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Premenstrual Syndrome (PMS)
Premenstrual Syndrome (PMS) (a group of symptoms that recur each month in anticipation of menstruation and disappear when menstruation stops)

Emergent Care - Have you identified one or more of the following symptoms?
  • Mentally distraught with thoughts of suicide, violent behavior or severely depressed
Yes No
Seek Immediate Medical Attention!
These symptoms can be life-threatening.

Women's Health - Did You Know?

  • Premenstrual syndrome symptoms recurs with each cycle about 7-10 days before the period begins
  • It is estimated that up to 50% of women suffer from PMS
  • Common physical symptoms include: breast swelling/tenderness, fatigue, food cravings, acne, diarrhea or constipation
  • Common emotional symptoms include: mood swings, sadness, anxiety, irritability, depression and crying
  • A symptom diary should be kept for a minimum of 3 months and brought to each medical appointment
  • The cause of PMS has not been established but several endocrine related theories exist
  • Urgent Care - Have you identified one or more of the following symptoms?
    • Symptoms interfere with normal function and activity
    Yes No

    Contact Your Health Care Provider.

    Self-Management - You can help in the following ways:
    • Reduce or avoid caffeine, sugar, salt, alcohol and dairy products for up to 1-2 weeks before period
    • Eat smaller (6 or more) frequent meals that are low fat, high fiber
    • Take supplements of vitamin B6 or magnesium
    • Engage in regular exercise or yoga to relieve symptoms and stress
    • Increase rest and get plenty of sleep
    • Take a hot bath or use a heating pad to relieve back and muscle aches
    • Take acetaminophen (Tylenol) or ibuprofen (Advil) for discomfort, if not contraindicated 1-2 days before start of period
    • Keep a diary of symptoms


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    Call Your Health Care Provider If:

    You do not get better, new symptoms appear, you are concerned in any way or you have questions.