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- acne/pimple
- abdominal cramps
- back ache
- headache
- mood swings
- cry spell
- food craving /food binge
- breast fullness /swelling
- irritability/ anxiety
- depression
- lack of sleep
WHAT CAUSES PMS
The real cause is not known but it’s associated with hormonal changes and some other factors e.g.
- Salty and sugary foods
- Sedentary life style
- Some behavior like alcohol and smoking
TREATMENT/MANAGEMENT
- In most cases 70% do not need medical care but 8-10% may need medical care but some home remedies may be tried.
- Chocolate eating [this helps to lower some level of hormones esp. testosterone]
- Avoid salty food as this causes retention of water
- Avoid alcohol and smoking as this alters the mood and may lead to depression
- Avoid sugary and caffeine drinks
- Try to get enough sleep
- Try some vigorous exercise 15 minutes daily like brisk walk
- Yoga and aquatic exercise will help
- Take a lot of fruits and whole grains
- Psychotherapy i.e. counseling
MEDICAL MANAGEMENT
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The 10% which needs medical care like depression, insomnia and suicidal tendencies and very severe pain.
- Ibuprofen for pain 400mg thrice a day not more than three days
- Severe depression sertraline [zoloft] 200mg thrice or as advised, this is to increase the level of serotonin uptake by the brain cells.
- Some form of hormonal drugs may be given to stop ovulation e.g. microgynon.
- Folic acid supplementation 400 micrograms
- Vitamins supplementation vitamins B6, E,D.
Note PMS will not stop unless one is pregnant or past menopause.
