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Premenstrual syndrome

What is the premenstrual syndrome?

The premenstrual syndrome, which is commonly called premenstrual tension, is a set of symptoms, both physical and psychological, that some women experience before their periods. These symptoms usually go away when the period starts. The symptoms are caused by hormonal changes in the body before the period and can vary from woman to woman. The build-up of fluid in the body at this time is an example of this.

Is it common?

Yes; possibly up to 90 per cent of women experience some symptoms, which can vary from minor to severe.

What are the symptoms?

The important symptoms are summarised below, but the commonest symptoms are moodiness, irritability, tension, headache, constipation, sore breasts and bloated feelings.

What can be done about these symptoms?

Insight

Understanding your symptoms and why they occur can be a big help. It is helpful to be open about your problem and tell your family and close friends about these symptoms.

Keep a diary

Keep a list of your main symptoms and note when they occur over a 2 month period. Use this information to help plan around your symptoms; for example, avoid too many social events and postpone demanding business appointments.

Lifestyle changes

Diet. Eat regularly and sensibly: eat small rather than large meals; avoid salt, caffeine and excess fluids. If necessary, reduce your weight to ideal level.

Exercise. Regular exercise often helps (e.g. swimming, aerobics, tennis).

Relaxation. Plan to do things that you find relaxing and enjoyable during this time.

Proper dress. Sensible dressing to cope with breast tenderness and a bloated abdomen is useful (e.g. a firm-fitting bra and loose-fitting clothes around the abdomen).

Medicine. Some medicines may help those with more severe symptoms; so discuss these options with your doctor. Examples of treatment used for premenstrual tension include vitamin B (pyridoxine), evening oil of primrose and oral contraceptives.

Copyright 1995: John Murtagh, Professor of General Practice
Monash University, Melbourne, Australia

 

North East Valley Division General Practice, Victoria, Australia, Disclaimer 
Level 1, Pathology Building, Repatriation Campus, A&RMC, Heidelberg West VIC 3081. .. map
Phone: 03 9496 4333, Fax: 03 9496 4349,  Email: nevdgp@nevdgp.org.au
Please note: NEVDGP does not provide an on-line consultation

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