DIAGNOSIS OF PMS There is no single test for PMS. Your doctor will talk with you about your symptoms, including when they happen and how much they affect your life. You probably have PMS if you have symptoms that. Happen in the five to ten days before your period for at least three menstrual cycles in a row. End within four days after your period starts Keep you from enjoying or doing some of your normal activities Keep track of which PMS symptoms you have and how severe they are for a few months. Write down your symptoms each day on a calendar or with an app on your phone. Take this information with you when you see your doctor. PMS AFFECTING OTHER HEALTH PROBLEMS About half of women who need relief from PMS also have another health problem, which may get worse in the time before their menstrual period. These health problems share many symptoms with PMS and include: .Depression and anxiety issues.These are the most common conditions that overlap with PMS. Depression and anxiety symptoms are similar to PMS and may get worse before or during your period. Irritable bowel syndrome( IBS )causes cramping, bloating, and gas. Your IBS symptoms may get worse right before your period. Bladder pain syndrome.Women with bladder pain syndrome are more likely to have painful cramps during PMS. PMS may also worsen some health problems, such as asthma, allergies, and  migraine. HOW TO EASE SYMPTONS OF PMS You can’t cure PMS, but you can take steps to ease your symptoms. If you have a mild or moderate form of premenstrual syndrome, the treatment options include: drinking plenty of fluids to ease abdominal bloating eating a balanced diet to improve your overall health and energy level, which means eating plenty of fruits and vegetables and reducing your intake of sugar, salt, caffeine, and alcohol. sleeping at least eight hours per night to reduce fatigue exercising to decrease bloating and improve your mental health reducing stress, such as through exercising. You can take pain medication, such as ibuprofen or aspirin, to alleviate muscle aches, headaches, and stomach cramping.Take medications and supplements only as directed by and after speaking with your doctor. To continue....dr nandini