Get answers to your menopause and sexual dysfunction questions.
A healthy lifestyle is the first step to managing PMS. For many women with mild symptoms, lifestyle approaches are enough to control symptoms.
Birth control pills may decrease or increase PMS symptoms.
In severe cases, antidepressants may be helpful.
Patients who have severe anxiety are sometimes given anti-anxiety drugs.
Diuretics may help women with severe fluid retention, which causes bloating, breast tenderness, and weight gain.
Bromocriptine, danazol, and tamoxifen are drugs that are occasionally used for relieving breast pain.
Most women who are treated for PMS symptoms get significant relief.
PMS symptoms may become severe enough to prevent women from functioning normally.
Women with depression may have more severe symptoms during the second half of their cycle and may need to have their medication adjusted. The suicide rate in women with depression is much higher during the second half of the menstrual cycle.
See also premenstrual dysphoric disorder (PMDD).
Call for an appointment with your health care provider if:
Lentz GM. Primary and secondary dysmenorrhea, premenstrual syndrome, and premenstrual dysphoric disorder: etiology, diagnosis, management. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007: chap. 36
Yonkers KA, O'Brien PM. Premenstrual syndrome. Lancet. 2008:371(9619):1200-1210.
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