Abstract
A premenstrual syndrome is a group of regular physiological, mental, emotional, and behavioral symptoms that appear periodically in the luteal phase of the menstrual cycle, and they vanish quickly with the beginning of menstruation or a few days afterward. Thus, severe premenstrual syndrome (PMS) affects 5–8% of women; the majority of these individuals also match the factors for premenstrual dysphoric disorder (PMDD). Premenstrual syndrome typically includes physical problems like headache, tiredness, indigestion, insomnia, nausea, and breast tenderness as well as symptoms associated with emotions (mood swings, anxiousness, and aggressiveness). Although the true mechanism of PMS is unknown, a number of theories point to increased sensitivity to typical hormonal changes and imbalances in neurotransmitters. A multidisciplinary team using an integrative holistic approach in the direction of an individualized strategy gradually manages PMS. The first phase entails educating women about PMS, self-screening, herbs like St John’s Wort, chaste berry, saffron; Ginkgo biloba; chamomile, evening primrose, turmeric and so on, various nutrition supplements as Vitamin B6; calcium; magnesium and lifestyle adjustments like dietary modifications; exercise; yoga; sleep hygiene. The second step involves implementing various relaxation therapies, cognitive behavioral therapy (CBT), stress reduction techniques, and acupuncture. The available treatment as various drugs like SSRIs; serotonergic antidepressants; anxiolytics and hormonal therapy that are used currently to treat PMS, exhibits unwanted side effects. Therefore, this issue and other similar gynecological conditions have been discussed and managed with herbal medicines and other natural solutions in this comprehensive piece of work.
Graphical Abstract
[1]
Ryu, A; Kim, TH Premenstrual syndrome: A mini review.Premenstrual syndrome: A mini review. Maturitas, 2011, 32(1), 436-40.
[http://dx.doi.org/10.1016/j.maturitas.2015.08.010]
[http://dx.doi.org/10.1016/j.maturitas.2015.08.010]
[2]
Dante, G; Facchinetti, F Herbal treatments for alleviating premenstrual symptoms: A systematic review. J Psychos Obstet & Gynecol., 2015, 82(4), 42-51.
[http://dx.doi.org/10.3109/0167482X.2010.538102]
[http://dx.doi.org/10.3109/0167482X.2010.538102]
[3]
Yonkers, KA; O'Brien, PS; Eriksson, E Premenstrual syndrome. Lancet, 2008, 371(9619), 1200-10.
[http://dx.doi.org/10.1016/S0140-6736(08)60527-9]
[http://dx.doi.org/10.1016/S0140-6736(08)60527-9]
[4]
Zaka, M.; Mahmood, K.T. Pre-menstrual syndrome-a review. Journal of Pharmaceutical Sciences and Research., 2012, 4(1), 1684.
[5]
Tiranini, L.; Nappi, R.E. Recent advances in understanding/management of premenstrual dysphoric disorder/premenstrual syndrome. Fac. Rev., 2022, 11, 11.
[http://dx.doi.org/10.12703/r/11-11] [PMID: 35574174]
[http://dx.doi.org/10.12703/r/11-11] [PMID: 35574174]
[6]
Bu, L.; Lai, Y.; Deng, Y.; Xiong, C.; Li, F.; Li, L.; Suzuki, K.; Ma, S.; Liu, C. Negative mood is associated with diet and dietary antioxidants in university students during the menstrual cycle: A cross-sectional study from Guangzhou, China. Antioxidants, 2019, 9(1), 23.
[http://dx.doi.org/10.3390/antiox9010023] [PMID: 31888014]
[http://dx.doi.org/10.3390/antiox9010023] [PMID: 31888014]
[7]
Mbati, D.D.; Alit, N.K.; Hidayati, L. Literature review:analysis of factors affecting premenstrual syndrome in girls adolescent. Indonesian Journal of Community Health Nursing, 2021, 6(2), 75-80.
[http://dx.doi.org/10.20473/ijchn.v6i2.29691]
[http://dx.doi.org/10.20473/ijchn.v6i2.29691]
[8]
Dilbaz, B.; Aksan, A. Premenstrual syndrome, a common but underrated entity: Review of the clinical literature. J. Turk. Ger. Gynecol. Assoc., 2021, 22(2), 139-148.
[http://dx.doi.org/10.4274/jtgga.galenos.2021.2020.0133] [PMID: 33663193]
[http://dx.doi.org/10.4274/jtgga.galenos.2021.2020.0133] [PMID: 33663193]
[9]
Nappi, RE; Cucinella, L; Bosoni, D; Righi, A; Battista, F; Molinaro, P; Stincardini, G; Piccinino, M; Rossini, R; Tiranini, L Premenstrual Syndrome and Premenstrual Dysphoric Disorder as Centrally Based Disorders. Endocrines., 2022, 3(1), 127-38.
[http://dx.doi.org/10.3390/endocrines3010012]
[http://dx.doi.org/10.3390/endocrines3010012]
[10]
A, D.M.; K, S.; A, D.; Sattar, K. Epidemiology of Premenstrual Syndrome (PMS)-A Systematic Review and Meta-Analysis Study. J. Clin. Diagn. Res., 2014, 8(2), 106-109.
[PMID: 24701496]
[PMID: 24701496]
[11]
Steiner, M.; Macdougall, M.; Brown, E. The premenstrual symptoms screening tool (PSST) for clinicians. Arch. Women Ment. Health, 2003, 6(3), 203-209.
[http://dx.doi.org/10.1007/s00737-003-0018-4] [PMID: 12920618]
[http://dx.doi.org/10.1007/s00737-003-0018-4] [PMID: 12920618]
[12]
Potter, J.; Bouyer, J.; Trussell, J.; Moreau, C. Premenstrual syndrome prevalence and fluctuation over time: Results from a French population-based survey. J. Womens Health (Larchmt.), 2009, 18(1), 31-39.
[http://dx.doi.org/10.1089/jwh.2008.0932] [PMID: 19105683]
[http://dx.doi.org/10.1089/jwh.2008.0932] [PMID: 19105683]
[13]
Appleton, S.M. Premenstrual Syndrome: Evidence-based Evaluation and Treatment. Clin. Obstet. Gynecol., 2018, 61(1), 52-61.
[http://dx.doi.org/10.1097/GRF.0000000000000339] [PMID: 29298169]
[http://dx.doi.org/10.1097/GRF.0000000000000339] [PMID: 29298169]
[14]
Gudipally, P.R.; Sharma, G.K. Premenstrual syndrome., 2022.https://www.ncbi.nlm.nih.gov/books/NBK560698/
[15]
Milewicz, A.; Jedrzejuk, D. Premenstrual syndrome: From etiology to treatment. Maturitas, 2006, 55(55), S47-S54.
[http://dx.doi.org/10.1016/j.maturitas.2006.06.016]
[http://dx.doi.org/10.1016/j.maturitas.2006.06.016]
[16]
Nworie, K.M. Premenstrual syndrome: Etiology, diagnosis and treatment. A mini literature review. J Obst. & Gyno Inves, 2018, 1(1), 41-46.
[http://dx.doi.org/10.5114/jogi.2018.78010]
[http://dx.doi.org/10.5114/jogi.2018.78010]
[17]
Jose, A.; Nayak, S.; Kamath, N.; M, N. The Mystery behind Relaxation Therapy: Adieu to Premenstrual Syndrome. J Heal & Alli Sci NU, 2021, 11(3), 119-125.
[http://dx.doi.org/10.1055/s-0041-1726689]
[http://dx.doi.org/10.1055/s-0041-1726689]
[18]
Rapkin, A.J.; Akopians, A.L. Pathophysiology of premenstrual syndrome and premenstrual dysphoric disorder. Menopause Int., 2012, 18(2), 52-59.
[http://dx.doi.org/10.1258/mi.2012.012014] [PMID: 22611222]
[http://dx.doi.org/10.1258/mi.2012.012014] [PMID: 22611222]
[19]
Galeotti, N. Hypericum perforatum (St John’s wort) beyond depression: A therapeutic perspective for pain conditions. J. Ethnopharmacol., 2017, 200, 136-146.
[http://dx.doi.org/10.1016/j.jep.2017.02.016] [PMID: 28216196]
[http://dx.doi.org/10.1016/j.jep.2017.02.016] [PMID: 28216196]
[20]
Walsh, S.; Ismaili, E.; Naheed, B.; O’Brien, S. Diagnosis, pathophysiology and management of premenstrual syndrome. Obstet. Gynaecol., 2015, 17(2), 99-104.
[http://dx.doi.org/10.1111/tog.12180]
[http://dx.doi.org/10.1111/tog.12180]
[21]
Canning, S.; Waterman, M.; Orsi, N.; Ayres, J.; Simpson, N.; Dye, L. The efficacy of Hypericum perforatum (St John’s wort) for the treatment of premenstrual syndrome: A randomized, double-blind, placebo-controlled trial. CNS Drugs, 2010, 24(3), 207-225.
[http://dx.doi.org/10.2165/11530120-000000000-00000] [PMID: 20155996]
[http://dx.doi.org/10.2165/11530120-000000000-00000] [PMID: 20155996]
[22]
Whelan, A.M.; Jurgens, T.M.; Naylor, H. Herbs, vitamins and minerals in the treatment of premenstrual syndrome: A systematic review. J. Popul. Ther. Clin. Pharmacol., 2009, 16(3), e407-e429.
[PMID: 19923637]
[PMID: 19923637]
[23]
Seidlova-Wuttke, D.; Wuttke, W. The premenstrual syndrome, premenstrual mastodynia, fibrocystic mastopathy and infertility have often common roots: Effects of extracts of chasteberry (Vitex agnus castus) as a solution. Clinical Phytoscience, 2017, 3(1), 6.
[http://dx.doi.org/10.1186/s40816-016-0038-z]
[http://dx.doi.org/10.1186/s40816-016-0038-z]
[24]
Chen, SN; Friesen, JB; Webster, D; Nikolic, D; van Breemen, RB; Wang, ZJ; Fong, HH; Farnsworth, NR; Pauli, GF Phytoconstituents from Vitexagnus-castus fruits. Fitoterapia., 2011, 82(4), 528-33.
[25]
Pirdadeh Beiranvand, S.; Shams Beiranvand, N.; Behboodi Moghadam, Z.; Birjandi, M.; Azhari, S.; Rezaei, E.; Nazar Salehnia, A.; Beiranvand, S. The effect of Crocus sativus (saffron) on the severity of premenstrual syndrome. Eur. J. Integr. Med., 2016, 8(1), 55-61.
[http://dx.doi.org/10.1016/j.eujim.2015.06.003]
[http://dx.doi.org/10.1016/j.eujim.2015.06.003]
[26]
Agha-Hosseini, M.; Kashani, L.; Aleyaseen, A.; Ghoreishi, A.; Rahmanpour, H.; Zarrinara, A.R.; Akhondzadeh, S. Crocus sativus L. (saffron) in the treatment of premenstrual syndrome: A double-blind, randomised and placebo-controlled trial. BJOG, 2008, 115(4), 515-519.
[http://dx.doi.org/10.1111/j.1471-0528.2007.01652.x] [PMID: 18271889]
[http://dx.doi.org/10.1111/j.1471-0528.2007.01652.x] [PMID: 18271889]
[27]
Moshiri, M.; Vahabzadeh, M.; Hosseinzadeh, H. Clinical applications of saffron (Crocus sativus) and its constituents: A review. Drug Res. (Stuttg.), 2015, 65(6), 287-295.
[PMID: 24848002]
[PMID: 24848002]
[28]
Pang, Z; Pan, F; He, S. Ginkgo biloba L.: History, current status, and future prospects. J Alter Complem Med, 1996, 2(3), 359-63.
[29]
Dugoua, J.-J.; Mills, E.; Perri, D.; Koren, G. K. Safety and efficacy of Ginkgo (Ginkgo biloba) During pregnancy and lactation. J Popl Ther Clin Pharmacol, 2018, 13(3), e277-84.
[30]
Khalesi, Z.B.; Beiranvand, S.P.; Bokaie, M. Efficacy of chamomile in the treatment of premenstrual syndrome: A systematic review. J. Pharmacopuncture, 2019, 22(4), 204-209.
[http://dx.doi.org/10.3831/KPI.2019.22.028] [PMID: 31970017]
[http://dx.doi.org/10.3831/KPI.2019.22.028] [PMID: 31970017]
[31]
Amsterdam, J.D.; Li, Y.; Soeller, I.; Rockwell, K.; Mao, J.J.; Shults, J. A randomized, double-blind, placebo-controlled trial of oral Matricaria recutita (chamomile) extract therapy for generalized anxiety disorder. J. Clin. Psychopharmacol., 2009, 29(4), 378-382.
[http://dx.doi.org/10.1097/JCP.0b013e3181ac935c] [PMID: 19593179]
[http://dx.doi.org/10.1097/JCP.0b013e3181ac935c] [PMID: 19593179]
[32]
Mirabi, P.; Alamolhoda, S.H.; Esmaeilzadeh, S.; Mojab, F. Effect of medicinal herbs on primary dysmenorrhoea- a systematic review. Iran. J. Pharm. Res., 2014, 13(3), 757-767.
[PMID: 25276177]
[PMID: 25276177]
[33]
Jahanian, M.; Rakhshandeh, H.; Teimuri, M. The effect of Chamomile extract on Dysmenorrhoea. Med J Mashad Univ Med Sci., 1999, 42(64), 33-40.
[34]
Fecker, R; Buda, V; Alexa, E; Avram, S; Pavel, IZ; Muntean, D; Cocan, I; Watz, C; Minda, D; Dehelean, CA; Soica, C Phytochemical and biological screening of Oenotherabiennis L. hydroalcoholic extract. Biomolecules., 2020, 10(6), 818.
[35]
Mahboubi, M. Evening primrose (Oenotherabiennis) oil in management of female ailments. J. Menopausal Med., 2019, 25(2), 74-82.
[http://dx.doi.org/10.6118/jmm.18190] [PMID: 31497576]
[http://dx.doi.org/10.6118/jmm.18190] [PMID: 31497576]
[36]
Saki, M; Akbari, S; Saki, M; Tarrahi, MJ; Gholami, M; Pirdadeh, S The effect of primrose oil on the premenstrual syndrome among the female students in Lorestan University of Medical Sciences: A triple blind study. J Nurs Midwifery Sci., 2015, 2(1), 20.
[http://dx.doi.org/10.4103/2345-5756.231415]
[http://dx.doi.org/10.4103/2345-5756.231415]
[37]
Almodaifer, S.; Alsibaie, N.; Alhoumendan, G.; Alammari, G.; Kavita, M.S. Role of phytochemicals in health and nutrition. BAO J Nutr., 2017, 3, 28-34.
[38]
Khayat, S; Fanaei, H; Kheirkhah, M; Moghadam, ZB; Kasaeian, A; Javadimehr, M Curcumin attenuates severity of premenstrual syndrome symptoms: A randomized, double-blind, placebo-controlled trial. Complement Ther Med., 2015, 23(3), 318-24.
[http://dx.doi.org/10.1016/j.ctim.2015.04.001]
[http://dx.doi.org/10.1016/j.ctim.2015.04.001]
[39]
Girman, A; Lee, R; Kligler, B An integrative medicine approach to premenstrual syndrome. Am J Obstet Gynecol., 2003, 188(5), S56-65.
[http://dx.doi.org/10.1067/mob.2003.403]
[http://dx.doi.org/10.1067/mob.2003.403]
[40]
Fisher, C.; Adams, J.; Hickman, L.; Sibbritt, D. The use of complementary and alternative medicine by 7427 Australian women with cyclic perimenstrual pain and discomfort: A cross-sectional study. BMC Complement. Altern. Med., 2016, 16(1), 129.
[http://dx.doi.org/10.1186/s12906-016-1119-8] [PMID: 27189381]
[http://dx.doi.org/10.1186/s12906-016-1119-8] [PMID: 27189381]
[41]
Kloss, BA; Marcom, LA; Odom, AM; Tuggle, CL; Weatherspoon, D PMS Treatment Through the Use of CAM. Int J Childbirth Edu, 2012, 1(27), 3.
[42]
Bendich, A. The potential for dietary supplements to reduce premenstrual syndrome (PMS) symptoms. J American Coll Nutr, 2000, 19(1), 12.
[43]
Stewart, A. Clinical and biochemical effects of nutritional supplementation on the premenstrual syndrome. J Reprod Med., 1987, 32(6), 435.41,
[44]
Abraham, GE Nutritional factors in the etiology of the premenstrual tension syndromes. J Reprod Med., 1983, 28(7), 446.64,
[45]
Mayo, J.; Joseph, L. Premenstrual syndrome: A natural approach to management. ApplNutrSci Rep., 1999, 5, 1-8.
[46]
Williams, AL; Cotter, A; Sabina, A; Girard, C; Goodman, J; Katz, DL The role for vitamin B-6 as treatment for depression: A systematic review. Family Prac., 2005, 22(5), 532.7,
[47]
Frackiewicz, EJ; Shiovitz, TM Evaluation and management of premenstrual syndrome and premenstrual dysphoric disorder. J Amer Pharmaceut Associat, 2001, 41(3), 437.47,
[48]
Kashanian, M.; Mazinani, R.; Jalalmanesh, S.; Babayanzad Ahari, S. Pyridoxine (vitamin B6) therapy for premenstrual syndrome. Int. J. Gynaecol. Obstet., 2007, 96(1), 43-44.
[http://dx.doi.org/10.1016/j.ijgo.2006.09.014] [PMID: 17187801]
[http://dx.doi.org/10.1016/j.ijgo.2006.09.014] [PMID: 17187801]
[49]
Parazzini, F; Di Martino, M; Pellegrino, P 2017; Magnesium in the gynecological practice: A literature review. Magnes Res., 2017, 30(1), 1-7.
[http://dx.doi.org/10.1684/mrh.2017.0419]
[http://dx.doi.org/10.1684/mrh.2017.0419]
[50]
Moslehi, M.; Arab, A.; Shadnoush, M.; Hajianfar, H. The association between serum magnesium and premenstrual syndrome: A systematic review and meta-analysis of observational studies. Biol. Trace Elem. Res., 2019, 192(2), 145-152.
[http://dx.doi.org/10.1007/s12011-019-01672-z] [PMID: 30880352]
[http://dx.doi.org/10.1007/s12011-019-01672-z] [PMID: 30880352]
[51]
Khine, K.; Rosenstein, D.L.; Elin, R.J.; Niemela, J.E.; Schmidt, P.J.; Rubinow, D.R. Magnesium (mg) retention and mood effects after intravenous mg infusion in premenstrual dysphoric disorder. Biol. Psychiatry, 2006, 59(4), 327-333.
[http://dx.doi.org/10.1016/j.biopsych.2005.07.022] [PMID: 16197921]
[http://dx.doi.org/10.1016/j.biopsych.2005.07.022] [PMID: 16197921]
[52]
Boyle, NB; Lawton, CL; Dye, L The effects of magnesium supplementation on subjective anxiety. Magnes. Res., 2016, 29(3), 120-5.
[53]
Bendich, A. The potential for dietary supplements to reduce premenstrual syndrome (PMS) symptoms. J Amer Coll Nutr., 2000, 19(1), 3-12.
[54]
Walker, A.F.; De Souza, M.C.; Vickers, M.F.; Abeyasekera, S.; Collins, M.L.; Trinca, L.A. Magnesium supplementation alleviates premenstrual symptoms of fluid retention. J. Womens Health, 1998, 7(9), 1157-1165.
[http://dx.doi.org/10.1089/jwh.1998.7.1157] [PMID: 9861593]
[http://dx.doi.org/10.1089/jwh.1998.7.1157] [PMID: 9861593]
[55]
Hofmeister, S.; Bodden, S. Premenstrual syndrome and premenstrual dysphoric disorder. Am. Fam. Physician, 2016, 94(3), 236-240.
[PMID: 27479626]
[PMID: 27479626]
[56]
Ghanbari, Z.; Haghollahi, F.; Shariat, M.; Foroshani, A.R.; Ashrafi, M. Effects of calcium supplement therapy in women with premenstrual syndrome. Taiwan. J. Obstet. Gynecol., 2009, 48(2), 124-129.
[http://dx.doi.org/10.1016/S1028-4559(09)60271-0] [PMID: 19574172]
[http://dx.doi.org/10.1016/S1028-4559(09)60271-0] [PMID: 19574172]
[57]
Malik, R.; Bhat, M.D.A. The management of Premenstrual syndrome: A review. Bangladesh J Med Sci, 2018, 17(1), 16-20.
[http://dx.doi.org/10.3329/bjms.v17i1.35273]
[http://dx.doi.org/10.3329/bjms.v17i1.35273]
[58]
Abdi, F; Ozgoli, G; Rahnemaie, FS 2019; A systematic review of the role of vitamin D and calcium in premenstrual syndrome. Obstet Gynecol Sci., 2019, 62(2), 73-86.
[http://dx.doi.org/10.5468/ogs.2019.62.2.73]
[http://dx.doi.org/10.5468/ogs.2019.62.2.73]
[59]
Menichini, D.; Forte, G.; Orrù, B.; Gullo, G.; Unfer, V.; Facchinetti, F. The role of vitamin D in metabolic and reproductive disturbances of polycystic ovary syndrome: A narrative mini-review. Int. J. Vitam. Nutr. Res., 2022, 92(2), 126-133.
[http://dx.doi.org/10.1024/0300-9831/a000691] [PMID: 33284035]
[http://dx.doi.org/10.1024/0300-9831/a000691] [PMID: 33284035]
[60]
Pasta, V.; Gullo, G.; Giuliani, A.; Harrath, A.H.; Alwasel, S.H.; Tartaglia, F.; Cucina, A.; Bizzarri, M. An association of boswellia, betaine and myo-inositol (Eumastós) in the treatment of mammographic breast density: A randomized, double-blind study. Eur. Rev. Med. Pharmacol. Sci., 2015, 19(22), 4419-4426.
[PMID: 26636532]
[PMID: 26636532]
[61]
Samieipour, S.; Kiani, F. Comparing the effects of vitamin B1 and calcium on premenstrual syndrome (PMS) among female students, Ilam-Iran. Int. J. Pediatr., 2016, 4(9), 3519-3528.
[62]
Kancheva Landolt, N.; Ivanov, K. Short report: Cognitive behavioral therapy - a primary mode for premenstrual syndrome management: Systematic literature review. Psychol. Health Med., 2021, 26(10), 1282-1293.
[http://dx.doi.org/10.1080/13548506.2020.1810718] [PMID: 32845159]
[http://dx.doi.org/10.1080/13548506.2020.1810718] [PMID: 32845159]
[63]
Maddineshat, M.; Keyvanloo, S.; Lashkardoost, H.; Arki, M.; Tabatabaeichehr, M. Effectiveness of group cognitive-behavioral therapy on symptoms of premenstrual syndrome (PMS). Iran. J. Psychiatry, 2016, 11(1), 30-36.
[PMID: 27252766]
[PMID: 27252766]
[64]
Matsumoto, T.; Egawa, M.; Kimura, T.; Hayashi, T. A potential relation between premenstrual symptoms and subjective perception of health and stress among college students: A cross-sectional study. Biopsychosoc. Med., 2019, 13(1), 26.
[http://dx.doi.org/10.1186/s13030-019-0167-y] [PMID: 31695730]
[http://dx.doi.org/10.1186/s13030-019-0167-y] [PMID: 31695730]
[65]
Mohebbi, M.; Amir Ali Akbari, S.; Mahmodi, Z.; Nasiri, M. Comparison between the lifestyles of university students with and without premenstrual syndromes. Electron. Physician, 2017, 9(6), 4489-4496.
[http://dx.doi.org/10.19082/4489] [PMID: 28848621]
[http://dx.doi.org/10.19082/4489] [PMID: 28848621]
[66]
MoradiFili, B.; Ghiasvand, R.; Pourmasoumi, M.; Feizi, A.; Shahdadian, F.; Shahshahan, Z. Dietary patterns are associated with premenstrual syndrome: Evidence from a case-control study. Public Health Nutr., 2020, 23(5), 833-842.
[http://dx.doi.org/10.1017/S1368980019002192] [PMID: 31612836]
[http://dx.doi.org/10.1017/S1368980019002192] [PMID: 31612836]
[67]
Farasati, N.; Siassi, F.; Koohdani, F.; Qorbani, M.; Abashzadeh, K.; Sotoudeh, G. Western dietary pattern is related to premenstrual syndrome: A case–control study. Br. J. Nutr., 2015, 114(12), 2016-2021.
[http://dx.doi.org/10.1017/S0007114515003943] [PMID: 26459000]
[http://dx.doi.org/10.1017/S0007114515003943] [PMID: 26459000]
[68]
Vaghela, N.; Mishra, D.; Sheth, M.; Dani, V.B. To compare the effects of aerobic exercise and yoga on Premenstrual syndrome. J. Educ. Health Promot., 2019, 8, 199.
[PMID: 31867375]
[PMID: 31867375]
[69]
Kamalifard, M; Yavari, A; Asghari-Jafarabadi, M; Ghaffarilaleh, G; Kasb-Khah, A The effect of yoga on women’s premenstrual syndrome: A randomized controlled clinical trial. Int J Womens Health Reprod. Sci., 2017, 5(3), 205-211.
[http://dx.doi.org/10.15296/ijwhr.2017.37]
[http://dx.doi.org/10.15296/ijwhr.2017.37]
[70]
Newham, J.J.; Wittkowski, A.; Hurley, J.; Aplin, J.D.; Westwood, M. Effects of antenatal yoga on maternal anxiety and depression: A randomized controlled trial. Depress. Anxiety, 2014, 31(8), 631-640.
[http://dx.doi.org/10.1002/da.22268] [PMID: 24788589]
[http://dx.doi.org/10.1002/da.22268] [PMID: 24788589]
[71]
Gürkan, ÖC; Potur, DC; Kömürcü, N; Öğün, ST The Effect of A Sleep Hygiene Interventions in Women with Premenstrual Syndrome. ZEYNEP KAMİL TIP BÜLTENİ, 2017, 48(4), 162-167.
[72]
McCabe, D; Lisy, K; Lockwood, C; Colbeck, M The impact of essential fatty acid, B vitamins, vitamin C, magnesium and zinc supplementation on stress levels in women: A systematic review. JBI Evid Synth., 2017, 15(2), 402-53.
[73]
Thirupathi, S. Effectiveness of progressive muscle relaxation therapy in reducing the affective symptoms in pre-menstrual syndrome among the young adult girls. J Edu Health Prom.., 2022, 11(1), 401.
[74]
Jose, A; Nayak, S; Rajesh, A; Kamath, N; Nalini, M 2022; Impact of relaxation therapy on premenstrual symptoms: A systematic review. Indian J Cont. Nurs. Edu., 2017, 18(2), 92.
[75]
Andriati, R; Pratiwi, RD; Indah, FP The differences in the autogenic relaxation therapy’s influences on reducing pain levels in postoperative sectiocaesaria patients. Malaysian J Med. Res., 2019, 3(4), 5.
[76]
Ferreira, R.L.; Kulkarni, N. Effect of relaxation techniques on fatigue and headaches in premenstrual syndrome. Int J Yoga, Physiother Phys Edu, 2019, 4(3), 37-43.
[77]
Sundram, BM; Dahlui, M; Chinna, K Effectiveness of progressive muscle relaxation therapy as a worksite health promotion program in the automobile assembly line. Ind Health., 2016, 54(3), 204-14.
[http://dx.doi.org/10.2486/indhealth.2014-0091]
[http://dx.doi.org/10.2486/indhealth.2014-0091]
[78]
Viswanathan, P.; Pinto, N. The effects of classical music based chakra meditation on the symptoms of premenstrual syndrome. Int. J. Indian psychol., 2015, 2(03), 134-141.
[79]
Rihi, P; Muniroh, M; Susilawati, D. Relaxation Therapy on The Level of Anxiety of Post Sectio Caesarea: A Literature Review. Jurnal Ilmiah Kesehatan, 2020, 9(2), 1687-1693.
[http://dx.doi.org/10.30994/sjik.v9i2.520]
[http://dx.doi.org/10.30994/sjik.v9i2.520]
[80]
Danny, JY; Angus, PY; Li, SX; Chan, RN; Fong, DY; Chan, DK; Hui, SS; Chung, KF; Woo, J; Wang, C; Irwin, MR Effects of Tai Chi and cognitive behavioral therapy for insomnia on improving sleep in older adults: Study protocol for a non-inferiority trial. J Exer Sci Fitness, 2023, 21(1), 67-73.
[82]
Habek, D; Cerovac, A; Kamerić, L; Nevačinović, E; Šerak, A. Balneogynaecology in the 21st century: Increasingly recommended primary and complementary treatment of chronic gynaecological diseases. Med Glas (Zenica), 2021, 18(1), 1263-21.
[83]
Lotfipur-Rafsanjani, SM; Ravari, A; Ghorashi, Z; Haji-Maghsoudi, S; Akbarinasab, J; Bekhradi, R 2018.5;9:98. , Effects of Geranium Aromatherapy Massage on Premenstrual Syndrome: A Clinical Trial. Int J Prev Med., 2018, 9, 98.
[http://dx.doi.org/10.4103/ijpvm.IJPVM_40_16]
[http://dx.doi.org/10.4103/ijpvm.IJPVM_40_16]
[84]
Armour, M.; Ee, C.C.; Hao, J.; Wilson, T.M.; Yao, S.S.; Smith, C.A. Acupuncture and acupressure for premenstrual syndrome. Cochrane Database Syst. Rev., 2018, 8(8), CD005290.
[PMID: 30105749]
[PMID: 30105749]
[85]
Zhang, J.; Cao, L.; Wang, Y.; Jin, Y.; Xiao, X.; Zhang, Q. Acupuncture for premenstrual syndrome at different intervention time: A systemic review and meta-analysis. Evid. Based Complement. Alternat. Med., 2019, 2019, 1-9.
[http://dx.doi.org/10.1155/2019/6246285] [PMID: 31341497]
[http://dx.doi.org/10.1155/2019/6246285] [PMID: 31341497]
