Most women experience some unpleasant or uncomfortable symptoms during their menstrual cycle. For some women, the symptoms are significant, but of short duration and not disabling. Other women, however, may have one or more of a broad range of symptoms that temporarily disturb normal functioning. These symptoms may last from a few hours to many days. The types and intensity of symptoms vary in individuals. This group of symptoms is referred to as premenstrual syndrome, or PMS. Although the symptoms usually cease with onset of the menstrual period, in some women, symptoms may last through and after their menstrual periods.
According to the American College of Obstetricians and Gynecologists (ACOG), nearly 85 percent of women, during their reproductive years, experience at least one of the common symptoms associated with PMS. It is estimated that 5 percent of women have symptoms so extreme that they are considered disabled by the condition.
In general, women most likely to experience PMS symptoms are between the ages of 20 and 40—and particularly women from this age group who have one child and have a history of depression in their family.
The following are the most common symptoms of premenstrual syndrome. However, each individual may experience symptoms differently. Symptoms may include:
Neurologic and vascular symptoms
The symptoms of PMS may resemble other conditions or medical problems. Consult a health care provider for diagnosis.
The cause of premenstrual syndrome is unclear, but seems to be related to fluctuations in estrogen and progesterone levels in the body, and does not necessary denote disabled ovarian functioning. Social, cultural, biological, and psychological factors have been identified as possible contributors of PMS.
For some women, making simple lifestyle changes helps to reduce the occurrence of PMS symptoms. These changes may include:
Aside from a complete medical history and physical and pelvic examination, diagnostic procedures for PMS are currently very limited. Your health care provider may consider recommending a psychiatric evaluation to, more or less, provide a differential diagnosis (to rule out other possible conditions). In addition, he/she may ask that you keep a journal or diary of your symptoms for several months, to better assess the timing, severity, onset, and duration of symptoms.
Specific treatment for PMS will be determined by your health care provider based on:
Counseling with your health care provider regarding symptoms can often increase understanding and lead to activities for stress management. Other possible treatments for managing PMS symptoms may include:
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