What is it?
Premenstrual Syndrome (PMS) is a group of physical, emotional, and behavioural symptoms that occur in the luteal phase of the menstrual cycle, typically 1 to 2 weeks before menstruation. While common, PMS can be distressing and affect daily functioning for many women.

What causes it?
The exact cause of PMS isnβt fully understood, but it is believed to be linked to hormonal fluctuations and brain chemical sensitivity. Contributing factors include:
- Shifts in estrogen and progesterone levels during the menstrual cycle
- Imbalances in neurotransmitters like serotonin
- Emotional stress or poor coping mechanisms
- Poor sleep or lack of physical activity
- Nutritional deficiencies or unhealthy lifestyle habits
What are the possible symptoms?
PMS symptoms vary in intensity and can include:
- Mood swings, irritability, sadness, or increased emotional sensitivity
- Fatigue, bloating, breast tenderness, or headaches
- Sleep disturbances or changes in appetite
- Difficulty concentrating or feeling overwhelmed
- Increased anxiety or depressive feelings that ease after the period starts
What do we do?
Dr. Prabhojit approaches PMS holistically, with a focus on both physical symptom relief and emotional regulation.
Treatment includes:

A Detailed Symptom Evaluation
to track patterns and rule out PMDD
01

Lifestyle Modifications
including diet, exercise, and sleep hygiene
02

Stress Reduction Strategies
and relaxation techniques
03

Therapy
to support mood management and emotional coping
04

Medication
if needed, such as hormonal support or mood stabilisers, tailored case-by-case
05