If PMS seems the likely diagnosis, the women is then asked to keep a detailed menstrual calendar charting all symptoms with onset, duration and severity. By analyzing two or three months of information and finding predictable symptom complexes, the best treatment course can then be initiated. The goal of treatment is symptom reduction with enhanced quality of life. General non-medical measures include adequate rest, proper nutrition, and exercise. On average, six to eight hours of sleep are needed.
Consistency is better than quantity.
Sleep cannot be made up on the weekends. Caffeine is a stimulant and should be avoided as it may contribute to premenstrual tension, irritability and insomnia. Alcoholic beverages and recreational drugs are no recommended because they can compound any psychological symptoms already present. Moderate aerobic exercise done 3-5 times a weekly can not only boost energy levels, but can also promote general good health and reduce water retention. Exercise is a good method of stress reduction which can be key to reducing premenstrual tension.