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Симптомы появляются во второй фазе менструального цикла (после овуляции) и исчезают с началом менструации или вскоре после её начала [1](https://celitel05.ru/articles/predmenstrualnyj-sindrom-pms-simptomy-i-metody-lechenie/). Длительность ПМС индивидуальна — от 3–5 дней до 2 недель [4](https://www.emsclinic.ru/services/konsultacii-dlya-vzroslyh/gynaecology/predmenstrualnyy-sindrom-pms).\n\n## Причины\nТочные причины ПМС до конца не изучены, но некоторые теории указывают на: \n* **Гормональные изменения** — колебания уровня эстрогенов и прогестерона во второй фазе цикла влияют на работу нервной системы, вызывая эмоциональную нестабильность и физический дискомфорт [1](https://celitel05.ru/articles/predmenstrualnyj-sindrom-pms-simptomy-i-metody-lechenie/). \n* **Нейромедиаторные изменения** — снижение уровня серотонина связано с депрессивными и тревожными состояниями, что объясняет эмоциональные симптомы ПМС [1](https://celitel05.ru/articles/predmenstrualnyj-sindrom-pms-simptomy-i-metody-lechenie/). \n* **Нарушения водно-солевого баланса** — изменения уровня гормонов могут приводить к задержке жидкости в организме, вызывая отёки и болезненность молочных желёз [1](https://celitel05.ru/articles/predmenstrualnyj-sindrom-pms-simptomy-i-metody-lechenie/). \n* **Генетическую предрасположенность** — у женщин, чьи матери или сёстры страдали ПМС, риск его возникновения выше [1](https://celitel05.ru/articles/predmenstrualnyj-sindrom-pms-simptomy-i-metody-lechenie/). \n* **Стресс и образ жизни** — постоянные стрессовые ситуации, неправильное питание, недостаток сна и физической активности усиливают симптомы ПМС [1](https://celitel05.ru/articles/predmenstrualnyj-sindrom-pms-simptomy-i-metody-lechenie/).\n\n## Симптомы\nСимптомы ПМС разнообразны и подразделяются на физические и эмоциональные [1](https://celitel05.ru/articles/predmenstrualnyj-sindrom-pms-simptomy-i-metody-lechenie/): \n**Физические**: болезненность и нагрубание молочных желёз, головные боли или мигрени, отёки лица, рук или ног, болезненные ощущения внизу живота, тошнота и расстройства пищеварения, повышенная утомляемость, колебания веса из-за задержки жидкости [1](https://celitel05.ru/articles/predmenstrualnyj-sindrom-pms-simptomy-i-metody-lechenie/). \n**Эмоциональные**: раздражительность, чувство тревоги или депрессии, плаксивость, резкие перепады настроения, трудности с концентрацией внимания, нарушения сна [1](https://celitel05.ru/articles/predmenstrualnyj-sindrom-pms-simptomy-i-metody-lechenie/).\n\n## Диагностика\nДиагностика ПМС основывается на анализе симптомов и их связи с менструальным циклом [1](https://celitel05.ru/articles/predmenstrualnyj-sindrom-pms-simptomy-i-metody-lechenie/). Доктор может попросить вести дневник симптомов в течение нескольких месяцев, чтобы выявить закономерности [1](https://celitel05.ru/articles/predmenstrualnyj-sindrom-pms-simptomy-i-metody-lechenie/). \n\nЧтобы исключить другие патологии, могут понадобиться дополнительные исследования: анализы крови на уровень гормонов, УЗИ органов малого таза [1](https://celitel05.ru/articles/predmenstrualnyj-sindrom-pms-simptomy-i-metody-lechenie/).\n\n## Лечение\n**Цель терапии** — облегчить физические и эмоциональные симптомы ПМС, а также улучшить качество жизни [12](https://www.gmsclinic.ru/diseases/predmenstrualnyj-sindrom). 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