Many women report depressed mood, irritability, or anxiety, often combined with physical symptoms such as breast tenderness, headaches, bloated feelings, and weight gain, for up to 2 weeks before the onset of menstruation. Premenstrual tension has been used successfully as a defence in criminal trials, although this is exceptional. Regarding treatment, a wide variety of interventions has been systematically reviewed (http://www.clinicalevidence.com/ceweb/condi-tions/woh/0806/0806.jsp): diuretics and pyridoxine are considered to have good evidence of effectiveness. 'Likely to be beneficial' treatments include nonsteroidal anti-inflammatory drugs; SSRIs have 'a trade-off between benefits and harms'. Some popular treatments, including evening primrose, are of 'unknown effectiveness'.
Was this article helpful?