Sunday 13 July 2014

Premenstrual Syndrome

An Overview
Surprising as it may sound, almost three out of every four menstruating women experience some form of premenstrual syndrome (PMS). PMS is basically a combination of physical and emotional disturbances which occur just before the menstrual period. It can present with a wide variety of signs and symptoms ranging from mood swings and tender breasts to fatigue, depression, etc.
Lifestyle adjustments and natural treatment can help you to manage the signs and symptoms of your premenstrual syndrome. A randomized controlled double-blind clinical trial clearly demonstrated that 90 % of the patients who had received natural treatment for their PMS experienced more than 30 % improvement. The sick-days before menses were reduced and the use of conventional drugs was also reduced in this group.
At Hashmi Dawakhana, we have successfully helped many women to deal with their suffering and lead a normal pain-free life again. Don't you think it's time you took control of your life and treated your premenstrual syndrome with Natural treatment?

What is PMS?
Mood swings, fatigue, tender breasts, weight gain, food cravings… what runs common through these problems is that they affect some women only few days before their monthly period. Yes, this combination of emotional and physical disturbances that women experience before the monthly period is collectively termed as premenstrual syndrome (commonly known as PMS).
Typically starting after the woman has ovulated (which occurs mid-cycle), these symptoms end when the menstruation begins. The fact that these symptoms are cyclic in nature and appear consistently in relation to the menses is a feature characteristic of this condition. The symptoms may occur with varying severity in different women and may even change in intensity from cycle to cycle in case of the same woman.
Premenstrual syndrome commonly affects women between their late twenties and early forties. Almost 75 to 80 % of women experience premenstrual syndrome and it is moderate to severe in almost 20 to 30% of all women. The symptoms can be sufficiently severe to interfere with some aspects of life.
A severe form of PMS is known as premenstrual dysphoric disorder (PMDD) and this affects about 2-6% women. PMDD leads to significant loss of functions due to unusually severe symptoms. Medical treatment, lifestyle changes, exercise, nutrition, and support from family and friends can help patients to deal effectively with this disorder.

Symptoms
The symptoms of premenstrual syndrome (PMS) are very variable in type, intensity and duration from patient to patient. In addition, the symptoms may vary even in the same patient from time to time, being mild at some times or severely disabling at other times. PMS symptoms may interfere with their daily activities. Some of the common complaints are listed here:
Physical symptoms:
•    Weight gain, bloated feeling
•    Breast tenderness
•    Fatigue
•    Acne
•    Constipation or diarrhea
•    Too much or too little of sleep
•    Cravings for certain foods like sweets, etc.
•    Overeating
•    Headache
•    Lower backache
Mental symptoms:
•    Irritability, aggression
•    Tearfulness, spells of crying
•    Mood swings
•    Depression
•    Disinterest in sex
•    Social withdrawal
•    Trouble in concentrating
•    Impulsiveness
•    Anxiety
•    Oversensitivity

Causes
The exact cause of premenstrual syndrome (PMS) has not been understood though it has been largely attributed to the fluctuating levels of the hormones estrogen and progesterone. The levels of these hormones alter in preparation of the menstruation and this is a normal phenomenon. However, the alteration brings along with itself a host of symptoms that constitute the premenstrual syndrome (PMS).
Another causative factor that is proposed is the alteration of the levels of serotonin in the brain. Serotonin is a chemical (neurotransmitter) that plays a crucial role in mood states. Lower levels of serotonin lead to feelings of sadness, depression, fatigue food cravings, sleep changes, etc.
Stress has also been seen to worsen certain cases of premenstrual syndrome (PMS) but it may not be likely to be the sole reason for the PMS.
Drinking alcohol and caffeinated beverages, (that can cause mood changes), taking excess of salty foods (that cause fluid retention), etc. may also worsen the symptoms of premenstrual syndrome (PMS).
Deficiency of certain vitamins and minerals may also be a contributing factor.

Diagnosis
The diagnosis of premenstrual syndrome (PMS) is made largely on the basis of the presenting signs and symptoms and particularly on the fact that these occur in close association with the menstrual period.
There are no unique physical findings or laboratory tests required to confirm the diagnosis. However, the physician may order investigations for a thyroid test to rule out thyroid disorders. Similarly, the treating doctor may also want to rule out other illness with similar presenting symptoms such as depression, migraine, chronic fatigue syndrome, etc.
The patients can help the physician in diagnosing the condition by maintaining a diary that keeps a track of:
•    The day when the menstrual cycle starts
•    The day on which the cycle ends
•    The particular days when the symptoms of premenstrual syndrome (PMS) are evident
The American College of Obstetrics and Gynecology states that the following conditions must be fulfilled in order to diagnose premenstrual syndrome (PMS):
•    The symptoms within the period of two weeks before your menstruation
•    The symptoms impair the patient's quality of life

Natural Treatment
A randomized controlled double-blind clinical trial was conducted in the gynecology department at Hadassah Hospital in Jerusalem to assess the efficacy of natural treatment in premenstrual syndrome (PMS). 20 women between the ages of 20 to 40 years were a part of the study.
More than 30% improvement was seen in 90% of the patients who had received natural medicines whereas only 37.5% of people who had received placebo reported similar kind of improvement. The patients had undergone two months baseline assessment and post-intervention follow-up for 3 months was also conducted. Thus, it has been clearly demonstrated that natural treatment can significantly help women suffering from premenstrual syndrome (PMS).
At Hashmi Dawakhana, we have successfully treated women with premenstrual syndrome (PMS) for the last 35 years and have had good results in most cases. Patients report significant relief in their symptoms and are able to lead a better quality of life after getting treated at Hashmi Dawakhana.
The medicines work at the root level and gradually restore the normalcy of the body so that the patients stop experiencing these annoying symptoms. An overall feeling of well being is reported by most after commencing treatment and this is an important marker that the treatment is moving along the right path.
One of the main advantages of the treatment is that it is without any side effects and it is non habit-forming. Patients can conclude the treatment once they remain symptom-free for a few months with continued medication. Natural treatment is strongly suggested for all cases of premenstrual syndrome (PMS).

Self Care Tips
At Hakeem Hashmi's, we have been successfully treating patients for 35 years now and based on our vast experience we have seen certain changes in lifestyle and diet that can go a long way in helping patients to deal with their premenstrual syndrome(PMS). These have been clinically verified by us repeatedly and have a scientific backing as well:
•    Modify your diet to improve your health in general - reduce the amount of caffeine, salt and sugar during your premenstrual days
•    Exercise regularly
•    Get plenty of sleep
•    During the premenstrual days eat smaller, more frequent meals
•    Yoga can help you to relax and relieve your stress
•    Avoid smoking
•    Deep-breathing exercises can be helpful in reducing symptoms
•    Nutritional supplements such as vitamin B6, vitamin E, calcium, and magnesium help in better control of the symptoms

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