Pre-menstrual tension syndrome; It is a disorder that causes both physical and psychological and emotional symptoms that begin 1 or 2 weeks before the menstrual period. Approximately 75% of women develop some complaints due to varying levels of hormones when menstrual bleeding is approaching. In half of these women complaints are light and can not affect the daily life of the person. In the other half, more serious complaints can occur, including depression.

Causes of
premenstrual syndrome Premenstrual syndrome(PMS) have not been able to elucidate the underlying factors under this tabulation. However, there are some theories. If some hormones that suppress ovulation are given, there is regression in PMS symptoms. Accordingly, reproductive hormones can cause PMS. There are strong findings that PMS is the result of the joint action of some substances that transmit these hormones to the nerves. The most accused are GABA and serotonin. Some researchers believe that the impairment of calcium and magnesium balance leads to the PMS tabulation. Another cause of PMS etiology is stress hormones. The surplus of these hormones can lead to more intense complaints. In PMS etiology, almost all the hormones and substances secreted in the body are being blamed. However, no clear reason has yet been found.

Risk Factors
Age between 25-40 Age is
more frequent when stopping birth control medication
Major stress
Depression
Symptoms

Irritability,
emotional fluctuations (easy to cry ...)
Anxiety
Depression
Self-confidence loss of
concentration disorders
Sleep problems
Appetite changes (eating dessert needs, excessive food cravings ...)
Weight gain
Fatigue, weakness,
headache
Breast tension and tenderness
Palpitations
Dizziness
of digestive system disorders,
muscle aches

Diagnosis
PMS diagnosis is not based on positive findings. The most reliable way to diagnose is to record complaints for 2-3 months and score their violence. Complaints should be separated physically and mentally, and should be regularly recorded when it starts and when it ends.

Treatment Because the
cause of PMS is not fully known, the treatment is also uncertain. There are many different treatment approaches in this regard.

Diet: There are reports that fewer and frequent meals reduce complaints. It is sometimes useful to avoid consuming fresh fruit and vegetables, avoiding red meat and frozen oils, and consuming the food containing additives. It may also be beneficial to reduce caffeine, alcohol, salt and sugar consumption.

Exercise: Women who did not exercise in a study performed found PMS more frequently. A 30-minute walk every day can be helpful.

Minerals: Findings suggest that daily intake of 1200 mg calcium, 400 mg magnesium and 6 mg manganese reduces PMS symptoms.

Vitamins: Daily consumption of 400 IU E vitamins can reduce tension and sensitivity especially in the breasts.

Other treatment options include drugs related to serotonin metabolism, hormone drugs (birth control pills), psychiatric drugs such as antidepressants and anxiolytics, diuretics, painkillers, but none of them have any definite benefit.
Other rare treatment approaches include psychotherapy and acupuncture .