Stress is a major risk factor for PMS. It is common for women with severe PMS to lead very stressful lives or have experienced a highly stressful event at some point before the onset of PMS symptoms. The far-reaching effects of stress impact pretty much every system involved in the underlying causes of PMS so it is no surprise that stress can be such a major risk factor. Stress disrupts blood sugar balance, plays havoc with female hormones, affects the nervous system and is a constant drain on the body’s nutrient reserves, not least those that are often low in PMS – magnesium, B vitamins and vitamin C. Dealing with stress involves 1) Identifying major stressors, 2) Taking action to reduce these where possible, and 3) Putting strategies in place to help you to better cope with stress. These strategies may include blood sugar balancing diet, increased intake of key nutrients such as magnesium, B vitamins and vitamin C, and incorporating daily relaxation into your routine. Yoga and mindfulness work particularly well as does gentle exercise such as walking and swimming.