Premenstrual syndrome (PMS)

Premenstrual syndrome (PMS) is a group of physical and psychologic symptoms that start several days before and usually end a few hours after a menstrual period begins.  In premenstrual dysphoric disorder, premenstrual symptoms are so severe that they interfere with work, social activities, or relationships.

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Symptoms That Can Occur in Premenstrual Syndrome

Physical

• • Bloating
  • Breast fullness and pain
  • Changes in appetite and cravings for certain foods
  • Constipation
  • Cramps, heaviness, or pressure in the lower abdomen
  • Dizziness, including vertigo
  • Fatigue
  • Headaches
  • Insomnia, including difficulty falling or staying asleep at night
  • Joint and muscle pain
  • Lack of energy
  • Nausea and vomiting
  • Skin problems, such as acne and localized scratch dermatitis
  • Swelling of hands and feet
  • Weight gain

Psychological 

• • Agitation
  • Anxiety
  • Confusion
  • Crying spells
  • Depression
  • Difficulty concentrating
  • Emotional hypersensitivity
  • Forgetfulness or memory loss
  • Irritability
  • Mood swings
  • Nervousness
  • Short temper
  • Social withdrawal

Common causes include: 

• Hormonal imbalances 
• Poor diet 
• Food allergies 
• Nutritional deficiencies 
• Thyroid imbalance 
• Low blood sugar 
• Poor liver function 
• Environmental toxins (e.g., pesticides) 
• Stress 

Diagnosis
The diagnosis is based on symptoms. To identify PMS, a woman is asked to keep a daily record of her symptoms for one month. This record helps the woman be aware of changes in her body and moods and helps doctors identify any regular symptoms and determine what treatment is best.  

If you are experiencing any of the symptoms above,  please contact Dr. Linda Gedeon for proper evaluation and to discuss the best treatment options for you.