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Women's Health

Gynecology

PMS: How to Cope With That Time of the Month

If you're like many women, you don't need a calendar to know when your period is due. A week or two beforehand your breasts may feel tender, your muscles may ache or you may feel bloated, tired and irritable.

Premenstrual symptoms differ from woman to woman. The most common symptoms include:

  • Headaches
  • Water weight gain
  • Acne
  • Mood swings
  • Difficulty concentrating
  • Breast, muscle, joint or pelvic pain
  • Abdominal cramping and nausea
  • Sleeping problems, fatigue
  • Anxiety

You doctor may diagnose these conditions as premenstrual syndrome (PMS)

What Causes PMS?

Researchers have not identified any one cause for PMS. Changing levels of hormones play a leading role. These hormonal shifts can change the body's response to natural painkillers. They also may produce the increased zest, creativity or sex drive that some women enjoy during the premenstrual phase of their cycle.

Self Care and Other Options

Once a diagnosis of PMS is made, improvement requires a combination of approaches - and a lot of patience.

Discuss medications and supplements with your doctor to find the appropriate choices for you. Over-the-counter pain relievers may help ease discomfort, and evening of primrose oil capsules can decrease bloating and breast tenderness. Your health care provider may also prescribe medications.

Vitamins or minerals may help. In some studies, taking vitamins B6 and E, calcium or magnesium supplements offered relief to some women.

Lifestyle changes can also be helpful:

  • Reduce or eliminate caffeine, alcohol and sweets
  • Eat small, frequent meals rich in carbohydrates in the second half of your cycle
  • Consume adequate protein, fiber and complex carbohydrates
  • Exercise aerobically for at least 20 minutes three times a week or more
  • Attend a PMS support group