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You might experience a variety of emotional, physical and behavioural symptoms, often in combination. They’ll usually happen one or two weeks before your period, after you’ve ovulated.
PMS can cause physical symptoms like:
As well as your physical symptoms, you might also experience changes in your emotions and behaviour:
Some studies suggest that over 90% of women who have periods will experience at least one of these symptoms without needing treatment. But we know that PMS can be much more intense for some people, so you should get in touch with us if you’re concerned in any way.
If you’re experiencing extreme symptoms that are having a significant impact on your life, you might have a more severe form of PMS called premenstrual dysphoric disorder (PMDD). PMDD can result in severe depression and suicidal thoughts and usually needs to be treated.
If you're having suicidal feelings, please seek emergency help.
It’s understandable to think PMS is just a part of everyday life, but there’s support and treatment available. If your PMS is causing you significant pain or distress, then it might help to get in touch with us.
A women’s health GP is a good place to start. Our appointment times are extended, so you’ll have all the time and space you need to talk about your symptoms and concerns.
If you’ve already visited a GP or you have a referral, our consultant gynaecologists can offer tests, support and any treatments you need.
Need to talk about your PMS?
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Are you worried about your PMS?
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Unsure of a diagnosis and need some answers?
There’s no specific single way to test whether you’re suffering from PMS. But our specialists will take time to look at your physical and mental symptoms and see how they relate to your menstrual cycle. They’ll talk to you about how severe the impact is, discuss potential treatments and suggest ways to make your PMS more manageable.
If your PMS is severe, then you might need medication or specific treatment, but your consultant will usually recommend lifestyle changes to begin with. They might include:
If these don’t work, or you’re still experiencing a significant impact on your day-to-day life, then then your HCA GP or gynaecological consultant might suggest other treatments such as:
The oral contraceptive pill: This can prevent you ovulating and reduces the changes in your hormone levels.
Antidepressants: These can help if your PMS is causing anxiety or depression.
You’ll be taken through every potential option and have time to talk over any questions or concerns.
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There’s no precise way to say why some women experience more severe PMS than others, or how likely you are to develop symptoms. But some factors can make a significant difference:
There are ways to manage all these potential risks, and your specialist will be able to offer specific, tailored advice.
Other conditions don’t specifically cause PMS, but there are some that can have very similar symptoms:
Your PMS specialist might suggest some tests to rule some of these conditions out before diagnosing you with PMS, such as blood tests. They’ll talk to you in detail about any specific test options, so you’ll always know what to expect.
“HCA UK’s services mean women are able to access tailored care and treatment plans that they deserve, at a time to suit them.”
This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.