This is an informal guide for guys who know nuts about this.
Read this and also have lotsa patience when dealing with the fairer gender who are in the PMS period. All the best. =)
Premenstrual syndrome
Premenstrual syndrome (PMS) (also called PMT or Premenstrual Tension) is a collection of physical, psychological, and emotional symptoms related to a woman's menstrual cycle. While most women (about 80 to 95 percent) of child-bearing age have some premenstrual symptoms,[1] women with PMS have symptoms of "sufficient severity to interfere with some aspects of life".[2] Further, such symptoms are predictable and occur regularly during the two weeks prior to menses. The symptoms may vanish after the bleeding starts, but may continue even after bleeding has begun. [1] About 14 percent of women between the ages of 20 to 35 become so affected that they must stay home from school or work.[3]
For some women with PMS, the symptoms are so severe that they are considered disabling. This form of PMS has its own psychiatric designation: premenstrual dysphoric disorder (PMDD).
Symptoms
PMS is a collection of symptoms. 150 separate symptoms have been identified.[4] The exact symptoms and how severe they are vary from person to person and from month to month. Most women with premenstrual syndrome experience only a few of the problems. The most common symptoms are: [5] [6] [7]
* Weight gain from premenstrual water retention
* Abdominal bloating
* Breast tenderness
* Stress or anxiety
* Depression
* Crying spells
* Mood swings, irritability or anger
* Appetite changes and food cravings
* Trouble falling asleep (insomnia)
* Joint or muscle pain
* Headache
* Fatigue (medical)
* Acne
* Trouble concentrating
* Social withdrawal
* Body temperature increase
* Worsening of existing skin disorders, and respiratory (eg, allergies, infection) or eye (eg, visual disturbances, conjunctivitis) problems
Treatment
Many treatments have been suggested for PMS, including diet or lifestyle changes, and other supportive means. Medical interventions are primarily concerned with hormonal intervention and use of selective serotonin reuptake inhibitors (SSRIs).
* Supportive therapy includes evaluation, reassurance, and informational counseling, and is an important part of therapy in an attempt to help the patient regain control over her life. In addition, aerobic exercise has been found in some studies to be helpful.[2] Some PMS symptoms may be relieved by leading a healthy lifestyle: Reduction of caffeine, sugar, and sodium intake and increase of fiber, and adequate rest and sleep.[10]
* Dietary intervention studies indicate that calcium supplementation (1200 mg/d) may be useful. Also vitamin E (400 IU/d) has shown some effectiveness.[2] A number of other treatments have been suggested, even though there is not convincing research evidence that these treatments work: Vitamin B6, magnesium, manganese and tryptophan.[10]
* SSRIs have become the "initial drug of choice for severe PMS"[2] The drug most widely studied is fluoxetine at doses of 20-60 mg/d. Other drugs include sertraline, paroxetine, clomipramine, fluvoxamine, and nefadozone.[11] These drugs can also be given intermittently, that is when symptoms reappear.
* Hormonal intervention may take many forms:
o Oral contraceptives are commonly given; also the contraceptive patch or the contraceptive ring (vaginal ring) would perform the same function.
o Progesterone support has been used for many years but evidence of its efficacy is inadequate.
o Gonadotropin-releasing hormone agonists can be useful in severe forms of PMS but have their own set of significant potential side effects.
* Diuretics have been used to handle water retention. Spironolactone has been shown in some studies to be useful.[2]
* Non-steroidal anti-inflammatory drugs (NSAIDs; eg ibuprofen) have been used.
* Evening Primrose Oil, which contains gamma-Linolenic acid (GLA), has been advocated but lacks scientific support.
Alternative views
Some medical professionals suggest that PMS might be a socially constructed disorder.[12]
Supporters of PMS's medical validity claim support from the non-disputed status of a more serious but similar problem, Premenstrual dysphoric disorder ("PMDD"). In women with PMDD, studies have shown a correlation between self-reported emotional distress and levels of a serotonin precursor as measured by Positron emission tomography (PET).[13] PMDD also has a consistent treatment record with SSRIs, when compared with placebos. [14]
However, most supporters of PMS as a social construct do not dispute PMDD's medical status. Rather, they believe PMS and PMDD to be unrelated issues, one a product of brain chemistry, the other a product of a hypochondriatic culture. There has not been enough debate between the two views to come to any sound conclusion.[citation needed]
Part of why the validity of the emotional aspects of PMS is being doubted is the lack of scientifically-sound studies on the matter. Many Western studies on PMS (PMS is primarily seen in Western Europe and North America) rely solely on self-reporting, and since Western women are socially conditioned to expect PMS or to at least know of its purported existence, they report their symptoms accordingly.[15]
Another view holds that PMS is too frequently or wrongly diagnosed in many cases. A variety of problems, such as chronic depression, infections, and outbursts of frustration can be mis-diagnosed as PMS if they happen to coincide with the premenstrual period. Often, says this theory, PMS is used as an explanation for outbursts of rage or sadness, even when it is not the primary cause. [16]
Some are of the belief, given the extremely broad range of symptoms with little to no explanation of the cause, that PMS is a mental manifestation. Oftentimes in today's culture many hear PMS referenced as almost an excuse to unfriendly social conduct in women. It is often due to these casual references that many people question its existence[citation needed], especially when such little is known about Pre-menstrual Syndrome and that all current theories appear inconclusive.
P.s to those who may find this offensive, i apologise greatly. This information is due for personal knowledge gain and also for the betterment of improving relations between the opposite genders.