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Premenstrual Syndrome (PMS)

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Premenstrual Syndrome (PMS)

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  • Dr. Michael Hiroshi Johnson
  • Updated 2024-08-22
  • Published 2024-03-06

All About Premenstrual Syndrome (PMS)

What is Premenstrual Syndrome (PMS)?

Premenstrual Syndrome (PMS) refers to a set of physical and emotional symptoms that occur in the one to two weeks before a woman’s period. Symptoms often vary between individuals and can include mood swings, tender breasts, food cravings, fatigue, irritability, and depression.

What causes PMS?

The exact cause of PMS is not known. However, it’s believed to be related to a change in hormone levels during the menstrual cycle. Chemical changes in the brain may also be involved, specifically serotonin, which affects mood.

How is PMS diagnosed?

PMS is diagnosed based on a patient’s symptoms, menstrual cycle history, and a physical exam. Keeping a symptom diary for a few months is helpful in making an accurate diagnosis. Doctors may also rule out other conditions that mimic PMS.

What are common treatments for PMS?

Treatments for PMS can include lifestyle changes such as exercise, diet modifications, and stress management. Over-the-counter pain relievers can help some symptoms. In severe cases, prescription medication like hormonal birth control or antidepressants may be recommended.

Can diet affect PMS symptoms?

Yes, diet can impact PMS symptoms. Eating a balanced diet with whole grains, fruits, vegetables, and lean proteins can help. Reducing intake of salt, sugar, caffeine, and alcohol may also alleviate symptoms.

How does PMS differ from Premenstrual Dysphoric Disorder (PMDD)?

PMDD is a severe form of PMS. While PMS symptoms can be bothersome, PMDD symptoms are more intense and can include severe depression, irritability, and tension. PMDD can significantly impact daily functioning and relationships.

Can PMS symptoms change over time?

Yes, PMS symptoms can change over time. They may vary from cycle to cycle and can change in intensity and type of symptoms. Some women experience an increase in PMS severity as they approach menopause.

Symptoms of PMS vary widely between individuals but commonly include bloating, breast tenderness, mood swings, irritability, fatigue, food cravings, and headaches. These symptoms can significantly impact a person’s daily life and overall well-being.

The exact cause of PMS is still unknown, although hormonal changes during the menstrual cycle are believed to play a role. Fluctuations in estrogen and progesterone levels can affect neurotransmitters responsible for mood regulation, leading to emotional and behavioral changes.

While there is no cure for PMS, various management strategies can help alleviate symptoms. These include lifestyle modifications such as regular exercise, healthy diet, stress reduction techniques, and getting enough sleep. Medications like pain relievers, hormonal birth control, and antidepressants may also be prescribed by healthcare professionals.

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If you suspect you have PMS and it significantly interferes with your daily life, it is recommended to consult a healthcare provider for proper diagnosis and personalized treatment options.

Premenstrual Syndrome (PMS)

  • Irritability
  • Mood swings
  • Anxiety
  • Depression
  • Fatigue
  • Bloating
  • Headache
  • Food cravings
  • Breast tenderness
  • Acne outbreak
  • Difficulty concentrating
  • Sleep disturbances
  • Joint or muscle pain
  • Weight gain

Premenstrual Syndrome (PMS)

Causes of Premenstrual Syndrome:

  • Hormonal fluctuations
  • Chemical changes in the brain
  • Serotonin imbalance
  • Stress and emotional factors
  • Dietary factors
  • Lack of exercise
  • Genetic predisposition

To diagnose PMS, healthcare professionals typically follow a systematic approach that includes the following:

  1. Medical History: The healthcare provider will ask about your symptoms, the timing of their occurrence in relation to your menstrual cycle, and their impact on your daily life. It is important to provide detailed information about the frequency, severity, and duration of the symptoms.
  2. Symptom Tracking: Keeping a record of your symptoms for a few consecutive menstrual cycles can aid in diagnosing PMS. You may be asked to use a symptom diary to track the nature and intensity of your symptoms over time.
  3. Physical Examination: A physical examination will be conducted to rule out other possible causes of your symptoms. This may include checking for any underlying medical conditions or reproductive system abnormalities.
  4. Laboratory Tests: Blood tests may be ordered to confirm the levels of hormones in your body, such as estrogen and progesterone. These tests can help identify any hormonal imbalances that may be contributing to your symptoms.
  5. Psychological Evaluation: In some cases, a psychological evaluation may be conducted to assess your mental health and rule out any underlying psychiatric disorders that may be causing or exacerbating your symptoms.

Please note that these diagnostic methods may vary depending on the healthcare provider and individual circumstances. It is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment plan for PMS.

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