Premenstrual Syndrome - What Helps Period Pain?

Many women suffer from premenstrual syndrome, which can be associated with symptoms such as mood swings, pain and other symptoms during and before the menstrual period. For some of those affected, the symptoms are so severe that they feel restricted in their everyday life.

PMS medication - what can help with symptoms?

While there are some drugs to choose from for PMS symptoms, there are very few drugs approved to treat PMS.

If you want to take a so-called off-label use, your doctor must explain the effects and possible side effects to you. 

Note: As a rule, health insurance companies do not cover the costs of a drug without approval.

Hormones are often administered in an attempt to intervene in the menstrual cycle by restricting the development of the body's own hormones. Depending on the symptoms, painkillers or psychotropic drugs can also be used.

Hormonal contraceptives 

The most commonly used remedy for premenstrual syndrome is the birth control pill. 

The contraceptive intervenes hormonally in the menstrual cycle. The pill can help relieve the symptoms of PMS through a combination of drospirenone, progestin and estrogen.

However, contraceptives can also the risk of side effects such as thrombosis, nausea and chest pain. In addition, a hormonal contraceptive is only an option for a woman who does not want to have a baby.


PMS or PMDD (premenstrual dysphoric disorder) can trigger psychological problems. For example, it can lead to anxiety attacks or depressive moods. If the psyche suffers too much from PMS, taking antidepressants should be considered. So-called selective serotonin reuptake inhibitors (SSRIs) increase serotonin levels in the brain.

Serotonin is a messenger substance. It can be produced in the body from the amino acid tryptophan. Because this neurotransmitter can influence emotions, among other things, it is called the happiness hormone. 

Note: Taking SSRIs can lead to side effects such as sexual reluctance, insomnia and nausea.


Many women suffer from back, headache or abdominal pain in the second half of the cycle after ovulation or from abdominal cramps during their period. Ibuprofen, ASA, or other NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) can help most sufferers.

Side effects such as drowsiness or stomach problems occur rather rarely. You shouldn't take NSAIDs too often because they often cause headaches.

Do dietary supplements help against PMS?

There are some plants, vitamins, and minerals that can relieve PMS symptoms. These include, for example, chaste tree and B vitamins, which can balance hormone levels. Magnesium is a proven anti-seizure mineral, and St. John's Wort may have a calming effect. These and other ingredients are in the Dietary supplements håvsund Harmony included.

The laboratory-tested preparation made in Germany is designed for women with PMS symptoms who are looking for a hormone-free remedy. Harmony is a herbal dietary supplement designed to relieve premenstrual symptoms.

What other treatment options are there for PMS?

In addition to PMS medication, there are other therapeutic approaches, but their effect on PMS has not been proven by studies. Nevertheless, it is worth trying out whether one of the treatments is helpful for you.


The positive effects of a stomach massage are scientifically researched. The good thing about a massage is that you can do it yourself. With circular movements and a slight pressure, the musculature of the uterus can relax, which can lead to relief of menstrual pain.


Heat can also contribute to muscle relaxation in the uterus. A hot water bottle that you put on your stomach can help with abdominal cramps, for example. Or you take a warm bath.


With endurance training you can prevent PMS symptoms. Exercise can help reduce stress and stimulate blood circulation. Sports such as swimming, cycling or walking are recommended.


Some foods can help relieve PMS symptoms. For example, there is a lot of calcium in dairy products. The mineral can relieve depressive moods, water retention and pain.

Bananas contain the amino acid tryptophan, which the body needs to produce serotonin. 

Furthermore, foods high in magnesium can help counteract muscle cramps.

Behavioral therapy to manage the symptoms

It is possible that affected women have developed certain thought and behavior patterns due to the PMS symptoms that increase the burden. Cognitive-behavioural therapy teaches you to change your beliefs and habits, which can make everyday life more manageable.


Traditional Chinese Medicine believes that premenstrual syndrome is related to the liver meridian. In order to release the blockage in this energy channel, TCM therapists use acupuncture, among other things.

correctly interpret complaints 

In order for an accurate diagnosis to be made, it is important to provide your gynecologist with detailed information. It is a good idea to keep a diary. Make a note of when which symptoms occur and whether you were under a lot of stress before menstruation. 

Tip: Documenting is faster and easier if you download an app.

What are typical PMS symptoms? 

  • abdominal pain and cramps
  • circulatory problems
  • dizziness
  • back pain
  • headache
  • Blemishes
  • digestive problems
  • Sweats 
  • Cravings
  • Bloating
  • Bloated stomach
  • Nausea
  • Chest pains like breast tenderness
  • Water retention
  • depressed mood
  • sleep disorders
  • fatigue
  • listlessness
  • nervousness or anxiety

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