Evening primrose oil may cause minor skin blemishes, headaches and lack of energy. Many women have found that regular exercise helps lessen the severity of PMS symptoms such as depression, fatigue, irritability, cramps and headaches. Exercise need not be strenuous, but should be regular. Running, cycling, swimming, aerobic dancing and brisk walking done for at least 20 minutes three times a week is ideal. Stretching exercises such as those done in yoga help the nervous system.
Massage can help relieve bloatedness, improve circulation and reduce tension and anxiety.
Shiatsu , a Japanese form of massage, can help balance the body's hormonal system and relieve stress and tension. Acupuncture has been used successfully to relieve symptoms of PMS, as has homoeopathy. Herbal preparations are effective in clearing and reducing premenstrual symptoms. They work best when used in conjunction with a general program to improve wellbeing. Dandelion coffee and couch grass are useful for reducing fluid retention.