Find Information About:

Drugs & Supplements

Get information and reviews on prescription drugs, over-the-counter medications, vitamins, and supplements. Search by name or medical condition.

Pill Identifier

Pill Identifier

Having trouble identifying your pills?

Enter the shape, color, or imprint of your prescription or OTC drug. Our pill identification tool will display pictures that you can compare to your pill.

Get Started

My Medicine

Save your medicine, check interactions, sign up for FDA alerts, create family profiles and more.

Get Started

WebMD Health Experts and Community

Talk to health experts and other people like you in WebMD's Communities. It's a safe forum where you can create or participate in support groups and discussions about health topics that interest you.

  • Second Opinion

    Second Opinion

    Read expert perspectives on popular health topics.

  • Community


    Connect with people like you, and get expert guidance on living a healthy life.

Got a health question? Get answers provided by leading organizations, doctors, and experts.

Get Answers

Sign up to receive WebMD's award-winning content delivered to your inbox.

Sign Up

PMS Health Center

Font Size

Winning the War on PMS

Got PMS?
WebMD Feature

June 25, 2001 -- For 10 years, Los Angeles resident Vicky O'Toole experienced severe cramping, bloating, and nausea related to her period.

"Doctors kept telling me it was just PMS, but finally I learned I had endometriosis," a condition in which uterine tissue grows abnormally outside the uterus, she says. "I kept a careful list of all my symptoms for two months, and when they occurred. That convinced my doctor to listen to me. I hope other women will realize these symptoms can be a sign of significant illness. Discuss them seriously with your doctor, and be sure to get a thorough exam."

Recommended Related to PMS

8 Diet Dos and Don'ts to Ease PMS

Premenstrual syndrome (PMS) is such a regular occurrence for many women that they consider it a normal part of getting their period. About 8% to 20% of women get moderate to severe symptoms a week or two before their monthly cycle begins. These symptoms include a range of physical and emotional changes. The biggest complaint is often mood-related, such as feeling extremely grouchy or unhappy, often to the point where family members know when your period is coming, says gynecologist Rebecca Kolp,...

Read the 8 Diet Dos and Don'ts to Ease PMS article > >

Alexander Shifrin, MD, agrees.

When patients arrive in his office saying they experience premenstrual syndrome, he first asks them to fill out a detailed questionnaire about their symptoms, including exactly what the symptoms feel like and when they occur. Then he takes a medical history, with a focus on previous obstetrical, gynecological, neurological, and psychological issues. Finally, he does a thorough physical exam.

"You want to rule out anatomical abnormalities such as fibroids and, of course, a disease such as endometriosis, which can masquerade as PMS. It is particularly important to look at the patient as a whole person, not just focus on gynecological symptoms," says Shifrin, an ob-gyn, associate director of residency programs at Long Island College Hospital in Brooklyn, and assistant clinical professor at the State University of New York-Brooklyn.

Look at Your Lifestyle

Once serious disease has been ruled out, the next step is to try some simple lifestyle changes. For many women, eliciting the relaxation response will control PMS, according to Alice Domar, PhD, director of the Mind/Body Center for Women's Health in Boston and author of Self-Nurture: Learning to Care for Yourself as Effectively as You Care for Everyone Else. Several different methods can be effective, she says, including progressive muscle relaxation, meditation, yoga, and guided imagery.

"Ten years ago, we did a randomized, controlled, prospective study of women with severe PMS," Domar says. Those who simply listened to a relaxation tape 20 minutes a day had a 57% reduction in both physical and psychological symptoms. In that study we used a tape that combines diaphragmatic breathing, breath-focused meditation, and mental images of walking along a mountain stream."

1 | 2 | 3 | 4

Today on WebMD

Woman with cramps
Causes and treatments.
portrait of thoughtful woman
Symptoms of this severe form of PMS.
woman with severe discomfort
When is it serious?
mineral water with chaste berry
Does evening primrose oil really work?
Woman with cramps
Pills with smiley faces
flat stomach
estrogen gene
Managing PMS Exercise And More
woman with severe discomfort
woman clutching at stomach
herbs in mortar and pestle