Premenstrual Syndrome (PMS) Treatment

Different treatments are aimed at different causes of PMS, and different approaches may relieve some symptoms but not others. Anti-inflammatory drugs are especially helpful for cramping, bowel symptoms, breast pain, and headaches. Diuretics (water pills) help with swelling and sometimes headaches. Antianxiety drugs and antidepressants (which usually also relieve anxiety) may help with mood, irritability, and concentration. For those women who also seek contraception, contraceptives such as pills and patches (all of which inhibit ovulation) may be of value as they reduce the hormonal variability of the natural menstrual cycle. Indeed, the progestin drospirenone (Yasmin) has been associated with a further decrease in PMS/PMDD symptoms because of its unique action as a mild diuretic, although it is not yet specifically approved for this indication. Supplements help some women as well.

You and your health care provider may need to try different medications before you find one that works for you. Medicines may not completely relieve all your symptoms, and they are not always necessary. You can often make lifestyle changes that help.

Changes in diet and exercise are usually recommended first. Eat a well-balanced diet and avoid salt, candy, sodas, and sugary foods during the week before your period. While it may also help to avoid caffeine, going on and off caffeine during the month may be difficult. You may have to cut out caffeine completely if it seems to contribute to your symptoms. Use alcohol in moderation, if at all. Small, frequent meals during the premenstrual week may help keep blood sugar at a steady level and reduce cravings. Keeping a consistent exercise program may also improve your well-being throughout the menstrual cycle.