Premenstrual Syndrome (PMS)

Ovaries of women in reproductive age produce eggs routinely every month. If there is no pregnancy, hormone levels decrease and the uterus tissue that got ready for pregnancy scales off due to the decrease on hormone levels and got out of the body through menstrual bleeding. Menstrual bleedings usually happen three to five days. There are some signs of menstruation on some women before the menstruation. Signs that starts 10 to 15 days before menstruation like; sudden mood changes, sleep irregularities, tenseness, sensitiveness on breasts, oedema, fatigue, hot flashes, nutritional deficiencies, pain in head or on groin, cramps, certain skin conditions, disability to concentrate are called PMS or premenstrual syndrome. This emotional and physical tenseness before the menstruation is called PMS, premenstrual syndrome. Premenstrual syndrome starts before the menstruation and continue with menstruation and decreases slowly. Even though these signs are not so affective on some women, some women’s life quality gets seriously affected during this time period.

Premenstrual syndrome treatment:

PMS which starts 10 to 15 days before the menstruation and continues during the menstruation does not pass by itself. Lots of women see the signs of PMS as normal, however it needs to be treated. PMS which most often can be seen in women in their thirties and its treatment should be taken as a whole with hormone treatment, medicinal treatment, psychiatric treatment and psychosocial arrangements. Even though there are 150 signs of PMS, 4-5 signs are most seen compared to others. While there can be mild irritation, tenseness and fatigue for some women, for some women there can be signs that affect their daily lives in negative way. What is important about PMS is that these signs continue often. Even though there is no reason for PMS, it can be said that it is the cumulations all social, psychological and medical reasons.

PMS, premenstrual signs are:



Sensitiveness on breasts




Mood swings

Mild depressin


Even though the reasons of PMS are still being investigated, the biggest reason is the hormonal changes in the body.

PMS before menstruation and weight relation

The goal of PMS treatment is to heal the symptoms or remove them completely. Medicinal treatment should be only considered on women with stubborn PMS symptoms. However, birth control pills are also used on PMS. Other medicinal treatments are painkillers and inflammation medicines.

For PMS diagnosis there should be:

No other sickness that has similar symptoms to PMS



Tenseness, and these symptoms should happen for three consecutive menstruations, symptoms to disappear after three days and affect the daily life negatively.

Also, keeping a diary to diagnose PMS can benefit diagnosis. How many days before and how often these complaints happen before the menstruation, keeping a diary containing this kind of information also makes easier to give a diagnosis.

During PMS, one doesn’t gain weight. Swelling on stomach area, breasts and face happen because of oedema. During this period, constipation complaints due to hormonal changes can also be seen and this constipation gives swelling feeling in the body. With menstruation period, constipation also ends and oedema is gone.

What are the factors that trigger PMS?

Mineral deficiency (magnesium, zinc)

Vitamin deficiency (A, B vitamins)

Hormonal problems

Complaints of blood sugar


Chemical transmitter in the brain

Repressed sexual drives

Psychological reasons

Premenstrual Dysphoric Disorder (PMDD)

If PMS is gone through really severe, there can be Premenstrual Dysphoric Disorder (PMDD). PMDD is treated with antidepressants and therapy.

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