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  Pre-menstrual Syndrome Download

Pre-Menstrual Syndrome, or PMS is a common phenomenon.  A local survey shows that in every 10 women, more than 6 experience certain symptoms of PMS before a period.  Among them, about 3 to 8 women consider their symptoms to be serious.


What is PMS?

PMS refers to the periodic physical discomforts as well as psychological and behavioural changes in women before menstruation.  PMS is characterized by its occurrence one to two weeks before a period and its natural disappearance soon after the start of menstrual bleeding.  In serious cases, it may interfere with everyday work, daily life and interpersonal relationship, which in turn affect the quality of life.

What are the symptoms of PMS?

There could be as many as 150 PMS-related symptoms, and the common ones are listed below:

Physical symptoms:
 	Breast swelling / tenderness
 	Limb swelling / bloating
 	Weight gain
 	Headache
 	Fatigue and systemic feebleness

Psychological and behavioural changes:
 	Mood swings and irritability
 	Trouble concentrating 
 	Forgetfulness
 	React / Behave impulsively
 	Trouble sleeping, sleeplessness or sleepiness
 	Change in appetite and food preference (a craving for high-sugar and high-fat food)
Where necessary, women suffering from pre-menstrual discomfort should consult a doctor and seek appropriate assistance.
Who gets PMS?

* Women prior to menopause may be subjected to the effects of PMS, and those aged between 25 and 45 are particularly vulnerable.
* To confirm a PMS case, it relies not on a one-time occurrence of symptoms or a single medical consultation.  Before concluding a clinical diagnosis of PMS, a doctor would require a detailed record over a period of three consecutive months on the daily symptoms and their severity, followed by the elimination of possibility of other physical or psychological diseases on the basis of a complete medical history and body check.  On suspicion of PMS, you should consult medical professionals for appropriate assessment and diagnosis, so as to obtain appropriate treatment.

Why does PMS happen?

Physical factors:
* Hormone Imbalance
* Neurotransmitter imbalance

Psychological and social factor:
* Stress in everyday life, personal character and attitudes towards life are relevant elements in PMS.
* Studies show that mental and psychological factors inter-relate with the severity of PMS since mental stress could affect endocrine responses.
* The various roles women play in modern society and family as well as the pressure they have to bear also contribute to PMS.  Women leading less stressful lives and fulfilling various roles with ease and satisfaction would experience less frequent and less severe PMS symptoms.  On the contrary, women suffering from conflicts in roles and associated dissatisfaction would have relatively higher frequency and severity in PMS symptoms.
How is PMS treated?

The treatment of PMS covers three aspects:

1.	Change in lifestyle:  you may try the following ways to allay PMS symptoms.
* Exercise -appropriate aerobic exercises, such as jogging, aerobic dance, climbing stairs and Tai Chi, and stretching exercises, including yoga and light stretching, help promote blood circulation, muscle relaxation and a happy mind, thus relieving symptoms of PMS.

* Diet -
Food to avoid
Caffeinated beverages, wine and alcoholic drinks	
High-salt food: persevered food and sauce
Food made of processed sugar: ice-cream and chocolate
High-fat food and high-fat dairy products: butter and cheese

Food to take
Cereal breakfast, wheat bread, oatmeal and corn
Beans: soybean and other types of bean
Vegetable: leafy vegetable and carrot
Nuts and dried fruits: cashews, peanuts and melon seeds

2. 	Medication: medicines prescribed by a doctor specifically for individual women. (Currently, there is no single drug that can relieve all the symptoms.) 

3.	Psychological treatment: including stress relief and relaxation training.
 
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Last revision date: 01 September 2006