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Premenstrual Syndrome

Some medical conditions can be so excruciating that they can lead to severe pain and in turn cause distress. Pain is usually defines as an unpleasant feeling which is generally associated with some sort of damage to the tissues or the nerves.

Controlling pain of chronic or acute in nature is very common for the doctors. In the UK, almost 1 in 7 people suffer from chronic pain. If pain not treated, it can leave people with a feeling of frustration and helplessness.

At The Online Surgery, we can help you relieve your symptoms of pain, by fully understanding them and the exact cause behind them. Medication like painkillers in the form of tablets, gels, patches and injections are advised with an assurance of complete safety and risks.

Premenstrual Syndrome > Premenstrual Syndrome Meds


Strength & Pack Size:

Cyclogest (Progesterone)

What is Premenstrual syndrome

• Premenstrual syndrome is used to define the behaviour of women two weeks prior to their monthly periods.

• Usually women who are in their childbearing age have premenstrual symptoms, but these are common in women in late 20s and early 40s.

• The symptoms vary from person to person and 1 in 20 women suffer from severe symptoms, so that she is unable to carry out her day to day activities. This is an intense PMS and is termed as premenstrual dysphoric disorder.

There are different symptoms of PMS and these vary from person to person and even change every month. The symptoms improve on their own once the period starts and disappear until the nest cycle returns. Common symptoms are:
• Discomfort and pain in the abdomen
• Feeling bloated
• Pain in the joints and muscles
• Trouble in sleeping
• Nausea
• Headache
• Backache
• Mood swings
• Anxiety
• Feeling irritable, angry, emotional and angry
• Feeling of tiredness, restlessness, forgetfulness and confusion
• Loss of appetite or food cravings
• Loss of libido

• The exact cause of PMS is not known and it is not due to hormone imbalance or due to too much or too little of some hormone.

• It is believed that the release of the egg from the ovary every month triggers the symptoms associated with PMS.

• Women with PMS are very sensitive to normal levels of progesterone as the hormone is passed into the bloodstream from the ovaries post ovulation.

• The over sensitivity towards progesterone reduces serotonin, a chemical of the brain and usually gives rise to the symptoms of the PMS.

• Lifestyle factors such as stress, diet exercise and weight also contributes to PMS.

• There is no specific test for PMS and it is widely ruled out on the basis of the symptoms.

• Sometime symptoms also get deceiving as it is difficult to differentiate whether the symptoms are due to anxiety, depression or PMS.

• In case of PMS the symptoms start first with the release of an egg from the ovary every month. This starts usually 2 weeks prior to the bleed.

• Typically the symptoms last for 5 days, but in some women these might also last for 2 weeks which leads to the periods.

• The symptoms usually worsen as the periods approach and ease within 3-4 days or once the period starts.

• Treating PMS usually helps to manage the symptoms so that the daily activities are not hampered.

• Medical treatment if really required, requires:
o Painkillers.
o Oral contraceptive pills.
o Oestrogen only patches.
o In case of hysterectomy oestrogen and progesterone combination is used
o Hormone replacement therapy to relieve the symptoms of PMS and to reduce menopausal complications

• A healthy and balanced diet should be consumed. Smaller meals and less salty food should be consumed to avoid bloating.

• Quitting smoking helps to reduce the symptoms of PMS.

• Exercising regularly for about 2 hours helps to alleviate not just the symptoms of PMS but overall health.

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Please note:


In the interest of safe practice, we must apply the following restrictions to this service:

  • We can only treat people aged 18 and above
  • We will not issue prescriptions for the following medicines:
    • Morphine and other opiates
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    • ‘Z-drugs’ e.g. Zopiclone or Zolpidem (Sleeping tablets)
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The Online Surgery is registered and authorised by the Medicines and Healthcare products Regulatory Agency (MHRA) to sell medicines online.


The Online Surgery dispenses medication from its London based First Care Pharmacy (FCP). FCP is registered and regulated by The General Pharmaceutical Council (GPhC).

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