Dear Nuts,

Premenstrual syndrome is the development of a wide range of symptoms for several days before, and sometimes during, the first day of most, or all, of your periods. Researchers disagree on a definition of PMS, and all efforts to find a biological basis for it so far have failed. These treatments may work for some women: antidepressants, birth control pills, some vitamins or minerals, and evening primrose oil. Hormone suppressants have not had clinical trials as a remedy for PMS -- although it is known that they can have severe side effects when taken in large doses over long periods of time.

Some women have found that home remedies, or rather preventatives, have been helpful in alleviating some of the symptoms of PMS. Reduce your salt, sugar, caffeine, and alcohol intake at least one week before your period is expected. Or, if that seems like too much to ask, try reducing one item at a time in your diet and see if there's any difference. Exercise helps premenstrually, as well as for cramps during your period. Although it seems as if that's the last thing you'd want to do, it can help. Also, vitamin B-6, or pyridoxine, may help. Good food sources include whole grains, green vegetables, molasses, nuts and seeds, poultry, potatoes, and fish. If you want to try a B-6 supplement, 25 - 50 mg a day may help. Avoid higher dosages because of toxicity -- discontinue use immediately if you get tingling sensations. Taking 400 mg/day of vitamin E along with vitamin B-6 may offer benefits as well.

Check out these books: Self-Help for Premenstrual Syndrome, by Michelle Harrison and PMS Self-Help Book: A Woman's Guide to Feeling Good All Month, by Susan M. Lark.

Alice

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