Symptoms of PMS

Different clusters of symptoms appear in different women but in an individual woman, the symptoms tend to be similar from cycle to cycle. The severity, however, may fluctuate from cycle to cycle. Symptoms usually occur 7 to 10 days before menstruation and may intensify as menstruation approaches. Symptoms can be mild, moderate, or severe , and may include the following:

Symptoms of women suffering from PMS (those with a star are the most common)

Emotional Symptoms

•*Anxiety •*Irritability •*Fatigue •*Depression •*Mood swings •Forgetfulness •Anger •Difficulty concentrating •Tension •Restlessness •Over-sensitivity •Changes in libido •Low self-image •Social withdrawal •Crying spells •Decreased interest in usual activities

Physical Symptoms

•*Abdominal bloating •*Breast swelling and tenderness •*Swollen ankles or fingers from fluid retention •*Increased appetite •*Headaches •Weight gain •Acne •Palpitations •Food cravings •Constipation •Upset stomach •Joint aches •Muscle spasms •Increased thirst •Clumsiness •Changes in sleep habits

If a woman suspects she has PMS, it is imperative to relate the occurrence of the symptoms to the menstrual cycle. However, it is equally important for a woman to evaluate the stresses in her professional and personal life, since these may have a significant impact on how premenstrual symptoms are expressed.

Severe premenstrual symptoms
Some women experience very severe PMS. Symptoms of serious psychiatric problems, such as depression or panic attacks, are often most extreme during the premenstrual phase each month and studies have shown that women's suicide attempts, psychiatric hospital admissions, and violent criminal acts are most likely to occur in the premenstrual days. If a woman feels that she may hurt herself or someone else, she should seek immediate medical attention. Fortunately, this is extremely rare.

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The contents of this Web site are for informational purposes only and are not intended to be used for medical advice. You should consult your physician or health care provider on a regular basis. You should consult your physician immediately with any problem about which you are concerned.