PMS

Premenstrual syndrome (PMS) occurs in approximately 5-10% of reproductive age women. They experience a variety of emotional symptoms each month during the second half of their menstrual cycle. While the exact cause of PMS is not known, clearly it is related to hormonal fluctuations. The objective of treatment is to make the patient more comfortable and enable her to function more normally.

Behavioral symptoms:

  • fatigue
  • irritability
  • anxiety
  • depression
  • insomnia
  • difficulty in working effectively

Physical symptoms:

  • bloating
  • breast tenderness
  • ankle swelling
  • headaches
  • acne

Treatment for PMS is quite varied. In some patients, simple lifestyle changes such as a diet and exercise programs and stress management strategies may be extremely helpful. Decreasing caffeine and salt intake may mitigate some physical symptoms. In other patients, hormonal treatments and even anti-depressant medications may be required to help the woman through the most difficult days. Overall, the majority of women experience considerable improvement with appropriate treatment.

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