxiety.
  • Chromium:?A consumption of chromium?could regulate insulin and blood glucose, keeping craving for food under control.
  • Vitamins and minerals:?A blend of vitamin B6, magnesium and calcium may elevate mood decreasing PMS symptoms effectively.

Complications Connected with PMS?

Apart from mood swings, bloating and pain, PMS can also worsen and also a woman are affected from, including:

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  • Asthma:?Asthma attacks usually increase while in the luteal phase.
  • Migraines:?Migraines are?one that is commonly observed complications of PMS additionally, the frequency and use of an attack can increase on this phase.

PMS is sometimes described as adjustments in mood and behavior through the luteal phase on the woman’s menstrual cycle. These symptoms subside them selves because cycle continues, but you can alleviate its symptoms and bring back some normalcy in your routine with rest, medications and natural ingredients.


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Abraham S, Luscombe G, Soo I. Oral contraception and cyclic changes in premenstrual and menstrual experiences. J Psychosom Obstet Gynaecol. 2003 Sep;24(3):185-93.

Bianco V, Cestari AM, Casati D, et al. Pms or premenstrual syndrome and beyond: lifestyle, nutrition, and individual facts. Minerva Ginecol. 2014 Aug;66(4):365-75.

Helmerhorst FM, Lopez LM, Kaptein AA. Pms or premenstrual syndrome. Lancet. 2008 Aug 9;372(9637):446; author reply 446-7.

Coffee AL, Kuehl TJ, Sulak PJ. Comparison of scales for evaluating premenstrual symptoms in women using oral contraceptives. Pharmacotherapy. 2008 May;28(5):576-83.

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