Premenstrual syndrome (PMS)

PMS is a condition that affects women’s physical and mental health which typically begin from 2-7 days before menstruation and usually disappears as soon as the periods start.
PMS is frustrating not only for the women but also for those around her.


  • Breast tenderness
  • Acne
  • Sudden Mood swings
  • Irritability
  • Bloating of stomach
  • weight gain(temporary)
  • Swelling of fingers, toes and face.
  • Depression
  • Lethargy
  • headache
  • Back pain
  • Joint pain
  • Food cravings
  • Irritability, mood swings, crying spells 

No one knows what causes PMS, but hormonal changes trigger the symptoms.

Risk factors:

Women who are at an increased risk of suffering from PMS :

  • Have a family history of PMS
  • Lead a sedentary lifestyle
  • Take an unhealthy diet
  • Are below 30 years of age
  • Have more than two children
  • Suffer from high-stress levels

Some Dos and Don’t for to manage PMS


  • Have a diet high in carbohydrate and low in fat
  • Consume foods rich in vitamin B6 and vitamin E like fish,whole grains, and wheat germ as well as green leafy vegetables and fruits.
  • Take calcium- rich foods such as milk, paneer, curd, fenugreek, drumstick leaves and ragi
  • Finding relaxing activities that relieve tension, such as reading, watching a movie, going for a walk, or having a bath
  • Regular walking, cycling abdominal and pelvic exercises
  • Stretching and breathing exercises, such as yoga
  • Quit smoking, if you are a smoker


  1. Take foods containing caffeine like coffee, tea and chocolate in excess.
  2.  Take refined carbohydrates, sugars and tobacco.
  3. Take foods which are oily, fried and spicy.
  4. Skip meals. Follow a regular meal schedule to maintain a more stable blood sugar level.
  5. Sleep too little
  6. Drink alcohol.

When to see a doctor:
You need to visit a doctor if any of your symptoms especially your mood swings, depression, or abdomen, joint and muscle pains are interfering with your day to day activities, or if they do not go away even after menstruation has stopped.


  • Many women experience relief from PMS symptoms through lifestyle changes alone.
  • Over-the-counter pain relievers such as ibuprofen, aspirin or naproxen may help
  • For more severe cases though, your doctor may prescribe medicines such  as..
  1. Antidepressants
  2. Nonsteroidal anti-inflammatory drugs
  3. Diuretics
  4. Hormonal contraceptives
  5. Oestrogen-only patches and implants.
    In most women, PMS symptoms begin to subside after age 35. They end at menopause.

Dr. Krishna priya.

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