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Premenstrual syndrome (PMS or PMT)

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Health Centres - Premenstrual syndrome (PMS or PMT)

Symptoms of PMS  © NetDoctor/Justesen
Written by Dr Philip Owen, consultant obstetrician and gynaecologist

What is premenstrual syndrome?

PMS or PMT? The terms premenstrual syndrome (PMS) and premenstrual tension (PMT) are interchangeable.

Symptoms of PMS

There are more than 100 recognised symptoms that may be due to PMS. Fortunately, most women experience only a handful of problems. The most common symptoms are listed below.

Psychological

- Irritability.
- Mood swings.
- Losing your temper easily.
- Loss of confidence.
- Crying for no particular reason.
- Aggression.
- Poor concentration.
- Tiredness.

Physical

- Breast tenderness.
- Abdominal swelling or bloating.
- Weight gain.
- Swollen ankles.
- Headaches and possibly migraine.

How do I know if I have PMS?

PMDD Premenstrual dysphoric disorder (PMDD) is a mood disorder that occurs during the menstrual cycle.

The symptoms are similar to PMS, but are severe enough to impair or prevent quality of life.

PMDD is a depressive disorder.

What causes PMS?

Hormone levels Measuring hormone levels is of no help in understanding PMS because there are no differences between women who get PMS and those who don't.

When should I seek treatment?

Recognising your symptoms are due to PMS is an important first step.

For the majority of women, the symptoms are a minor inconvenience you can recognise, anticipate and deal with yourself.

Who do I talk to? A visit to your GP is usually the first step if you are suffering with PMS.

You could ask for a double appointment to give more time for discussion.

Or your GP may prefer to have a quick word at first, then ask you to come back and discuss things in depth.

The Family Planning Clinic and Well-Woman Clinic are other sources of help.

What treatments are available?

The placebo effect Part of the reason few PMS treatments provide long-term relief is the so-called 'placebo effect'.

A placebo is a treatment that is ineffective (eg a dummy tablet) but has the psychological effect of making you feel better.

To demonstrate a treatment is better than a placebo requires careful scientific study.

Not all PMS treatments have been subjected to evaluation in this way.



The documents contained in this web site are presented for information purposes only. The material is in no way intended to replace professional medical care or attention by a qualified practitioner. The materials in this web site cannot and should not be used as a basis for diagnosis or choice of treatment. Conditions for use Powered by netdoctor
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