What is PMS?
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Time to read 5 min
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Time to read 5 min
PMS, or premenstrual syndrome, affects many women of childbearing age. An estimated 50% to 80% of women experience PMS.
Highly variable from one woman to another and from one cycle to the next, the many very different symptoms can be harmless, bothersome, or extremely disabling in daily life.
While PMS is manageable for most women, 5% experience a very severe form called **premenstrual dysphoric disorder**.
Nature of symptoms, impact on daily life, causes, triggers, solutions, Louloucup is here to support you, help you understand and better cope with PMS.
In this article
This women’s health issue usually appears from about a week to just a few hours before your period. Some women may even notice symptoms two weeks before their period.
The woman’s menstrual cycle is then in the luteal phase.
During this last phase of the hormonal cycle, the ovarian follicle has ruptured and released the egg; this corpus luteum releases progesterone, which thickens the endometrium. Estrogen and progesterone are at high levels. PMS is directly linked to the levels of these hormones.
To learn everything about the menstrual cycle, check out our in‑depth series of articles on the different phases of the cycle:
The female cycle will no longer hold any secrets from you! Do you have a particularly long or rather short menstrual cycle? Once again, Louloucup is here to help you see things more clearly.
More than 150 symptoms have been identified for PMS. The range is huge, really huge, which makes it all the harder to diagnose. Thankfully, not all of these symptoms appear at once or all together!
Symptoms can be of two types: physical or psychological.
It’s when several of these symptoms add up that PMS becomes exhausting, debilitating and disabling for women.
Many physical symptoms are similar to those experienced during your period (cramps, back pain, constipation, bloating, fatigue, etc.).
When PMS becomes so severe that it disrupts daily life and prevents a woman from functioning normally, it’s called premenstrual dysphoric disorder or PMDD. This disorder is like PMS multiplied, far more intense, and it should be taken seriously and treated.
PMDD usually appears between the ages of 30 and 35 and shows up during the luteal phase. Psychological and emotional symptoms are heightened: depression, suicidal thoughts, panic attacks, loss of interest in everyday life and important things, a strong need for reassurance — in short, PMS symptoms felt much more strongly and intensely.
Cognitive and behavioural therapies can then be a real solution to help women better manage their emotions, accept them and live with them.
Some women are more prone to PMS and its symptoms. Several factors can be responsible, including:
It can sometimes be difficult to diagnose PMS. Because it can cause so many different symptoms, doctors sometimes struggle to confirm the diagnosis. Although most symptoms are mild, not very intense and short‑lived, PMS can be diagnosed as soon as the symptoms are regular and directly affect your daily life.
Because no diagnosis can be made based solely on a blood test, this is called a “clinical diagnosis.” In other words, doctors rely on their own knowledge and experience, as well as your symptoms, to confirm or rule out a PMS diagnosis.
To help doctors reach a diagnosis, don’t hesitate to keep a journal where you record your symptoms each month, their intensity, and the first day of your cycle (that is, the first day of your period). This way, your doctor will find it easier to understand what’s going on and will be able to diagnose PMS or another gynecological condition.