Premenstrual syndrome or PMS affects most women. Over 90% of women get PMS in varying signs and symptoms. Symptoms are experienced a week or two before their period. Sometimes PMS prevents women from doing their usual daily activities due to the severity of symptoms they experience.  

Usually, PMS is a combination of physical and emotional symptoms that many women experience every month. Research shows that PMS happens because of raging hormones during ovulation. And PMS goes away after a few days after menstruation when hormone levels start to rise again.  

PMS symptoms differ for every woman. Some may get the physical symptoms, some may get the emotional symptoms and some get both. It is also important to note that the symptoms you get may change every month and can change throughout your life. 


Physical symptoms include: 

  • Constipation and diarrhea 
  • Cramps 
  • Headache 
  • Bloating or gassy feeling 
  • Breast tenderness 
  • Acne flare-ups 
  • Fatigue 
  • Joint and muscle pains 
  • Lower tolerance to noise and light 

Emotional symptoms include: 

  • Feeling tired 
  • Tension or anxiety 
  • Mood swings, irritability, or anger 
  • Food cravings 
  • Insomnia 
  • Poor concentration 
  • Change in libido 
  • Depressed mood and crying spells 

The exact cause of PMS is still unknown, but several factors may contribute to this condition: 

  • Hormonal change – PMS signs and symptoms may change due to the fluctuations of hormones 
  • Chemical changes in the brain – Serotonin is a brain chemical that plays a role in mood states. The amount of serotonin the brain produces can also contribute to PMS depression, sleep problems and food cravings 
  • Depression – Mostly, women with undiagnosed depression have severe PMS. Although depression alone does not cause PMS symptoms 

There are things that could help in combating PMS: 

  • Regular exercise 
  • Eating a balanced and healthy diet 
  • Getting 7-8 hours of sleep every day 
  • Reducing stress by practicing yoga or meditation 
  • Taking painkillers to manage and ease the pain 

Your doctor can also recommend the following treatments: 

  • Hormonal medication 
  • Antidepressants 
  • Dietary supplements 

Managing PMS could be very challenging. If PMS is already affecting your lifestyle and daily activities, it is time to consult a doctor. At Doral Health and Wellness, our gynecology team is always available to help you with your medical needs. To book an appointment, please visit or call 347-955-3465.