Pre-menstrual syndrome (PMS) is often jokingly used to explain a woman's irritability or crankiness. However, for many women, PMS is no laughing matter. For years, many people dismissed PMS as purely a psychological problem - all in a woman's head. Today, it is a recognized medical condition. In the last two weeks of a woman's menstrual cycle, she may become depressed and angry, suffer from crying spells, or experience mood swings. She might have strong food cravings or changes in appetite. Physical symptoms include bloating, breast pain and difficulty sleeping. Acne breakouts are common, as are headaches and back pain. Severe PMS can greatly interrupt a woman's life and cause her both emotional and physical pain. For women with mild PMS, lifestyle changes are the most effective treatment. Diets rich in carbohydrates, such as bread, pasta and rice, can alleviate PMS discomfort. Cutting back on caffeine and alcohol, and adding more sleep to your schedule can reduce the severity of PMS. Regular exercise can provide relief from emotional symptoms, as well as eliminating some of the physical pain of PMS. Avoiding stressful situations or using relaxation techniques is useful as it is proven that stress aggravates pre-menstrual syndrome. Keep a journal of your symptoms and treatments so you can track what works for you, and when your PMS symptoms are most likely to occur. Women who have more severe pre-menstrual syndrome may need to look to their doctor to prescribe PMS medication. Selective serotonin reuptake inhibitors (SSRI's) can help limit the emotional side effects of PMS. Hormone treatments or certain anti-inflammatory medicines are other PMS treatment options. Some studies have shown that calcium and vitamin D can reduce PMS symptoms. Although their success hasn't been proven, other women claim to find comfort in natural PMS remedies: evening primrose oil or chaste tree berry, for example. Herbal drugs are not regulated, and may interact with some medications, so check with a doctor before taking any alternative PMS medicine. PMS is a part of life for many women. For some, it is a regular occurence, while for others it happens sporadically, or begins only after childbirth. It's important to take care of your body and mind during this time, and allow yourself added time for rest and relaxation. Treat yourself well - whether that means sleeping an extra hour a day, giving in to your sweet tooth and having a chocolate bar, or seeing your doctor for extra help if nothing else is working.