$Unique_ID{BRK02348} $Pretitle{} $Title{What Are the Causes and Symptoms of Premenstrual Tension?} $Subject{premenstrual tension syndrome pms menstruates estrogen progesterone imbalance menstrual cycle menstruation irritability depression anxiety fatigue abdominal cramps breast tenderness joints swelling bloating nausea pelvic discomfort discomforts period water retention vitamin vitamins B6 ill defined symptom symptoms mental emotional genitourinary psychological gland glands hormone hormones hormonal menstruating periods retain retaining} $Volume{E-22,N-14} $Log{ The Menstrual Cycle*0009101.scf} Copyright (c) 1992,1993 Tribune Media Services, Inc. What Are the Causes and Symptoms of Premenstrual Tension? ------------------------------------------------------------------------------ QUESTION: Do you have any material about premenstrual tension? I think there are a lot of husbands in your audience who could use a bit more information than they now have. ------------------------------------------------------------------------------ ANSWER: The causes of premenstrual syndrome (PMS) are not fully understood. Many researchers believe the wide ranging symptoms that often occur in the ten days before a woman menstruates are caused by an imbalance between estrogen and progesterone during the second half of the menstrual cycle. Another school of thought is that PMS is associated with a salt imbalance in the body, resulting in the accumulation of water in the tissues just before menstruation. Others think nutritional factors play a role. Many doctors believe a combination of these factors are responsible for PMS, and that's why the problem manifests itself with such variety among different women. Some of the common symptoms of PMS include tension, irritability, depression, anxiety, fatigue, difficulty in concentrating, abdominal cramps, headache, backache, muscle spasms, breast tenderness, weight gain, swelling of the joints, especially in the fingers and ankles, bloating, abdominal heaviness, nausea, constipation and pelvic discomfort. Experts estimate the condition affects 70 percent to 90 percent of women at some point during their childbearing years. Few women suffer from all of the symptoms I've mentioned, and for many, the symptoms and their severity vary from month to month. There are a variety of ways to manage PMS. Many doctors recommend a change in diet a week to ten days before a woman expects her period. It often helps to eliminate caffeine, sugar and salt, as this can help reduce tension, irritability, bloating and painful swelling breasts. To fight the depression and fatigue associated with the syndrome, some suggest dividing food intake into 3 small meals a day, plus 3 high protein snacks. A regular exercise program can help cut down on water retention and ease premenstrual tension. Vitamins, especially vitamin B6, are often recommended. There are several over-the-counter drugs made specifically for relieving the symptoms of PMS. Aspirin and acetaminophen can be helpful, and in some cases, a diuretic (water pill) might be prescribed. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.