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Some studies have indicated that sleep deprivation during the late premenstrual phase may improve premenstrual dysphoric disorder in some women by correcting underlying disturbances of circadian rhythms. This involves sleeping only four hours during one night and making up for it the next. More research is needed on this interesting approach.

Herbal and Other So-Called Natural Remedies

A number of herbal remedies are used for PMS symptoms. Some of these products are discussed below. With a few exceptions, studies have not found herbal or other so-called natural remedies to be any more effective than placebo for relieving PMS symptoms. Additionally, they can be expensive. It is certainly possible that some herbal medicines may be helpful, but patients should always be wary of unproven claims for quick cures.

Evening Primrose. Some women have reported that taking evening primrose oil helped PMS. However, studies vary as to its effectiveness for PMS symptoms and two rigorous studies reported no benefit. It may be helpful for relieving breast symptoms.

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Agnus Castus Fruit Extract (Chaste Tree Berry). Several studies report that agnus castus fruit, also known as chaste tree berry, may help relieve PMS symptoms including breast pain and tenderness. Some evidence suggests that the compounds in this substance reduce prolactin levels. Prolactin is the important hormone in breast milk production. Women who are breastfeeding should not use this herb.

Flaxseed Oil. Flaxseed oil may help relieve breast pain and tenderness associated with menstruation.

Ginger Tea. Ginger tea is safe and may help in relieving mild nausea and other minor symptoms of PMS.

Krill Oil. In one study, a natural product derived from the krill fish (Neptune Krill Oil) is rich in omega-3 fatty acids and other chemicals has improved PMS symptoms and reduced menstrual cramps compared to omega-3 fatty acids alone.

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