drinking plenty of fluids to ease abdominal bloating.

If you have a mild or moderate form of premenstrual syndrome, the treatment options include: You canвЂ™t cure PMS, but you can take steps to ease your symptoms. If your symptoms start around the same time each month, PMS is a likely cause. Use a calendar to keep track of your symptoms and menstruation every month. Keeping a diary of your symptoms is another way to determine if you have PMS. Your doctor may do a thyroid hormone test to ensure that your thyroid gland is working properly, a pregnancy test, and possibly a pelvic exam to check for any gynecological problems. Some conditions, such as IBS, hypothyroidism, and pregnancy, have symptoms similar to PMS. Your doctor may ask about any history of depression or mood disorders in your family to determine whether your symptoms are the result of PMS or another condition.

connective tissue or rheumatologic diseases.

Your doctor must also rule out other causes, such as:

The diagnosis is made when you have more than one recurrent symptom in the correct time frame that is severe enough to cause impairment and is absent between menses and ovulation. See your doctor if physical pain, mood swings, and other symptoms start to affect your daily life, or if your symptoms donвЂ™t go away. The severity of symptoms can vary by individual and by month. Twenty to 32 percent of women report moderate to severe symptoms that affect some aspect of life. Nearly 80 percent of women report one or more symptom that does not substantially affect daily functioning, according to the journal American Family Physician. The symptoms of PMS are usually mild or moderate. PMS symptoms can begin around day 14 and last until seven days after the start of menstruation. Menstruation, or bleeding, occurs on day 28 of the cycle. Ovulation, the period when an egg is released from the ovaries, occurs on day 14 of the cycle. a history of depression or mood disorders, such as postpartum depression or bipolar disorderДЄ womanвЂ™s menstrual cycle lasts an average of 28 days.Risk factors for premenstrual syndrome include: Serotonin is a chemical in your brain and gut that affects your moods, emotions, and thoughts. Ovarian steroids also modulate activity in parts of your brain associated with premenstrual symptoms. An increase in these hormones can cause mood swings, anxiety, and irritability. Levels of estrogen and progesterone increase during certain times of the month.

However, many researchers believe that itвЂ™s related to a change in both sex hormone and serotonin levels at the beginning of the menstrual cycle. PMS symptoms start five to 11 days before menstruation and typically go away once menstruation begins. It must impair some aspect of your life for your doctor to diagnose you. Its symptoms affect more than 90 percent of menstruating women. Premenstrual syndrome (PMS) is a condition that affects a womanвЂ™s emotions, physical health, and behavior during certain days of the menstrual cycle, generally just before her menses.

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