Premenstrual syndrome: symptoms, when it starts and remedies

Premenstrual syndrome: symptoms, when it starts and remedies

Mood swings, headaches, increased hunger are some of the symptoms with which PMS occurs. We talked about it with the gynecologist

Most women of childbearing age are familiar with PMS symptoms and they cyclically return, just like a Swiss clock. In fact, how many times have we experienced fatigue, irritability, muscle and joint pain, breast tension, headache. These are some of the most common symptoms that characterize this syndrome and which, as the name suggests, precede the onset of menstruation by a few days.

And while not all suffer from it, a good chunk of women are affected. The diagnosis is clinical and is made after recording and evaluating the symptoms reported by the patient. You can act on the symptoms by adopting good habits, for example, including a healthy diet low in salt and sports.

So what are the causes and remedies to be taken in case of PMS? We talked about it with Dr. Elisabetta Colonese, Surgeon, specialized in Gynecology and Obstetrics, couple infertility therapy.


  • What is that
  • Symptoms
  • When it starts
  • Causes
  • Remedies

What is that

«Premenstrual syndrome is a set of psychological and physical symptoms that occur in the life of women of childbearing age in the days preceding menstruation. It is also quite common, since it affects 2 to 5% of the female population, ”explains the doctor.


"The symptoms, which can manifest themselves from a physical and psychological point of view, are:

  • mood swings and changes (for example sudden sadness and unjustified crying);
  • marked irritability;
  • outbursts of anger;
  • tendency to depression;
  • increased interpersonal conflicts;
  • headache;
  • fatigue;
  • anxiety;
  • emotional tension;
  • breast tenderness;
  • joint and muscle pain;
  • difficulty concentrating;
  • tendency to lethargy;
  • easy fatigue;
  • lack of energy;
  • body swelling;
  • increase or decrease in sleep hours;
  • increased hunger.

In particular, the desire to consume sweet, fatty or rewarding foods prevails and there may also be a decrease in interest in the usual activities carried out related to sport, study, work, family, friends, hobbies, continue the expert "

In days such as those preceding the arrival of menstruation, it can therefore happen that you get caught up in "culinary whims" and want to eat chocolate, fried foods or foods that fall under the name of comfort food, or that food that "makes us feel good ”From a psychological point of view. However, it is important not to indulge too much in greedy temptations, which seem to be a solution in the moment of desire. In reality they are counterproductive in the long term, especially if we consider that the weight could be affected.

When it starts

"Premenstrual syndrome generally begins 5 to 10 days before the menstrual cycle (therefore in the luteal phase of the cycle) and then disappears with the arrival of the same menstruation. In some women, however, it may begin a little earlier – around the 14th day – or the canonical day of ovulation in a 28-day cycle, "specifies Dr. Colonese.


"At the base of PMS there may be hormonal fluctuations, or an imbalance in the relationship between estrogen and progesterone. Other causes may lie in a lower presence in the body of serotonin levels (also called a good mood hormone) and in an altered hydrosaline exchange. These oscillations, in some more sensitive women, can precisely cause the onset of symptoms of PMS ».


"You have to pay attention to the diet, so add a little salt to the dishes and prefer seasonings in the form of spices. Furthermore, it is good:

  • avoid alcohol;
  • reduce coffee;
  • limit or avoid sweets;
  • drink at least 2 liters of water a day;
  • take a supplement of magnesium and B vitamins.

Among the natural remedies we can mention, for example, ginkgo biloba which influences a woman's well-being and energy. An important help also comes from physical exercise, so green light for running, walking, yoga, pilates.

If these remedies are not sufficient and PMS should turn into a problem that is difficult to manage or unbearable for the woman, one can opt for estrogen-progestogen therapy which can be the pill, the ring, the patch. This prevents ovulation and consequently avoids the hormonal fluctuations that cause the symptoms of PMS ", concludes the expert.

In general, therefore, we can counteract the typical symptoms of PMS by following small but simple measures that can help us get better especially in these days.

If the symptoms were to be felt with a certain intensity, it is better to talk to your trusted gynecologist who will evaluate the most suitable therapy.

Tag: Menstrual cycle Migraine

Category: Health
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