Premenstrual syndrome or PMS

Premenstrual syndrome is a condition where during the days of menstruation, there may be abnormal emotions coming out. There may be a change in physical health and behavioural pattern. This condition is quite common and it affects more than 90% of women. The syndrome starts few days before the menstruation and goes after menstruation begins.

The estrogen and progesterone hormones may change their level certain times and these changes cause mood swings, anxiety and depression.< Serotonin, a chemical in your brain stimulates the mood swings and anxiety during the cycle.

Risk associated factors of PMS:

  • Family history of PMS and depression
  • Physical and emotional trauma
  • Mood disorders like bipolar disorder and anxiety
  • Dysmenorrhea
  • schizophrenia
  • seasonal affective disorders


The ovulation period starts on day 14 of the menstruation cycle. It is the period where the ovary releases the egg. The symptoms for the PMS starts here and last till the menstruation or the bleeding period ends. The symptoms are mostly mild to moderate. However, it may affect only the daily functioning of the person. The few women who suffer the severity of the syndrome may come through the following conditions:

  • abdominal pain
  • sore breasts
  • headache
  • acne
  • constipation
  • anxiety
  • depression
  • sudden emotional outbursts
  • fatigue
  • irritability


Still, the exact cause for the condition is unknown. But there are some factors to look at: Changes in the hormone level: The PMS conditions are often due to hormonal fluctuations. A drop in the estrogen and progesterone hormone levels may bring a major drop in the serotonin. Serotonin is the chemical responsible for good sleep, appetite and regulation of mood. If it gets dried, the effects could take place in the menstruation.


Depending upon the severity of the condition, the gynecologist will give you some solutions to get rid of. It is better to make changes in your daily routine like taking medications, diet, exercising, taking self-care measures and making lifestyle changes. These changes will keep the hormones in a balanced state.

Pain reliever pills like acetaminophen, nonsteroidal anti-inflammatory drugs and diuretics will help a lot in overcoming cramps and aches.

Following certain steps like meditation, exercising, going out for a walk, grouping with friends, taking a bath and doing yoga can give a better solution for this condition. It is better to find a solution from the mental health counselor or therapist.