While not every woman gets premenstrual syndrome -- the cramping, bloating and general crabbiness that can strike around period time -- about 85 percent of women report having at least one symptom each month.And even though there’s no real “cure” for PMS, many treatments and lifestyle changes are available to help you cut down on the discomfort. Read on to find out how.Improve Your DietA salt-heavy diet can cause bloating, caffeine can aggravate irritability or anxiety, alcohol may worsen depression, and too much sugar can destabilize your blood sugar and mood. Try to eat more fruits, vegetables and whole grains the week before your period.And it’s not just what you eat, but how you eat. Aim to eat at regular intervals to avoid dips and spikes in blood sugar.Exercise MoreExercise can fight both physical and emotional PMS symptoms. Even though women say they don’t have energy, this is probably when it is most important to exercise.Pick an exercise routine that gets your heart rate up and that you enjoy. For PMS, The National Women’s Health Information Center recommends two and a half hours of moderately intense activity, one hour and 15 minutes of vigorous aerobic activity or a combination of the two each week, plus two muscle-strengthening sessions.Try VitaminsVitamins may be beneficial for PMS, particularly B6 and E, says Petra Casey, M.D., associate professor of obstetrics and gynecology at the Mayo Clinic in Rochester, Minn.There’s not much hard evidence to prove that these supplements work. Still, they are worth trying. Here are some suggested daily doses from the Mayo Clinic:Calcium: 1,200 milligramsMagnesium: 400 mg.Vitamin B6: 50 to 100 mg.Vitamin E: 400 international units (IU)Check Out Herbal RemediesHerbal remedies are understudied (and unregulated when compared to prescription drugs), but there are some that may be effective in relieving PMS symptoms like cramping and mood swings.You might consider using black cohosh, chasteberry, evening primrose oil, ginger, raspberry leaf, dandelion or natural progesterone creams.Your ob/gyn may be up-to-date on the best research regarding supplements; see if he or she has advice on which ones you can take and when.Focus On Your StressFirst of all, it is important that you get adequate rest and plenty of sleep. Try to get as much sleep as you think you need so that sleep deprivation doesn’t ratchet up symptoms.Then make a conscious effort to reduce your stress level. You can try deep breathing, massage, meditation or yoga, which can soothe the mind and body.But skip the meditation if you know your best stress buster is a girls’ night out or writing in your journal. Find what works for you and stick with it.Take Pain RelieversFor women who have PMS-related pain such as cramping, breast tenderness, backaches or headaches, nonsteroidal anti-inflammatory pain relievers (NSAIDs) can provide some relief. These include ibuprofen (Advil and similar drugs) and naproxen (Aleve).Or you can try over-the-counter remedies specifically aimed at PMS like Pamprin and Midol. These often combine some sort of pain reliever with caffeine.Consider Birth ControlIf you’re not already using a form of birth control that you’re happy with, you might consider trying low-dose oral contraceptives, which may reduce PMS symptoms. The medications work to even out hormones over the course of a woman’s cycle.Some women use them continuously instead of in the typical cycle to avoid getting their period, which can also reduce PMS symptoms, though it can lead to breakthrough bleeding.Ask Your Doctor About AntidepressantsAntidepressants aren’t the first choice for PMS-related mood problems. Still, they are an option if symptoms are severe and affecting your daily life (and nothing else is helping).PMS can also aggravate underlying depression. Some women may think depression is cyclic and mistakenly attribute it to PMS, but they don’t realize it doesn’t really follow the patterns of their periods until they track it. Treating the underlying depression can help PMS symptoms.Look Into DiureticsMany women experience bloating in their hands, feet, face or stomach with PMS. One way to combat this -- if exercise and cutting back on salt don’t work -- is a diuretic. These prescription drugs help the body get rid of excess water by boosting urine output.One commonly prescribed diuretic is spironolactone (Aldactone). But diuretics aren’t for everyone. They can exacerbate urinary incontinence, constipation, lower blood pressure, raise potassium levels and interact with other medications.Chart Your SymptomsPMS is real. But first you may need to chart your symptoms for several months to be sure that you are experiencing PMS and not another condition like depression.PMS includes both physical and emotional symptoms. These symptoms are varied and so are the treatments to relieve them, therefore different treatments may need to be tried.Health.com
