Premenstrual syndrome (PMS) is a common condition affecting many Australian women each month, often leading to physical discomfort, emotional changes, and disruption to daily routines. While PMS is typically manageable, some women experience severe symptoms that can impact work, relationships, and overall quality of life. Understanding PMS, recognising its symptoms, and learning effective management strategies empower women to maintain their wellbeing and productivity.

Premenstrual syndrome (PMS) is a common condition affecting many Australian women each month, often leading to physical discomfort, emotional changes, and disruption to daily routines. While PMS is typically manageable, some women experience severe symptoms that can impact work, relationships, and overall quality of life. Understanding PMS, recognising its symptoms, and learning effective management strategies empower women to maintain their wellbeing and productivity.
Premenstrual syndrome refers to a range of physical, emotional, and psychological symptoms occurring in the days or weeks leading up to a woman's menstrual period. PMS usually resolves shortly after menstruation begins. While most women experience mild symptoms, some encounter severe PMS, affecting their ability to perform daily tasks or maintain normal routines.
PMS symptoms vary widely among women but typically include both physical and emotional changes:
Bloating or fluid retention
Breast tenderness or swelling
Headaches or migraines
Fatigue or low energy
Muscle or joint pain
Increased appetite or food cravings, particularly sugary or salty foods
Acne flare-ups or skin changes
Mood swings, irritability, or anger
Anxiety, restlessness, or nervous tension
Depression, sadness, or tearfulness
Reduced concentration, memory issues, or “brain fog”
Sleep disturbances or insomnia
Decreased interest in usual activities or social withdrawal
The exact cause of PMS remains unclear, but it is believed to involve fluctuations in hormone levels—primarily estrogen and progesterone—during the menstrual cycle. These hormonal changes can affect neurotransmitters like serotonin, significantly influencing mood, sleep, and overall emotional wellbeing.
Several lifestyle and dietary factors may exacerbate PMS symptoms, including stress, lack of exercise, poor diet, and excessive caffeine or alcohol intake.
Premenstrual dysphoric disorder (PMDD) is a severe, less common form of PMS, characterised by intense emotional and physical symptoms that significantly impair daily functioning. Women with PMDD typically experience severe mood disturbances, depression, anxiety, and physical discomfort, requiring professional medical intervention and treatment.
Proactively managing PMS involves lifestyle adjustments, dietary changes, and medical interventions to reduce symptom severity and improve quality of life.
Regular Exercise: Engaging in moderate aerobic activities (walking, swimming, cycling) can significantly reduce PMS symptoms by improving mood and energy levels.
Stress Management: Techniques such as mindfulness meditation, yoga, deep breathing exercises, and progressive muscle relaxation help mitigate stress and emotional tension.
Improved Sleep Hygiene: Establishing regular sleep routines, reducing screen time before bed, and creating a relaxing bedtime environment enhance sleep quality.
Balanced Diet: Increasing intake of whole grains, fruits, vegetables, lean proteins, and healthy fats reduces symptoms.
Limiting Salt, Sugar, and Caffeine: Reducing these can help decrease bloating, irritability, and mood swings.
Nutritional Supplements: Vitamins B6, E, calcium, magnesium, and omega-3 fatty acids may relieve PMS symptoms effectively.
Pain Relief Medication: Over-the-counter NSAIDs (ibuprofen, naproxen) effectively reduce physical pain and discomfort.
Hormonal Treatments: Oral contraceptives can regulate hormone fluctuations, significantly reducing PMS severity.
Psychological Therapies: Cognitive behavioural therapy (CBT) may help women manage severe emotional symptoms effectively.
Severe PMS symptoms can significantly disrupt a woman's workplace productivity, leading to decreased concentration, irritability, emotional distress, and physical discomfort.
Communicate openly with employers or HR if symptoms affect your performance.
Request flexible scheduling or workload adjustments during symptomatic periods.
Prioritise regular breaks, hydration, and healthy nutrition throughout the workday.
For women experiencing severe PMS or PMDD symptoms that significantly affect daily responsibilities or workplace performance, obtaining a medical certificate (doctor’s sick note) should be simple and stress-free.
Doctors Note streamlines this process:
Complete our easy-to-use online form—no consultation or face-to-face appointments required.
A qualified Australian doctor promptly reviews your request.
Quickly receive your medical certificate, allowing you to prioritise recovery and health comfortably.
Emerging research and technology promise improved future management of PMS:
Personalised PMS Care: Genetic research enabling tailored treatment based on individual hormonal profiles.
Digital Health Tools: Mobile apps and wearable devices tracking menstrual cycles, PMS symptoms, diet, exercise, and medication management.
Innovative Therapies: Exploration of new medications targeting neurotransmitters and hormonal fluctuations with improved effectiveness and reduced side effects.
For further support, professional advice, and information:
PMS does not have to control your life or productivity. By understanding symptoms, adopting preventive strategies, and accessing reliable medical support, Australian women can confidently manage PMS and maintain their daily routines effectively.
If severe PMS symptoms disrupt your work, studies, or daily responsibilities, conveniently request your Doctor’s Sick Note through our straightforward online form at Doctors Note today.