Hormonal Disorders

Premenstrual Syndrome (PMS)

Premenstrual Syndrome (PMS) is a group of physical, emotional, and behavioral symptoms occurring in the luteal phase (1-2 weeks before menstruation) that resolve with menstruation onset. Dr. Rashmi Bastakoti, Nepal's leading gynecologist with 25+ years of experience, specializes in PMS management at GyneNepal, Kathmandu. Affecting 75% of menstruating women, PMS symptoms range from mild to severe, impacting daily activities and relationships. Dr. Rashmi's comprehensive approach combines lifestyle modifications, nutritional support, and medical therapy. She has successfully treated over 3,500 PMS cases, significantly improving quality of life. Distinguishing PMS from PMDD (more severe) ensures appropriate treatment. Evidence-based interventions reduce symptom severity by 50-70%. Serving Kathmandu, Lalitpur, Bhaktapur with personalized PMS care.

AI Executive Summary

Quick Overview: Premenstrual Syndrome (PMS)

Premenstrual Syndrome (PMS) is a hormonal disorders that affects many patients in Kathmandu. Premenstrual Syndrome (PMS) is a group of physical, emotional, and behavioral symptoms occurring in the luteal phase (1-2 weeks before menstruation) that resolve with menstruation onset. Dr. Rashmi Bastakoti, Nepal's leading gynecologist with 25+ years of experience, specializes in PMS management at GyneNepal, Kathmandu. Affecting 75% of menstruating women, PMS symptoms range from mild to severe, impacting daily activities and relationships. Dr. Rashmi's comprehensive approach combines lifestyle modifications, nutritional support, and medical therapy. She has successfully treated over 3,500 PMS cases, significantly improving quality of life. Distinguishing PMS from PMDD (more severe) ensures appropriate treatment. Evidence-based interventions reduce symptom severity by 50-70%. Serving Kathmandu, Lalitpur, Bhaktapur with personalized PMS care. At GyneNepal, Dr. Rashmi Bastakoti provides expert diagnosis and treatment for Premenstrual Syndrome (PMS) using evidence-based approaches and modern medical technology.
Expert treatment for Premenstrual Syndrome (PMS) by Dr. Rashmi Bastakoti in Kathmandu
Comprehensive hormonal disorders care with modern facilities
Common symptoms include Mood swings and irritability, Anxiety and tension, Depressed mood and crying spells
Treatment options include Lifestyle modifications: Regular aerobic exercise (30 min, 5x/week), Dietary changes: Reduce salt, caffeine, alcohol, sugar, Calcium 1200mg and Magnesium 400mg daily
Book a consultation at GyneNepal for personalized premenstrual syndrome (pms) treatment

Warning Signs & Symptoms

⚠️Mood swings and irritability
⚠️Anxiety and tension
⚠️Depressed mood and crying spells
⚠️Breast tenderness and swelling
⚠️Food cravings (especially sweets)
⚠️Fatigue and low energy
⚠️Sleep disturbances (insomnia or hypersomnia)
⚠️Bloating and weight gain
⚠️Headaches and migraines
⚠️Joint and muscle pain
⚠️Difficulty concentrating
⚠️Social withdrawal

Common Causes

🔍Cyclic hormonal changes (estrogen and progesterone)
🔍Serotonin deficiency in brain
🔍Chemical changes in neurotransmitters
🔍Prostaglandin fluctuations
🔍Calcium and magnesium deficiency
🔍Vitamin B6 deficiency
🔍Genetic predisposition
🔍Stress and lifestyle factors
🔍Poor diet and lack of exercise
🔍Underlying depression or anxiety

Diagnostic Tests

Prospective symptom diary (2-3 menstrual cycles)
Timing: Symptoms in luteal phase, resolve with menses
Daily Symptom Rating Scale
Medical history and physical examination
Rule out other conditions (thyroid, depression)
No specific laboratory tests for PMS
Assessment of symptom severity and impact

Treatment Options

💊Lifestyle modifications: Regular aerobic exercise (30 min, 5x/week)
💊Dietary changes: Reduce salt, caffeine, alcohol, sugar
💊Calcium 1200mg and Magnesium 400mg daily
💊Vitamin B6 50-100mg daily
💊Vitamin E 400 IU for breast tenderness
💊SSRIs (fluoxetine, sertraline) for severe symptoms
💊Hormonal contraceptives (continuous or extended cycle)
💊NSAIDs for pain and cramping
💊Cognitive behavioral therapy (CBT)
💊Stress management and relaxation techniques

Recommended Specialist

Dr Rashmi Bastakoti

Dr Rashmi Bastakoti

MBBS, MD (Obs & Gyne), Fellowship in Reproductive Medicine (Nepal)

25 years
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Contact Information

📞
Phone
+977 9700682797
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Email
info@gynenepal.com
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Location
Dillibazar Pipalbot, Kathmandu
Hours
Mon-Sat: 8 AM - 6 PM