Treatment of Premenstrual syndrome: Premenstrual syndrome(PMS) is a group of problems that menstruating women face few days before the day of menstruation. It is so common such that 3 out of 4 menstruating women experience it. Some of the common symptoms are mood changes. You may think they are deliberately doing it but it’s the physiological act. Tender breasts, food cravings, fatigue, irritability and depression are the common signs and symptoms
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Exactly what causes premenstrual syndrome is unknown, but several factors may contribute to the condition:
- Cyclic changes in hormones.Signs and symptoms of premenstrual syndrome change with hormonal fluctuations and disappear with pregnancy and menopause.
- Chemical changes in the brain.Fluctuations of serotonin, a brain chemical (neurotransmitter) that’s thought to play a crucial role in mood states, could trigger PMS symptoms. Insufficient amounts of serotonin may contribute to premenstrual depression, as well as to fatigue, food cravings and sleep problems.
- Some women with severe premenstrual syndrome have undiagnosed depression, though depression alone does not cause all of the symptoms.Treatment of Premenstrual syndrome
The list of potential signs and symptoms for premenstrual syndrome is long, but most women only experience a few of these problems.
Emotional and behavioral signs and symptoms
- Tension or anxiety
- Depressed mood
- Crying spells
- Mood swings and irritability or anger
- Appetite changes and food cravings
- Trouble falling asleep (insomnia)
- Social withdrawal
- Poor concentration
- Change in libido Treatment of Premenstrual syndrome
Physical signs and symptoms
- Joint or muscle pain
- Weight gain related to fluid retention
- Abdominal bloating
- Breast tenderness
- Acne flare-ups
- Constipation or diarrhea
- Alcohol intolerance
Treatment of Premenstrual syndrome
For many women, lifestyle changes can help relieve PMS symptoms. But depending on the severity of your symptoms, your doctor may prescribe one or more medications for premenstrual syndrome.
The success of medications in relieving symptoms varies among women. Commonly prescribed medications for premenstrual syndrome include:
- Selective serotonin reuptake inhibitors (SSRIs) — which include fluoxetine (Prozac, Sarafem), paroxetine (Paxil, Pexeva), sertraline (Zoloft) and others — have been successful in reducing mood symptoms. SSRIs are the first line treatment for severe PMS or PMDD. These medications are generally taken daily. But for some women with PMS, use of antidepressants may be limited to the two weeks before menstruation begins.
- Nonsteroidal anti-inflammatory drugs (NSAIDs).Taken before or at the onset of your period, NSAIDs such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve) can ease cramping and breast discomfort.
- When exercise and limiting salt intake aren’t enough to reduce the weight gain, swelling and bloating of PMS, taking water pills (diuretics) can help your body shed excess fluid through your kidneys. Spironolactone (Aldactone) is a diuretic that can help ease some of the symptoms of PMS.
- Hormonal contraceptives.These prescription medications stop ovulation, which may bring relief from PMS symptoms.
You can sometimes manage or reduce the symptoms of premenstrual syndrome by making changes in the way you eat, exercise and approach daily life. Try these tips:
Modify your diet
- Eat smaller, more-frequent meals to reduce bloating and the sensation of fullness.
- Limit salt and salty foods to reduce bloating and fluid retention.
- Choose foods high in complex carbohydrates, such as fruits, vegetables and whole grains.
- Choose foods rich in calcium. If you can’t tolerate dairy products or aren’t getting adequate calcium in your diet, a daily calcium supplement may help.
- Avoid caffeine and alcohol.
Incorporate exercise into your regular routine
Engage in at least 30 minutes of brisk walking, cycling, swimming or other aerobic activity most days of the week. Regular daily exercise can help improve your overall health and alleviate certain symptoms, such as fatigue and a depressed mood.Treatment of Premenstrual syndrome
- Get plenty of sleep.
- Practice progressive muscle relaxation or deep-breathing exercises to help reduce headaches, anxiety or trouble sleeping (insomnia).
- Try yoga or massage to relax and relieve stress.Treatment of Premenstrual syndrome
Record your symptoms for a few months
Keep a record to identify the triggers and timing of your symptoms. This will allow you to intervene with strategies that may help to lessen them.Treatment of Premenstrual syndrome