The first thing to say about the roots of premenstrual syndrome (PMS) is that medicinal science does not absolutely realize why some young ladies go through physical and / or psychological indications each and every month while alternative individuals do not go through at all.
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That’s why, it is fair to advocate that there is still a realistic degree of mystery about the exact reasons why some girls go through and other people don’t.
It is nonetheless believed that a primary cause of premenstrual syndrome is the prevalent change in the harmony of female bodily chemicals that happens every month as an integral part of the cycle of menstruation. As a consequence of these prevalent hormonal changes, there is a lowering in the status of progesterone in the body, are falling off of levels of the hormone that prepares the uterus to receive a fertilized egg.
Meantime, there is also an increase in levels of salt and water retained by the body, thus the feelings of being bloated and retaining too much water.
This does not of course explain exactly why these hormonal changes affect some individuals far more than they affect additional. While some experts suggest that all girls go through some indications of PMS, in the main these indications are mild or extremely mild, so this does not absolutely take us much closer to discovering the duration of PMS.
One line of modern consideration about the causes suggests that it may be something to do with neurotransmitters that are created by the core nervous system reacting with changing levels of sex bodily chemicals which would otherwise be within what are regarded as normal limits by the healing profession.
In particular, it is believed that serotonin levels in the body may have some connection with the severity (or otherwise) of PMS that is undergone by a particular girl, although there is no conclusive proof of this as yet.
Basic view carried out in the USA some 20 years ago suggested that of girls who undergoes PMS most severely, maybe as umpteen as four in every ten revealed a great deal lowered levels of beta endorphins in the blood at the time of their ‘attacks’.
Beta endorphins are normally occurring opioid neurotransmitters, which is one of the reasons why a lack of them as illustrated by 40 % of girls who undergoes severe PMS has been likened by umpteen medical specialists to withdrawal indications associated with ‘coming off’ opiate-based drugs like heroin.
An additional possible related variable is family history as it is generally believed that girls who are from your families where more severe PMS is relatively standard are more surely to be sufferers themselves. This hypothesis is backed up by the fact that the occurrence of PMS is twice as undoubtedly to appear in identical twins than it is in fraternal twins.
There are a number of symptoms that manifest themselves during this condition like anxiety during premenstrual syndrome and the bottom line is, medical science has still not absolutely established the exact reasons why some girls go through important psychological and/or physical problems as a consequence of premenstrual syndrome, whereas additional hardly go through at all.
One thing that is nonetheless clear is that there are related factors associated with lifestyle and that these factors may intensify the risk of experiencing severe PMS.
These likely contributory factors include:
Increased levels of stress and anxiety;
Pre-Existing depression;
High caffeine intake;
High alcohol intake;
Tobacco usage;
Extending age (although for most girls, PMS is undoubtedly to start for the very first time during their 20s or 30s and will probably disappear after they stop menstruating as well);
Allergies to nuts etc;
Dietary factors such as a lack of certain vitamins and minerals.
From this list of contributory factors, you can probably see that certain lifestyle changes could help to reduce the severity or the likelihood of PMS being a problem.
We will return to these in detail later after considering how members of the medical profession diagnose premenstrual syndrome.
How is PMS diagnosed?
The simple answer to the question is, there is no specified method of testing or diagnosing PMS. Because there is no established laboratory test for the condition and none of the indications are unique to it.
There is no specified method of diagnosis either.
Consequently, it is undoubtedly that for any lady who suspects that she has PMS, your doctor or other medical attendant will ask you to keep a diary covering at least two menstrual cycles to establish whether the cited indications re-occur on a regular and predictable basis. Armed with this information and assuming that some or all of the indications of PMS are present, your doctor is undoubtedly to considerably closer to confirming that PMS is the problem.
Then again, he or she will also need to eliminate other likely causes of your indications as well before finally confirming that your problem is indeed premenstrual syndrome. This is important because umpteen indications that might be associated with PMS such as depression, stress and anxiety may be a consequence of PMS but they can be caused by umpteen other physical or psychological ailments as well.
The key here is undoubtedly to be the presence (or lack of it) of the indication outside of the luteal phase.
If depression, stress or any other possible indication of PMS is seen to be present throughout the month or outside of the luteal phase, it is considerably less undoubtedly that it is an indicator of PMS. Consequently, there may be a completely different reason for that indication.
