PMS

What is PMS ?

PMS stands for (Pre Menstrual Syndrome), and can be described as a disorder that is characterized by a set of hormonal changes (mainly in Estrogen and Progesterone levels). These hormonal changes trigger disruptive physical, emotional and psychological PMS symptoms in most women for up to two weeks before menstruation.

Who experiences PMS?

PMS is by far the single most frequent complaint of pre menopausal women. Almost all women experience PMS at some point in their life. Women between the ages of 30-45 years often experience most severe PMS. PMS often increases at times of hormonal turbulence, for example, puberty, childbirth, after miscarriage or pregnancy termination or changes in contraception. Women who suffered from post natal depression are more prone to PMS. Stress increases and worsens the PMS symptoms. PMS often makes pre-existing conditions worse.


Signs and Symptoms

PMS has been characterized by more than 150 symptoms, ranging from weight gain to acne to mood swings. The symptoms vary from woman to woman and cycle to cycle. For some women, the symptoms may be mild or moderate, and for others, they may be so severe as to be incapacitating.

Here are some common symptoms :

* depression
* sadness
* anxiety
* anger
* irritability
* frequent
* severe mood swings
* decreased concentration
* indecision
* headache (e.g., menstrual migraine)
* breast tenderness
* joint and muscle pain
* insomnia (sleeplessness)
* hypersomnia (sleeping for abnormally long periods of time)
* anorexia (loss of appetite)
* food cravings
* fatigue
* lethargy
* agitation
* a change in sex drive
* clumsiness
* dizziness
* nausea
* diarrhea
* bloating
* weight gain
* oliguria (reduced urination)
* palpitations (rapid fluttering of the heart)
* sweating
* acne
* oily skin
* greasy
* dry hair


PMS and Pregnancy :

Many women experience PMS-like symptoms during pregnancy, particularly during the early weeks of pregnancy. Fatigue is extremely common during early pregnancy, and energy levels may remain low until the second trimester. Pregnant women often feel bloated and may have mild pelvic cramps. Headaches are also common. Breast tenderness or pain may also be experienced as hormones act on the breasts to prepare them for milk production and secretion. Some women also develop acne during pregnancy. PMS-like symptoms that are probably the most difficult for pregnant women to deal with are depression, anxiety, irritability, and mood swings.

The majority of medications to relieve these PMS-like symptoms are not advised during pregnancy. This can make it difficult for a woman who is experiencing moderate to severe symptoms in addition to the other changes she is dealing with. Getting adequate rest, including about 10 hours of sleep each night, is important for pregnant women and can help relieve fatigue. Wearing loose-fitting clothes and getting adequate exercise can minimize a bloated feeling and improve one's overall sense of well-being. For headaches, a gentle head and neck massage or a cool cloth placed on the forehead may help. A nutritious and balanced diet and nutritional supplements are essential to maintain the health of both the mother and the growing baby. Avoiding caffeine, smoking, and foods rich in refined sugar can also help reduce the severity of symptoms. Smaller, more frequent meals can also help maintain blood-sugar levels. Low blood-sugar levels can result in fatigue, headaches, and irritability.
 

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