Pharmacological treatment option is always recommended under doctor's supervision. Consult your doctor before taking any of the medication mentioned below.
In PMS, there are treatment options suitable for etiological theories. The first option is non-hormonal therapy to increase the central seratogenic transmission, and the second option is hormonal therapy to increase the ovarian hormone level. At the same time, symptomatic treatment may be applied to improve some premenstrual symptoms.
For many women, lifestyle changes can help relieve PMS symptoms. But depending on the severity of your symptoms, your doctor may prescribe one or more medications for premenstrual syndrome.
Selective serotonin reuptake inhibitors (SSRIs) are anti-depressants that have been successful in reducing mood symptoms. This includes:
Fluoxetine (Prozac)
Paroxetine (Paxil, Pexeva)
Sertraline (Zoloft)
Combination birth control pills, also known as the pill, are oral contraceptives that contain estrogen and a progestin.
Combination birth control pills come in different mixtures of active and inactive pills, including:
Conventional pack: One common type contains 21 active pills and seven inactive pills. Inactive pills do not contain hormones. Formulations containing 24 active pills and four inactive pills, known as a shortened pill-free interval, also are available. Some newer pills may contain only two inactive pills.
You take a pill every day and start a new pack when you finish the old one. Packs usually contain 28 days of pills. Bleeding may occur every month during the time when you take the inactive pills that are at the end of each pack.
Extended-cycle pack: These packs typically contain 84 active pills and seven inactive pills. Bleeding generally occurs only four times a year during the seven days you take the inactive pills.
Continuous-dosing pack: A 365-day pill also is available. You take this pill every day at the same time. For some people, periods stop altogether. For others, periods become significantly lighter. You do not take any inactive pills.
