What is it
Each woman's symptoms are different and can vary from month to month.
The most common symptoms of PMS include:
- mood swings
- feeling upset, anxious or irritable
- tiredness or trouble sleeping
- bloating or tummy pain
- breast tenderness
- spotty skin or greasy hair
- changes in appetite and sex drive
Things you can try
- regular exercise
- eat a healthy, balanced diet
- get plenty of sleep – 7 to 8 hours is recommended
- try reducing your stress by doing yoga or meditation
- take painkillers such as ibuprofen or paracetamol to ease the pain
- keep a diary of your symptoms for at least 2 to 3 menstrual cycles – you can take this to a GP appointment
- do not smoke
- do not drink too much alcohol
When to get medical help
See a GP if:
- things you can do to help are not working
- your symptoms are affecting your daily life
A GP can advise you on treatments that can help.
As well as changes to your lifestyle, a GP can recommend treatments including:
- hormonal medicine – such as the combined contraceptive pill
- cognitive behavioural therapy – a talking therapy
If you still get symptoms after trying these treatments, you may be referred to a specialist.
This could be a gynaecologist, psychiatrist or counsellor.
It's not fully understood why women experience PMS.
But it may be because of changes in your hormone levels during the menstrual cycle.
Some women may be more affected by these changes than others.
Premenstrual dysphoric disorder (PMDD)
A small number of women may experience more severe symptoms of PMS known as premenstrual dysphoric disorder (PMDD).
Visit the Mind website for more information about PMDD.