Premenstrual syndrome encompasses physical and psychological symptoms that arise in the luteal phase and resolve after menstruation. For women with mild to moderate symptom severity, a structured non-pharmacological approach forms the recommended starting point.
This protocol applies to mild to moderate PMS where conservative, first-line strategies are the appropriate initial step before considering further intervention.
Management centres on lifestyle optimisation — including dietary changes and regular exercise — combined with stress reduction techniques and selected complementary therapies. Specific vitamins and minerals also feature in the structured regimen. The complete sequence, agent selection, and supporting evidence are detailed in the full protocol.