{"id":368,"date":"2026-09-23T18:31:27","date_gmt":"2026-09-23T18:31:27","guid":{"rendered":"https:\/\/southwesternwomensclinic.com\/?p=368"},"modified":"2026-09-23T18:31:27","modified_gmt":"2026-09-23T18:31:27","slug":"premenstrual-syndrome-pms-symptoms-causes-and-treatment-2","status":"publish","type":"post","link":"https:\/\/southwesternwomensclinic.com\/es\/premenstrual-syndrome-pms-symptoms-causes-and-treatment-2\/","title":{"rendered":"Premenstrual Syndrome (PMS): Symptoms, Causes, and Treatment"},"content":{"rendered":"<p class=\"wp-block-paragraph\">Premenstrual syndrome (PMS) is a group of physical, emotional, and behavioral symptoms that occur before a menstrual period. PMS is common among women of reproductive age, but symptoms can vary significantly from one person to another.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Some women experience mild symptoms that are easy to manage, while others may have symptoms that interfere with work, school, relationships, sleep, or daily activities. Understanding the symptoms, causes, and treatment options for PMS can help women recognize when menstrual symptoms are part of a normal cycle and when it may be time to seek medical care.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\">What Is Premenstrual Syndrome (PMS)?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Premenstrual syndrome is a collection of symptoms that typically develop during the days or weeks before menstruation and improve after the menstrual period begins.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">PMS can affect both the body and mood. Symptoms usually follow a predictable pattern, occurring during the second half of the menstrual cycle and improving once menstruation starts.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">PMS is not the same for everyone. Some women may experience primarily physical symptoms, while others may have noticeable mood or behavioral changes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Common Symptoms of PMS<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">PMS symptoms can range from mild to severe. Common physical symptoms include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bloating or fluid retention<\/li>\n\n\n\n<li>Breast tenderness or swelling<\/li>\n\n\n\n<li>Headaches<\/li>\n\n\n\n<li>Fatigue<\/li>\n\n\n\n<li>Abdominal cramps or discomfort<\/li>\n\n\n\n<li>Back pain<\/li>\n\n\n\n<li>Muscle or joint aches<\/li>\n\n\n\n<li>Acne breakouts<\/li>\n\n\n\n<li>Changes in appetite<\/li>\n\n\n\n<li>Food cravings<\/li>\n\n\n\n<li>Constipation or diarrhea<\/li>\n\n\n\n<li>Sleep problems<\/li>\n\n\n\n<li>Increased sensitivity to light or sound<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Emotional and behavioral symptoms may include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Irritability<\/li>\n\n\n\n<li>Mood swings<\/li>\n\n\n\n<li>Anxiety<\/li>\n\n\n\n<li>Sadness<\/li>\n\n\n\n<li>Feeling overwhelmed<\/li>\n\n\n\n<li>Difficulty concentrating<\/li>\n\n\n\n<li>Changes in motivation<\/li>\n\n\n\n<li>Increased emotional sensitivity<\/li>\n\n\n\n<li>Social withdrawal<\/li>\n\n\n\n<li>Changes in sexual desire<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Not every woman experiences all of these symptoms, and the severity can change from one menstrual cycle to another.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\">What Causes PMS?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The exact cause of PMS is not completely understood. However, symptoms appear to be associated with the hormonal changes that occur during the menstrual cycle.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">After ovulation, estrogen and progesterone levels change significantly. Some women may be particularly sensitive to these normal hormonal fluctuations.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Changes in brain chemicals, including serotonin, may also contribute to mood-related symptoms.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Other factors may influence how severe PMS symptoms feel, including:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Stress<\/li>\n\n\n\n<li>Poor sleep<\/li>\n\n\n\n<li>Lack of physical activity<\/li>\n\n\n\n<li>Certain dietary patterns<\/li>\n\n\n\n<li>Alcohol consumption<\/li>\n\n\n\n<li>Existing anxiety or depression<\/li>\n\n\n\n<li>Individual sensitivity to hormonal changes<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">PMS is not simply caused by having \u201ctoo many hormones.\u201d In many cases, the way the body and brain respond to normal hormonal changes may be more important than the absolute hormone levels.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">PMS and Hormonal Changes<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hormones naturally fluctuate throughout the menstrual cycle.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">After ovulation, progesterone rises while estrogen levels also change. If pregnancy does not occur, these hormone levels eventually decline, triggering menstruation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Some women appear to be more sensitive to these changes. This sensitivity may contribute to symptoms such as mood changes, breast tenderness, bloating, headaches, and fatigue.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Because hormone levels change throughout the cycle, PMS symptoms often follow a predictable monthly pattern.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\">How Is PMS Diagnosed?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">There is no single laboratory test that can definitively diagnose PMS.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A healthcare professional generally considers:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The type of symptoms you experience<\/li>\n\n\n\n<li>When symptoms begin<\/li>\n\n\n\n<li>How long symptoms last<\/li>\n\n\n\n<li>Whether symptoms improve after menstruation begins<\/li>\n\n\n\n<li>How symptoms affect daily life<\/li>\n\n\n\n<li>Whether the symptoms occur consistently across menstrual cycles<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Keeping a menstrual and symptom diary can be extremely helpful.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For several months, record your menstrual dates and note symptoms such as mood changes, headaches, cramps, breast tenderness, bloating, sleep problems, appetite changes, and fatigue.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This can help your gynecologist determine whether your symptoms follow the typical pattern of PMS.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\">PMS vs. PMDD: What Is the Difference?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Premenstrual dysphoric disorder (PMDD) is a more severe condition related to the menstrual cycle.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">While PMS can cause physical and emotional symptoms, PMDD involves more severe mood-related symptoms that can significantly interfere with daily functioning and quality of life.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Symptoms of PMDD may include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Severe irritability<\/li>\n\n\n\n<li>Significant mood swings<\/li>\n\n\n\n<li>Depression<\/li>\n\n\n\n<li>Anxiety or tension<\/li>\n\n\n\n<li>Feelings of hopelessness<\/li>\n\n\n\n<li>Difficulty concentrating<\/li>\n\n\n\n<li>Marked changes in interest or motivation<\/li>\n\n\n\n<li>Severe fatigue<\/li>\n\n\n\n<li>Sleep disturbances<\/li>\n\n\n\n<li>Changes in appetite<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">If emotional symptoms become severe or significantly affect your relationships, work, school, or daily activities, talk with a healthcare professional.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you experience thoughts of suicide or feel that you may hurt yourself, seek emergency medical assistance immediately.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\">How Is PMS Treated?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Treatment depends on the type and severity of symptoms.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For mild PMS, lifestyle changes may be enough to reduce symptoms. More significant symptoms may require medication or hormonal treatment.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Regular Physical Activity<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Regular exercise may help reduce several PMS symptoms, including:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fatigue<\/li>\n\n\n\n<li>Mood changes<\/li>\n\n\n\n<li>Stress<\/li>\n\n\n\n<li>Bloating<\/li>\n\n\n\n<li>General discomfort<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Activities such as walking, cycling, swimming, strength training, or other forms of aerobic exercise can be incorporated into a regular routine.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Healthy Eating Habits<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A balanced diet can support overall health and may help some women manage PMS symptoms.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Consider eating regular meals that include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vegetables and fruits<\/li>\n\n\n\n<li>Whole grains<\/li>\n\n\n\n<li>Lean proteins<\/li>\n\n\n\n<li>Healthy fats<\/li>\n\n\n\n<li>Fiber-rich foods<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Some women find that reducing excessive salt may help with bloating and fluid retention.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Limiting excessive alcohol and highly processed foods may also be beneficial for overall well-being.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Getting Enough Sleep<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Poor sleep can make irritability, fatigue, difficulty concentrating, and emotional symptoms more noticeable.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Maintaining a consistent sleep schedule and practicing good sleep habits may help improve PMS-related symptoms.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Stress Management<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Stress does not necessarily cause PMS, but high stress levels may make symptoms feel worse.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Relaxation techniques such as breathing exercises, meditation, yoga, regular exercise, or other stress-management strategies may be useful.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Medications for PMS<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Depending on your symptoms, a healthcare professional may recommend medication.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For pain-related symptoms, over-the-counter medications such as ibuprofen or naproxen may help some women when used appropriately.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hormonal contraceptives may also be considered for some women because they can modify hormonal fluctuations and may reduce certain PMS symptoms.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For significant mood symptoms, healthcare professionals may consider selective serotonin reuptake inhibitors (SSRIs). These medications can be effective for certain women with severe PMS or PMDD.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Medication should be selected based on your symptoms, medical history, other medications, pregnancy plans, and individual health needs.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\">Can Birth Control Help With PMS?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">For some women, hormonal birth control can reduce PMS symptoms.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hormonal contraceptives may suppress ovulation and alter the hormonal fluctuations associated with the menstrual cycle. Some formulations may be particularly useful for women who experience both PMS symptoms and a need for contraception.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">However, hormonal birth control does not work the same way for everyone. Some women may experience side effects or may need a different method.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A gynecologist can discuss the potential benefits and risks based on your individual situation.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">PMS and Weight Gain<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Temporary weight gain or changes in body weight around the menstrual period are common.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This may be related to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fluid retention<\/li>\n\n\n\n<li>Bloating<\/li>\n\n\n\n<li>Appetite changes<\/li>\n\n\n\n<li>Food cravings<\/li>\n\n\n\n<li>Changes in bowel habits<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">This does not necessarily mean that you are gaining body fat.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you experience persistent or unexplained weight changes outside your menstrual cycle, talk with a healthcare professional because other conditions can contribute to changes in weight.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">PMS and Headaches<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Hormonal changes around menstruation can contribute to headaches and migraines in some women.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If headaches consistently occur before or during your period, keeping track of their timing can help identify a pattern.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Severe, sudden, or unusual headaches require medical evaluation, particularly when accompanied by symptoms such as weakness, confusion, fainting, vision changes, or difficulty speaking.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">PMS, Anxiety, and Depression<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">PMS can cause temporary changes in mood, but persistent anxiety or depression should not automatically be attributed to PMS.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If symptoms occur throughout the month or continue after menstruation begins, another mental health or medical condition may be contributing.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Conditions such as anxiety disorders and depression can sometimes become more noticeable before menstruation, making it important to evaluate the timing and severity of symptoms.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">PMS During Perimenopause<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">PMS symptoms can change as women approach menopause.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">During perimenopause, hormonal fluctuations can become less predictable. This may lead to changes in menstrual cycles, bleeding patterns, mood, sleep, and other symptoms.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Women in their 40s who notice significant changes in their menstrual symptoms should discuss them with a healthcare professional rather than assuming that all changes are simply PMS.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\">Can PMS Be a Sign of Pregnancy?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Some PMS symptoms overlap with early pregnancy symptoms.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For example, both PMS and early pregnancy can involve:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Breast tenderness<\/li>\n\n\n\n<li>Fatigue<\/li>\n\n\n\n<li>Mood changes<\/li>\n\n\n\n<li>Bloating<\/li>\n\n\n\n<li>Appetite changes<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">However, PMS itself does not indicate pregnancy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If your period is late and pregnancy is possible, a pregnancy test can help determine whether pregnancy may be responsible for your symptoms.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Conditions That Can Mimic PMS<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Several medical conditions can cause symptoms that resemble PMS.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">These may include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Depression<\/li>\n\n\n\n<li>Anxiety disorders<\/li>\n\n\n\n<li>Thyroid disorders<\/li>\n\n\n\n<li>Migraine<\/li>\n\n\n\n<li>Irritable bowel syndrome<\/li>\n\n\n\n<li>Endometriosis<\/li>\n\n\n\n<li>Uterine fibroids<\/li>\n\n\n\n<li>Chronic fatigue<\/li>\n\n\n\n<li>Other hormonal or gynecologic conditions<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The timing of symptoms is particularly important. If symptoms occur throughout the entire month rather than primarily before menstruation, your healthcare provider may need to investigate other possible causes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\">When Should You See a Gynecologist for PMS?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Consider scheduling an appointment if PMS symptoms:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Significantly interfere with your daily activities<\/li>\n\n\n\n<li>Affect your relationships<\/li>\n\n\n\n<li>Make it difficult to work or attend school<\/li>\n\n\n\n<li>Cause severe pain<\/li>\n\n\n\n<li>Cause major mood changes<\/li>\n\n\n\n<li>Do not improve after your period begins<\/li>\n\n\n\n<li>Are becoming progressively worse<\/li>\n\n\n\n<li>Appear suddenly after years of relatively mild symptoms<\/li>\n\n\n\n<li>Are difficult to manage with lifestyle changes<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">A gynecological evaluation can help determine whether your symptoms are consistent with PMS or whether another condition may be contributing.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\">Frequently Asked Questions About PMS<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">How long does PMS last?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">PMS symptoms commonly occur during the days leading up to menstruation and improve shortly after the period begins. The exact duration varies between women.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Is PMS normal?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">PMS is common, but that does not mean severe or disruptive symptoms should simply be ignored. If symptoms interfere with your quality of life, treatment options are available.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Can PMS cause severe fatigue?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes. Fatigue is a common PMS symptom for some women. However, persistent fatigue throughout the month may have other causes and should be evaluated.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Can PMS cause anxiety?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes. Anxiety, irritability, and mood changes can occur with PMS. Severe or persistent anxiety may indicate another condition or PMDD and should be discussed with a healthcare professional.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Does PMS get worse with age?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">PMS symptoms can change over time. Some women notice changes as they approach perimenopause, while others experience relatively consistent symptoms throughout their reproductive years.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Can PMS be treated?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes. Treatment may include lifestyle changes, exercise, dietary adjustments, stress management, pain relievers, hormonal contraception, or medications for significant mood symptoms.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Find Care for PMS in Eagle Pass, Texas<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">You do not have to live with menstrual symptoms that interfere with your daily life.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you are experiencing severe PMS symptoms, unusual menstrual changes, significant mood changes, or symptoms that are difficult to manage, a gynecological evaluation can help identify the underlying cause and discuss appropriate treatment options.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Southwestern Women\u2019s Clinic in Eagle Pass, Texas can be a resource for women seeking evaluation and care for menstrual and gynecological concerns.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Contact Southwestern Women\u2019s Clinic to discuss your symptoms and determine whether a gynecological evaluation may be appropriate for you.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Medical Disclaimer<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This article is intended for general educational purposes and should not replace professional medical advice, diagnosis, or treatment. PMS symptoms can overlap with other medical conditions. If you are experiencing severe, persistent, or unusual symptoms, consult a qualified healthcare professional for an individualized evaluation.<\/p>","protected":false},"excerpt":{"rendered":"<p>Premenstrual syndrome (PMS) is a group of physical, emotional, and behavioral symptoms that occur before a menstrual period. PMS is common among women of reproductive age, but symptoms can vary significantly from one person to another. Some women experience mild symptoms that are easy to manage, while others may have symptoms that interfere with work, [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":369,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-368","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Premenstrual Syndrome (PMS): Symptoms, Causes, and Treatment - Southwestern Womens Clinic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/southwesternwomensclinic.com\/es\/premenstrual-syndrome-pms-symptoms-causes-and-treatment-2\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Premenstrual Syndrome (PMS): Symptoms, Causes, and Treatment - Southwestern Womens Clinic\" \/>\n<meta property=\"og:description\" content=\"Premenstrual syndrome (PMS) is a group of physical, emotional, and behavioral symptoms that occur before a menstrual period. 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