Pre-Menstrual Syndrome (PMS) is defined as the recurrence of psychological and physical symptoms in the luteal phase, which remit
in the follicular phase of the menstrual cycle. Symptoms of which fall in three domains: Emotional, Physical and Behavioural, eg:
depression, irritability, tension, crying, abdominal cramps, fatigue, bloating, food cravings, poor concentration, social withdrawal
etc. Premenstrual symptoms can be managed if diagnosed at right time with suitable pharmacological and non pharmacological
treatment. Therefore it is suggested that life style modification & counselling are essential. If neglected, may even be life
threatening in patients with severe symptoms can be occur. Non-pharmacologic interventions for PMS include patient education,
supportive therapy, and behavioural changes. Behavioural measures include keeping a symptom diary, getting adequate rest and
exercise, and making dietary changes. Dietary supplements in women with PMS should include vitamins (A, E and B6), calcium,magnesium, multivitamins/mineral supplements and evening primrose oil. Pharmacological treatment includes anti-depressants and hormonal therapy. Surgery may be considered in severely affected patients who fail to respond to other therapies and also have significant gynaecologic problems for which surgery would be appropriate
