--- title: What are the best ways to manage PMS? | Niyora description: PMS is managed in four steps: create awareness and make lifestyle changes, then offer therapy and complementary treatments, then medication if needed, and rar url: https://niyora.com/research/papers/current-approaches-in-premenstrual-syndrome-management-2019/ --- - [Niyora](https://niyora.com/) - [Research](https://niyora.com/research/) - [Library](https://niyora.com/research/library/) - What are the best ways to manage PMS? Survey study, 2019 # What are the best ways to manage PMS? PMS is managed in four steps: create awareness and make lifestyle changes, then offer therapy and complementary treatments, then medication if needed, and rarely surgery. This summarizes international guidelines but doesn't show strong evidence about which approach works best. Early or limited evidence Review article summarizing PMS management approaches in international guidelines. ## What they did This is a review article that summarizes how PMS is currently managed according to international guidelines, rather than a study testing any particular approach. ## What they found The review describes a four-step management approach: first, educate women about PMS and encourage lifestyle changes and dietary modifications; second, use cognitive behavioral therapy and complementary treatments; third, prescribe medication if needed; and fourth, consider surgery as a last resort. Common symptoms include pain, headaches, fatigue, mood changes, and sleep problems, which disrupt social relationships and quality of life. ## What it means for you This tells you what doctors recommend for managing PMS based on current guidelines. However, since this is a review rather than research testing these approaches, it doesn't show strong evidence about which step works best for different women or how well they work. The main limit is that it summarizes recommendations without presenting new evidence. 4 out of 10 Women with premenstrual symptoms 5-8% Women with severe PMS ## About the study Original title Current Approaches in Premenstrual Syndrome Management Authors Halime Abay, Sena Kaplan Journal Bezmialem Science Year 2019 Study design Survey study Participants 10 What was tested Management approaches reviewed (lifestyle changes, therapy, medication, surgery). Open access Yes Read the paper [doi.org/10.14235/bas.galenos.2018.2358](https://doi.org/10.14235/bas.galenos.2018.2358) ## Topics [Menstrual cycle and mood](https://niyora.com/research/topics/condition-cycle-mood/)[Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Students and academic performance](https://niyora.com/research/topics/life-area-education/)[Relationships and partners](https://niyora.com/research/topics/life-area-relationships/)[Stigma, attitudes and culture](https://niyora.com/research/topics/life-area-stigma-culture/)[Low mood and depression](https://niyora.com/research/topics/symptom-depression-mood/)[Fatigue and energy](https://niyora.com/research/topics/symptom-fatigue/)[Irritability and anger](https://niyora.com/research/topics/symptom-irritability-anger/)[Pain and headache](https://niyora.com/research/topics/symptom-pain/)[Bloating, breast tenderness and physical symptoms](https://niyora.com/research/topics/symptom-physical-symptoms/)[Sleep and insomnia](https://niyora.com/research/topics/symptom-sleep/)[Cognitive behavioral therapy](https://niyora.com/research/topics/treatment-cbt/) Research tells you what helps on average. Niyora helps on the day it hits. Calm down, see it another way, and decide what to say, with a PMS and PMDD app built by a doctor. ## Related studies Study, 2026 What are premenstrual syndrome and premenstrual dysphoric disorder? Survey study, 2013 Are menstrual symptoms common in middle-aged women and do they relate to hot flushes? Survey study, 2025 Can a plant-based supplement reduce PMS symptoms? Survey study, 2020 How common are premenstrual symptoms in secondary school students? Survey study, 2017 Are PMS symptoms linked to mood disorders and personality? Survey study, 2002 How common is premenstrual dysphoric disorder among women in Morocco? Ask AI about this page Copy prompt ChatGPT ↗ Claude ↗ Perplexity ↗ Google AI Mode ↗ Grok ↗