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Writer's pictureDr. Shashwati Sen

PREMENSTRUAL SYNDROME (PMS) - DO NOT SUFFER IN SILENCE!

Updated: Mar 7, 2021

The first half of your menstrual cycle is a breeze....You are happy, active.... social ... spreading joy and positivity all around. Then suddenly it all changes! You lose interest in your work... you no longer feel fit and agile. You are irritable... tired... and may even have angry outbursts! Why does this happen? Does this happen to every woman? Should you seek help?




What is Premenstrual Syndrome (PMS) ?

Premenstrual Syndrome refers to an array of physical and emotional symptoms experienced by women of reproductive age group in the days prior to menses. Mild physical discomfort is quite common and 3 out of every 4 menstruating women will experience some form of PMS every month.


Features of PMS

  • Both physical and emotional symptoms may be present.

  • Start 1-2 weeks before the onset of menses.

  • Symptoms disappear 3-4 days after menses.

  • Recurrent every cycle.


What are the common symptoms of PMS?

Emotional symptoms include:

  • Depression

  • Irritability

  • Confusion

  • Crying spells

  • Angry outbursts

  • Anxiety

Physical symptoms include:

  • Bloating

  • Weight gain

  • Breast tenderness

  • Swelling of the hands and feet

  • Headache

  • Abdominal pain

  • Diarrhoea


Why does this occur?

The cause is not yet known but it is thought that the changing hormonal levels (both oestrogen and progesterone) in every cycle could be a trigger.


How can I alleviate the symptoms?

It is important to accept that menstruation is a biological process and there are some days when we must listen to our body. The mantra is - 'Reduce Stress' and 'Eat Healthy'! No need to rush through the deadlines... No need to tick off each and every item from the To-Do list! Give yourself rest.

Introduce some lifestyle modifications and you can regain the control back on your life!

Some of the points that you must remember are:

  • Balanced diet

  • Plenty of fluids

  • Reduction in sugar and salt.

  • Avoid caffeine and alcohol.

  • Supplements such as folic acid, vitamin-B6, calcium and magnesium.

  • Aerobics and yoga for at least 30 minutes daily.

  • Plenty of sleep.

When to see my Gynaecologist?

If the symptoms are severe enough to affect your quality of life, then you must consult your gynaecologist.


Note: Evening Primrose Oil may have some role in reducing the symptoms of PMS but consult your doctor before taking any herbal remedies.


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