---
title: What is the best way to manage PMS? | Niyora
description: PMS needs a team approach including doctors, therapists, and nutritionists. Combining lifestyle changes, cognitive behavioural therapy, and medical treatments
url: https://niyora.com/research/papers/the-management-of-premenstrual-syndrome-a-review-2018/
---

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- What is the best way to manage PMS?

Survey study, 2018

# What is the best way to manage PMS?

PMS needs a team approach including doctors, therapists, and nutritionists. Combining lifestyle changes, cognitive behavioural therapy, and medical treatments works better than a single approach.

 Early or limited evidence

Women with premenstrual syndrome (general review)

## What they did

A review of how PMS is managed. The authors discussed approaches used when a multidisciplinary team is available, including doctors, psychiatrists, psychologists, dieticians, and counselors.

## What they found

When multiple types of care are provided together (medical, mental health, lifestyle, and dietary), it helps with both diagnosis and treatment of PMS. The review identified lifestyle interventions, cognitive behavioural therapy, and gynaecological interventions as key approaches.

## What it means for you

A team approach likely helps, but this is a review of existing approaches rather than a study testing which one works best. It does not provide evidence comparing different treatment combinations.

80-90%

Prevalence of PMS with impairment of functioning

## About the study

Original title The management of Premenstrual syndrome: A review Authors Rabia Malik, Muzafar Din Ahmad Bhat Journal Bangladesh Journal of Medical Science Year 2018 Study design Survey study What was tested Management approaches including lifestyle, cognitive behavioural therapy, and medical treatments Open access Yes Read the paper [doi.org/10.3329/bjms.v17i1.35273](https://doi.org/10.3329/bjms.v17i1.35273) Original abstract

Premenstrual Syndrome is a set of physical, emotional and behavioural symptoms that start during the week preceding menstruation and are alleviated when the menstrual flow begins. Epidemiological surveys have estimated that the frequency of PMS symptoms is about 80-90% with impairment of functioning. Women with severe PMS should be managed by a multi disciplinary team, which might comprise a hospital or community gynaecologist, psychiatrist or psychologist, dietician and counselor. Where there is multidisciplinary provision of care, this is of benefit both from the diagnostic and therapeutic point of view, giving the ability to offer a broad range of interventions from lifestyle interventions and cognitive behavioural therapy (CBT) to gynaecological interventions.Bangladesh Journal of Medical Science Vol.17(1) 2018 p.16-20

Reproduced under CC-BY.

## Topics

[Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Menstrual cycle and mood](https://niyora.com/research/topics/condition-cycle-mood/)[Cognitive behavioral therapy](https://niyora.com/research/topics/treatment-cbt/)

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Calm down, see it another way, and decide what to say, with a PMS and PMDD app built by a doctor.

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