Premenstrual syndrome (PMS) is quite a complicated disorder and, as to be expected, has many contributing factors. According to lead author Dr. Elizabeth R. Bertone-Johnson of the School of Public Health and Health Sciences at the University of Massachusetts Amherst and the Harvard School of Public Health in Boston said that, “Women affected by PMS are likely more sensitive to monthly fluctuations in estrogen and progesterone levels than other women, and to fluctuations in neurotransmitters regulating mood.”

Up to 15 percent of women have symptoms leading up to their menstrual periods that are severe enough to disrupt daily life. PMS can include nausea, forgetfulness, dizziness, hot flashes, insomnia, depression or cramping that begin almost two weeks before a period starts and can last a few days into the period as well. Some other factors such as obesity, smoking, and chronic inflammation may also be included as some of the reasons for symptoms. Beyond serious monthly symptoms of PMS there can also be long-term health issues. This condition should be taken seriously and treated with a personalized protocol which may involve medications, pain relievers, dietary changes and treatment for underlying conditions like hormone imbalances.