Pre-menstrual Syndrome occurs 7-10 days before menstruation. Also known as premenstrual tension some symptoms include irritability, depression, anxiety, breast tenderness to name a few.

Causes: the cause is not entirely clear but it appears to be caused by different hormonal factors. Some examples include hypoglycemia, changes in carbohydrate metabolism, and fluctuating levels of progesterone and estrogen. In some cases excessive levels of aldosterone and ADH are responsible for fluid retention.

Signs and symptoms:

Predominately weeping, irritability, weight gain, breast tenderness, insomnia, fatigue, anxiety, pelvic heaviness, acne and insomnia.

Diagnosis; is based on symptoms and a hormonal panel can determine hormonal levels