causes and cure of Premenstrual Syndrome

Women Health

causes and cure of Premenstrual Syndrome

The premenstrual syndrome (PMS) refers to a variety of symptoms which recur in the same

phase of the menstrual cycle. These generally make their appearance two to seven days before

the onset of menstruation and are relieved once the menses start.

Approximately , 40 per cent of menstruating women suffer from premenstrual tension and it

occurs mostly in women over 30 years of age. IN some women, the onset of symptoms seems

to coincide with ovulation and may then persist until menstruation commences. IN some rare

cases, relief from the premenstrual syndrome may be obtained only with the cessation of the

menstrual flow.


The onset of this syndrome is abrupt, generally with a headache which is often accompanied by

vomiting. A general feeling of depression and irritability permeate the entire experience. What is

worse, these symptoms intensify progressively, making the last day of the PMS the worst.

Tension headaches are common during this period, but in some cases, migraines attacks occur

with severe pain and vomiting. The patient suffers from breast tenderness, which is sometimes

so severe that it is almost unbearable. There may also be abdominal bloating , accompanied in

some cases, by odema of the ankles and hands. Some women resort to dieting to get rid of the

abodminal bloating but this only leads to fatigue and depression. Others may experience a

craving for sweet foods.

Some of the less common symptoms are exacerbation of epilepsy dizziness, back ache, hoarse

voice, greasy hair , acne and allergic reactions.

Patients suffering from premenstrual tension may show a gain of weight of one kg or more in the

latter part of the menstrual cycle due to salt and water retention. The retention of fluid is partly

due to ovarian steroids, but there is also an increased output of anti diuretic hormone from the

posterior pituitary gland.


There is no specific laboratory diagnosis of the premenstrual syndrome. The problem can be

diagnosed on the basis of past history showing a clear, recurrent relationship between a stage of

the menstrual cycle and the onset of symptoms as well as the coincidence of relief with the start

or cessation of menstruation. The patient may maintain a personal diary about her symptoms

and feelings during those days. The record should be kept for atleast three cycles.


The causes behind the premenstrual syndrome still remain unexplained. Some authorities

believe that deficiency of hormone progesterone may result in PMS but this has not yet been

satisfactorily proved. Emotional stress can often contribute to the symptoms, and the social

relationship of the patient needs to be reviewed.

A team of researchers at Sinai Hospital in Baltimore and John Hopkins University School of

Medicine, London, through carefully controlled studies concluded that dietary deficiencies

particularly that of vitamin E and vitamin B6 or pyridoxine are the most common causes of PMS.


Treatment depends on the severity of the symptoms. Where only mild symptoms are

experienced , the problem can be elevated by a change of routine. Extra work and stressful

situation should be avoided. Fluids should be moderately restricted and care should be taken not

to add extra salt to the food.The patient’s partner and family members should be educated about

all the facets of the PMS. The patient should not take any oral contraceptives as these may

cause fluid retention and lowering the plasma levels. Hormonal imbalance and infections of the

uterus can be helped by a natural diet regimen.

As most women feel tension arising from chronic constipation it is essential to treat this condition

first. In constipation, the putrefying faecal matter may be reabsorbed into the bloodstead, and

the same blood, if supplied to the brain, will cause gradual enervation. Constipation can be

relieved by a lukewarm water enema and liberal intake of seasonal fruits and vegetables and

simple fibrous meals.

Other treatment for the PMS include regular cold hip baths for 10 to 15 minutes twice a day. This

will congestion and inflammation of the uterus and connected organs. Tension will also be

dissipated with this treatment. Hot foot baths followed by a cold compress to the lower abdomen

and the inner surfaces of the thighs also help to relieve uterine congestion and tension.

If the cold hip bath is not practicable, a wet girdle pack applied twice a day on empty stomach is

very beneficial for clearing up uterine congestion and improving bowel function.

All these statements should be suspended during the menstrual flow.

Diet pays a significant role in preventing premenstrual syndrome. The patient should avoid

refined carbohydrates, sugars, coffee, tea, tobacco, other stimulants, oily, fried or spicy food and

all meats.

A regular practice of yogasanas, especially those recommended for strengthening the

genito-urinary system will be very useful in overcoming premenstrual syndrome. These asanas

are bhujangasana, shalabhasana, vajrasana, paschimotanasana, ardhamatsyendrasana and

trikonasana. Other helpful measures are brisk walks and abdominal exercises which are good

for strengthening the abdominal muscles and pelvic organs.

Great relief can also be obtained by manipulating the tender points gently, on the big as well as

other toes of the feet. Manipulation on the middle portion of the leg foot which relates the uterus

and vagina will help to correct the disorder of the uterus.

Mental poise is an important factor. Negative mental attitudes like fear, worry, anger, jealousy ,

tension and inferiority complex should be eliminated by positive thinking, meditation and good company.

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