Introduction 6; Chapter 1: The reproductive and endocrine systems 8; Menstruation and how it works; Hormones and the menstrual cycle; The endocrine system; Chapter 2: Understanding PMS 14; What is PMS and who gets it?; PMS and PDD (premenstrual dysphoric disorder); Symptoms of PMS; Causes of PMS; Triggers of PMS; When to consult the doctor; Getting a diagnosis; Chapter 3: Helping yourself 30; Keeping a diary; Food, diet and alcohol; Exercise - choosing types of exercise, toning, aerobics, flexibility; Lifestyle measures you can take - diet, exercise, relaxation and stress management, sleep; Managing stress and relaxation techniques; PMS and everyday life - work, rest and play; Sleep and PMS; sex and PMS; Getting support, friends and family, support groups, using the Internet; Chapter 4: The orthodox approach 42; Medications for PMS: anti-depressants and SSRIs Box - psychotherapy and counselling Hormonal approaches: progesterone and oestrogen patches; Surgery for PMS; Treatments for specific symptoms e.g. bloating, breast pain, etc.; Chapter 5: Complementary therapies 54; Choosing a therapy and therapist; safety guidelines; Herbal approaches - herbalism, aromatherapy, homeopathy; Nutritional approaches; yoga; hands-on - osteopathy, chiropractic, acupuncture and acupressure; Chapter 6: The food connection 62; Role of diet in PMS, sample menus with reference to recipe chapter; Nutrient deficiencies and supplementation; Hints and tips for specific symptoms - migraine, IBS, acne, bloating, cravings, breast tenderness; Chapter 7 Self-help nutrition 74; Recipes for breakfasts, light meals and snacks, main meals, desserts; Glossary; Index 126; Acknowledgements 128
