DEFINITION Premenstrual syndrome ( PMS) is a disruptive set of emotional and physical symptoms that regularly occur in the one to two weeks before the start of each menstrual period. Symptoms resolve around the time menstrual bleeding begins.
CAUSES Progesterone and estrogen fluctuations Genetics History of mood disorders Stress Increased inflammatory response during luteal phase of cycle Smoking Alcoholism 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 insomnia.
SIGNS AND SYMPTOMS Different women experience different symptoms. Premenstrual syndrome commonly produces one or more physical , emotional , or behavioral symptoms , that resolve with menses. Most common symptoms are Breast tenderness Bloating Headache Mood swings Depression Anxiety Anger Irritability
TREATMENT Treatment includes Antidepressants – selective serotonin reuptake inhibitors (SSRIs) – which include fluoxetine( prozac ) ,paroxetine( paxil , paxeva ), seetraline ( zoloft ) and others have been successful in reducing mood symptoms . Non-steroidal anti-inflammatory drugs(NSAIDs) Diuretics Hormonal contraceptives
Cont … TREATMENT IN NATURAL WAY: Vitamins such as calcium ,E, B-6 and magnesium may help ease physical and emotional symptoms such as breast tenderness, bloating , fatigue ,irritability ans insomnia. Herbal remedies such as ginger, primrose oil, chaste berry, and ginkgo also may support women's relief of PMS symptoms.