PMS in Pakistan — Understanding Premenstrual Syndrome

Premenstrual Syndrome (PMS) affects 75% of menstruating women. In Pakistan, it is often dismissed as weakness or emotional exaggeration — but it is a real, medical condition.

Common PMS Symptoms

Physical

• Bloating and water retention
• Breast tenderness
• Headaches and migraines
• Fatigue and sleep disruption
• Cramping (dysmenorrhoea)

Emotional and Cognitive

• Irritability and mood swings
• Anxiety and depression
• Difficulty concentrating
• Tearfulness
• Food cravings

When PMS Becomes PMDD

Premenstrual Dysphoric Disorder (PMDD) is a severe form of PMS causing debilitating mood disturbance. If symptoms significantly impair your function, seek medical help immediately — PMDD is a diagnosable condition with effective treatments.

Managing PMS

• Diet: Reduce salt, caffeine, and refined sugar in the 10 days before your period
• Exercise: Even moderate walking significantly reduces PMS symptoms
• Sleep: Prioritise 7-8 hours in the luteal phase
• Supplements: Magnesium, Vitamin B6, Vitamin D (consult your doctor)
• Medication: NSAIDs (ibuprofen), hormonal therapy — prescribed by gynaecologist