PMS Treatments

Stress Management

Stress may be managed through lifestyle changes. Relaxation techniques, deep breathing, massage , music, and hot baths can also help reduce stress .

Dietary Changes

Dietary changes may be helpful. They include decreasing intake of salt, sugar, and caffeine . Caffeine is found in coffee, tea, cola, diet sodas, and chocolate. Eating small, frequent meals may also help.

Vitamins and Minerals

The following vitamin and mineral supplements might reduce PMS symptoms:

• Vitamin E (400 IU)—may reduce breast tenderness
• Calcium (1,000 mg)—may decrease bloating, depression, and aches
• Magnesium (400 mg)—may decrease pain, fluid retention, and improve mood
• Manganese (6 mg)—may help control symptoms of menstrual pain

Regular Exercise

Research suggests that women who engage in moderate activity suffer less PMS-related symptoms than sedentary women.

Medications

Diuretics can reduce bloating and fluid retention.

Prostaglandin inhibitors, such as Motrin , can relieve cramps, headaches, and muscle aches.

Combined oral contraceptives (containing estrogen and progesterone) may help physical symptoms linked to PMS. You may need to try several brands before finding one that helps. Progesterone alone (without estrogen) may also help some women.

Selective serotonin reuptake inhibitors are a type of antidepressant medication that affect the level of serotonin in the brain. Women who have severe PMS may find relief with SSRIs. *¹ Examples of this type of medication include:

• Fluoxetine (Prozac)
• Paroxetine (Paxil)
• Sertraline (Zoloft)
• Citalopram (Celexa)

Sexual Activity With Orgasm

Sexual activity (including masturbation) may relieve aching muscles and sluggish circulation. It moves blood and fluids away from congested organs.

Psychotherapy

Women with severe PMS symptoms may benefit from cognitive behavioral therapy . Therapy may reduce negative emotions and enhance problem-solving skills in relationships. It may also manage obstacles, frustrations, and discomfort.