I’m ugly. I’m bloated. I am fat. I can’t stop eating. He does not love me anymore. He annoys me. I just cry. Sounds familiar? Yes, it is the famous PMS! Did you identify with any (or all) of the statements? Know that you are not alone!
@silentcomposure / Via @silentcomposure / Via instagram.com
This conflict of thoughts is very common during the well-known Premenstrual Tension – PMS – also called Premenstrual Syndrome.
1 – What is PMS
This phase known as PMS is shown by a set of physical, emotional and behavioral symptoms that happen repeatedly one to two weeks before the start of menstruation and improves when it starts. And there is that relief that, along with the blood, comes the end of this psychic destabilization. Approximately 80% of women have some PMS symptom, with varying duration and intensity.
When the symptoms are so severe that they cause damage to social, professional and family life, we call premenstrual dysphoric disorder – PMDD. Dysphoria is a euphoric difficulty, which comes from the Greek: “me” = good and phoros = what you carry. We use euphoria to represent a feeling of joy and well-being. The dysphoric is going in the opposite direction of that satisfaction. Luckily, this premenstrual dysphoric disorder is more rare, affecting approximately 5% of women.
It is not yet known why PMS appears – of course there is a relationship with the blessed female hormones and their oscillations – but the mechanism by which this happens is still unclear.
2 – What are the symptoms of PMS
PMS symptoms go beyond the emotional and also cause physical complaints. The most frequent are greater sensitivity in the breasts; pain and swelling in the legs and sometimes the whole body. Weight gain, tiredness, bloating, acne, anxiety, depression, mood swings, depreciation of self-image, altered appetite, and irritability, the latter being the most frequent symptom. How many of these symptoms do you experience?
Technically, to be able to say that you “have PMS”, it is enough that you experience a symptom that lasts five days before menstruating. When there are up to three symptoms, a mild PMS is considered. When there are four symptoms, PMS is moderate. Above five symptoms, an evaluation is necessary to check the chance of being the dysphoric disorder.
Before saying out there that you have PMS or someone who lives with a woman with PMS, saying out there “so-and-so has PMS”, it is important to pay attention to other causes of similar conditions, such as anxiety and depression.
3 – What are the treatments for PMS
Treatment to combat PMS is very varied and can range from lifestyle changes and therapies to surgery to remove ovaries and end menstrual problems (in the most severe cases).
Aerobic exercise can reduce the number and intensity of symptoms. Stress management, adequate sleep, and meditation exercises can also improve PMS symptoms.
Regarding food, in general, increasing the intake of proteins and decreasing the intake of carbohydrates brings benefits to women with PMS. It is also important to try to identify if any specific food worsens your PMS, which can happen with caffeine, for example.
Herbal medicine can be a great ally for the relief of PMS. Opt for vitex, ginger and chamomile. Evening primrose oil has yet to be proven effective, but some patients say it helps a lot.
4 – When to seek medical help to treat PMS
There are drugs capable of resolving your PMS. Lose prejudice about taking medicine. Sometimes it is better to have an adequate and dignified quality of life than to be the tough one who is not going to take medicine. Anyway, talk to your gynecologist. Regarding surgery as a treatment, it may be an alternative, but it is restricted to patients with severe symptoms even after 51 years of age.
5 – My great tip about PMS is to accept that it exists
When the problem arises, you need to hold hands and take care of this disorder. Pretending it doesn’t exist will only make you more exhausted. For that same reason, do not look for an escape valve, do not eat the bowl of pasta Bolognese, the bar of a kilo of chocolate and do not kill yourself to work. Exhaustion and guilt come worse afterwards, fueling the vicious cycle. Avoid making important decisions at this stage.
Try telling people in your neighborhood that you have PMS, that you suffer from it, and that you are fleeting. In the hustle and bustle of everyday life, people don’t always notice how bad this period is for you. By telling them, the understanding will be greater. Who knows, you might even get another chocolate! Enjoy and ask to be 70% sugar-free!
About Dr. Rodrigo Ferrarese
The specialist is a graduate of the São Francisco University, in Bragança Paulista. He did medical residency in São Paulo, in gynecology and obstetrics at Hospital do Servidor Público Estadual. Operates in gynecological surgeries, vaginal surgeries, urogynecology, video surgeries; (cysts, endometriosis), hysteroscopies; (polyps, fibroids), diseases of the lower genital tract (HPV), genital aesthetics (laser, radiofrequency, peeling, nymphoplasty), urogynecology (fallen bladder, genital prolapse, urinary incontinence) and hormonal (hormonal implants, beauty chip, menstruation, pills, Diu…). More information can be obtained through the YouTube channel and also through Spotify –https: //linktr.ee/dr.rodrigoferrarese or through the website https://drrodrigoferrarese.com.br/