PMS Specialist

Advanced Gynecology

Rafael C. Haciski, MD, FACOG

Gynecologist located in Naples, FL

More than 90% of menstruating women experience symptoms of premenstrual syndrome (PMS), such as bloating, headaches, and moodiness. Symptoms range from moderate and barely bothersome to severe enough to interfere with daily activities. Call or make an appointment online today with Dr. Rafael Haciski at Advanced Gynecology in Naples, Florida, to learn how to relieve your symptoms.

PMS Q & A

What is PMS?

Premenstrual syndrome (PMS) is a medical condition identified through its combination of physical and psychological symptoms. These symptoms occur between the time you ovulate and before the start of your period. PMS symptoms disappear within a few days after your period starts.

PMS symptoms tend to range from mild to severe. While pregnancy halts PMS symptoms, it doesn’t always eliminate them: It’s not uncommon for PMS symptoms to change or return when your period comes back. However, PMS does go away with menopause.

What are the symptoms of PMS?

The most common symptoms of PMS include:

  • Breast tenderness and swelling
  • Acne
  • Weight gain and bloating
  • Pain - abdominal, headache, or joint
  • Food cravings
  • Depression, irritability, mood swings, and crying spells


PMS symptoms tend to recur in a predictable pattern each month.

What causes PMS?

It’s unclear as to what causes PMS. However, researchers do know that the dramatic changes in estrogen and progesterone levels trigger symptoms.

If you suffer with PMS, your hormone levels aren’t necessarily abnormal. Instead, your body is either particularly sensitive to the abrupt changes of estrogen and progesterone levels, or it reacts to some of the substances produced as those hormones are metabolized. Often, fluctuating serotonin levels in the brain are responsible for many of the symptoms.

How is PMS treated?

There’s no one treatment for PMS that works for everyone. However, several lifestyle changes help reduce symptoms:

  • Relaxation techniques
  • Acupuncture
  • Exercising
  • Reducing intake of alcohol, coffee, and salt

If habit changes don’t help, over-the-counter pain relievers can ease the aches and pains associated with PMS. Dr. Haciski often prescribes medication when PMS symptoms interfere with your life. Examples of such medications include the following:

  • Hormone medications: Birth control pills or hormone patches
  • Antidepressants: Selective serotonin reuptake inhibitors help reduce psychological problems related to PMS
  • Painkillers: Relieve severe period pain
  • Diuretics: Water pills help decrease water retention

How is PMS different from PMDD?

Premenstrual dysphoric disorder (PMDD) is an extreme extension of PMS. Therefore, they have similar symptoms, except the mood swings associated with PMDD are severe enough to disrupt your life and damage your relationships. These include:

  • Hopelessness
  • Tension
  • Anger


Dr. Haciski helps relieve the symptoms associated with PMS. Call or make an appointment online today.