Periodic Problems; Saying Goodbye To PMS

Most women experience some unpleasant or uncomfortable symptoms during their menstrual cycle. For some women, the symptoms can be significant, but are usually of short duration and not disabling.


"Premenstrual Syndrome (PMS) is a medical condition with symptoms of bloating, headaches, mood swings, and depression," says W. Paul Dmowski, M.D. of Good Samaritan Hospital in Downers Grove and the Oak Brook Fertility Center in Oak Brook.


Although the symptoms usually cease with onset of the menstrual period, in some women, symptoms may last through and after their periods, says Dmowski.


Get moving


Dietary modification and physical activity are traditionally among the first recommendations for PMS therapy. Making simple lifestyle changes helps to reduce the occurrence of PMS symptoms.


These changes include regular exercise (30 to 60 minutes a day, 3 to 5 times each week); adequate sleep and rest; and a well-balanced diet, such as an increase in whole grains, vegetables, and fruit, and a decrease in salt, sugar, caffeine, and alcohol.


Don't overdo it


Exercise is can help manage stress, often a component of PMS. It also increases the metabolism and improves cardiovascular circulation. When exercising, more oxygen and nutrients are flowing throughout the body, helping to increase feelings of well-being.


"But don't go overboard," says Dmowski. "Vigorous workouts, such as running or doing step aerobics for two hours a day, may exacerbate rather than relieve some symptoms."


Talk to your doctor


Although no drug has received Food and Drug Administration (FDA) approval as a PMS treatment, many PMS sufferers find relief by taking drugs approved for other disorders.


"We now better understand the emotional and physical effects of cyclical hormone changes," says Dmowski. "Therefore, first-line drug therapy often involves the use of antidepressants."


Any woman who suspects she has PMS or other discomfort related to her menstrual cycle, should mention it to her doctor at her next visit. Often women with PMS do not have symptoms that can be measured with standard lab tests. Because of this, many women suffer in silence, having been told for many years that their problems were emotional.


For more information on women's health topics, including PMS, visit the web site of the National Women's Health Information Center at womenshealth.


For a physician referral, visit advocatehealth.


For a medical practice devoted to reproductive endocrinology, infertility, and assisted reproductive technology, visit oakbrookfertility


W. Paul Dmowski, M.D. Ph.D., is board certified in Reproductive Endocrinology; and is on the medical staff of Advocate Good Samaritan Hospital in Downers Grove.


The Good Samaritan Health and Wellness Center is a 90,000 square foot fitness center with three indoor pools, a track, an extensive fitness floor and weight room, three group exercise studios (including Yoga and Pilates studios) and a basketball court, located in Downers Grove, Illinois. Serving the western suburbs of Chicago, the Wellness Center is the only advisory member of the Medical Fitness Association in DuPage County. As part of Advocate Health Care, Good Samaritan Health and Wellness Center can be reached by visiting advocatehealth/goodsam.


Article Diane Ahern, Good Samaritan Health and Wellness Center.