Premenstrual syndrome (PMS)

Overview

Hormone shifts after ovulation cause PMS.

Tracking symptoms for 2 months helps confirm the pattern.

Symptoms

Common signs:

• Mood changes or bloating before periods
• Mood changes or cramps before a period
• Breast pain or tenderness

Less common

• Breast tenderness
• Food cravings
• Tiredness
• Irritability

When to get medical care

Causes

Hormone changes.

Does it spread or run in families?

• It isn't contagious. You can't catch it from someone else.

Who is more likely to get it

• Ages 20 to 40

Possible complications

• PMDD

Diagnosis

A symptom diary.

Questions you may be asked

• When symptoms happen

Treatment

Small changes help.

Self-care

• Exercise regularly
• Get enough sleep
• Limit salt, caffeine, and alcohol before your period
• Eat regular meals

Medicines

Medicines that may help:

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Prevention

To ease PMS:

• Exercise
• Sleep

Which doctor treats this

• Start with your primary care provider (family doctor or internist).
• They may send you to a gynecologist (OB-GYN).

Living with it

• Keep a simple diary of symptoms, triggers, and medicines to bring to visits.
• Bring a list of your medicines and questions to each visit.
• Stay active in ways that feel good to you.
• Get enough sleep and manage stress.
• Long-term illness can affect mood. Tell your doctor if you feel down or anxious.

Back to school, work, or sports

• Most people can keep working or going to school.
• Ask about changes that help, like extra breaks or a flexible schedule. Workers may be covered by the ADA. Students may get a 504 plan.

Pregnancy and breastfeeding

• If you're pregnant or planning to be, tell your prenatal provider about this condition.
• Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
• Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
• Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

For caregivers

• Go to visits when you can and take notes.
• Keep a list of medicines, allergies, and doctors in one place.
• Learn the warning signs that need fast care.
• Take breaks and ask for help. Caregivers need care too.

Outlook

Manageable for most.

Getting ready for your visit

Bring a list of your symptoms and medicines.

What to bring

• A list of your medicines and supplements
• Notes on when symptoms started and what makes them better or worse

Questions to ask

• Could this be PMDD?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Premenstrual syndrome (PMS)