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How to Manage Premenstrual Syndrome

How to Manage Premenstrual Syndrome (PMS): Lifestyle, Medication, and Surgery

Premenstrual Syndrome condition will affect your emotions, physical health, and behavior just two weeks before your menstruation and it typically goes away by the end of your menstruation. PMS is a very common condition and its symptoms are seen almost in 90% of menstruating women.

The levels of estrogen and progesterone will increase during assertive times of the month. An increase in estrogen and progesterone hormones will cause mood swings, anxiety, and irritability. serotonin levels will also affect your mood swings. Ovarian steroids can also modulate the activity in some areas of the brain correlated with premenstrual symptoms.


Some of the Risk Factors for Premenstrual Syndrome include: 

  • Bipolar Disorder 
  • Physical and emotional trauma 
  • Domestic violence 
  • Substance abuse 
  • Depression 

Conditions of Premenstrual Syndrome:

  • Dysmenorrhea
  • Massive depressive disorder 
  • Seasonal affective disorder 
  • Anxiety 
  • Schizophrenia

Symptoms of Premenstrual Syndrome:

On average women, the menstrual cycle lasts of 28days. Ovulation is a period where the egg is released from the ovaries, and occurs on the 14th day of the cycle. Menstruations occur on the 28th day of the cycle. PMS signs may start around the 14th day and will last 7 days after the menstruation. The PMS symptoms are usually moderate. 

  • Abdominal pain 
  • Abdominal bloating 
  • Sore breasts
  • Acne 
  • Cravings
  • Diarrhea
  • Headache 
  • Sensitivity 
  • Constipation 
  • Irritation 
  • Depression 
  • Sadness
  • Emotional outbursts
  • Sadness
  • Fatigue
  • Alcohol intolerance 
  • Change in libido 
  • Poor concentration 

Causes of Premenstrual Syndrome:

Few women are sensitive to hormonal changes during their menstrual cycle. 

Some chemical substances in the blood such as neurotransmitters can be a cause.


Few adjustments in lifestyle like exercise, controlled and healthier diet, carefulness, and meditation works positively in controlling your PMs Symptoms.


Non-Hormonal Treatment: 

Under healthcare, experts guidance and prescription  Antidepressants will help in PMS symptoms. Few women may have side effects such as nausea and low libido after using these medicines.

Hormonal Treatment:

A pill that contains progesterone can be used in hormonal treatment. If estrogen hormone is taken as gel or patch it improves the symptoms of PMS. They won’t work as a contraceptive.


The surgical treatment for premenstrual syndrome is in the form of a hysterectomy and removal of both ovaries.

Following surgeries are not recommended:

  • Endometrial ablation 
  • Hysterectomy

 If you are having gynae symptoms that relate to premenstrual syndrome ,as discussed above and worried about  it , consult a professional gynaecologist. You can consult with Mrs. Sarah Hussain, the leading female gynaecologist in London. Request a call for treatment.