Premenstrual syndrome (PMS)
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Symptoms
More than 100 symptoms have been recognised in association with PMS.1
Physical
The most common include:
- Breast pain
- Bloating
- Lower back and stomach pain.1
Some women also suffer migraines.4 They can start a couple of days before your period or during your period, often masking their association with the menstrual cycle.4
They are triggered by a sudden fall in oestrogen levels at the end of a woman's cycle before bleeding and can last for up to five days. 4
Migraine is more common in women in their 40s as they enter the menopause because hormone levels fluctuate much more. 4
Psychological
The most common are depression, aggression and mood swings.1
Depression can be very debilitating, as well as being difficult for loved ones to deal with.1
Symptoms include:1
- Negative thoughts about yourself
- Being over-sensitive
- Loss of energy
- Poor concentration
- Difficulty in sleeping or wanting to sleep more
- Irrational thoughts
Behavioural
Some of the most common include:1
- Irritability
- Anger
- Panic attacks
- Alcohol abuse
- Craving sweet foods
- Binge eating
References
- National Association for Premenstrual symptoms www.pms.org.uk
- Migraine Action Association http://www.migraine.org.uk/


