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Review, 1983

What causes PMS symptoms and how should it be treated?

The four days before a period are when most PMS happens, causing irritability, depression, anxiety and fatigue. Treatments include vitamin B6, antidepressants, anti-anxiety medication and therapy, though evidence is mixed.

Moderate study design Literature review; not a specific study group

What they did

Review of medical literature on PMS from historical and psychological perspectives, examining symptoms, theories about causes and available treatments.

What they found

The premenstruum (four days before menstruation) is a high-risk time for psychological and physical symptoms including irritability, aggression, tension, anxiety, depression, lethargy, insomnia, poor coordination and concentration. People with existing mental health conditions worsen at this time. No complete explanation for why these symptoms happen has been found. Possible treatments include vitamin B6 (though mixed results), antidepressants, anti-anxiety medications if needed, and ongoing psychotherapy for severe cases.

What it means for you

PMS is a real psychological problem, not just physical, and women deserve treatment options. Several approaches exist but no single cause has been identified. Main limit: this is an older review from 1983, so newer treatments may be available.

4

days before menstruation when PMS is high-risk

About the study

Original title
Premenstrual syndrome: a psychological overview
Authors
Riven L
Journal
Canadian family physician Medecin de famille canadien
Year
1983
Study design
Review
What was tested
None; literature review
Open access
Yes

Topics