Many treatments have been tried in<unk> . Reducing salt, caffeine, and stress along with increasing exercise is typically all that is recommended in those with mild symptoms. Calcium and vitamin D supplementation may be useful in some. Anti-inflammatories such as naproxen may help with physical symptoms. A healthy diet, reduced consumption of salt, caffeine and alcohol, and regular exercise may be effective for women in controlling water retention. In those with more significant symptoms birth control pills may be useful. Diuretics have been used to handle water retention. Spironolactone has been shown in some studies to be useful. Antidepressants SSRIs like fluoxetine, sertraline can be used to treat severe<unk> . Those with<unk>  may be able to take medication only on the days when symptoms are expected to occur. Although intermittent therapy might be more acceptable to some, this might be less effective than continuous regimens. Side effect such as nausea and weakness are however relatively common. Hormonal medications Hormonal contraception is commonly used; common forms include the combined oral contraceptive pill and the contraceptive patch. This class of medication may cause<unk> -related symptoms in some and may reduce physical symptoms in others. They do not relieve emotional symptoms. Progesterone support has been used for many years but evidence of its efficacy is inadequate. Gonadotropin-releasing hormone agonists can be useful in severe forms of<unk>  but have their own set of significant potential side effects. Alternative medicine Tentative evidence supports vitamin B6 and chasteberry. Data are insufficient to determine an effect of St. John's wort, soy, vitamin E, and saffron. Evening primrose oil may be useful. There is tentative evidence that acupressure and acupuncture may help to reduce<unk>  symptoms and improve women' quality of life.
Premenstrual syndrome
Premenstrual dysphoric disorder
Menstrual disorder
Postpartum depression
Postmenopausal confusion
Postpartum disorder
Lactational amenorrhea
Female hysteria