CTRI

Premenstrual syndrome is a clinical illness that causes recurring emotional and physical symptoms even without underlying biological disease. These symptoms may appear five days before menses and disappear within four days of the start of the menstrual cycle. Women who have PMS report lower reported work-related quality of life and health-related quality of life. PMS may lead to depression and higher psychiatric comorbidity. Between 80% and 90% of women have been reported to have PMS with the 20â€“45-year-old age range showing the highest prevalence. Premenstrual syndrome makes it more likely for women to experience depression, low self esteem and an energy deficit and with mild to severe PMS, a population based study found that the prevalence of major depression was 11.3% and 24.6%, respectively. Progesterone, Oestrogen and irregular hormone profiles have been linked to menstrual problems. Numerous PMS-related issues may impair a womanâ€™s ability to function physically, psychologically and in her social life. Womenâ€™s lives are impacted by PMS due to insufficient work hours, absenteeism and decreased productivity. Because it interferes with daily activities and negatively impacts womenâ€™s health, PMS is a condition that needs proper treatment. However, as pharmacological treatments for PMS can have adverse reactions and long-term side effects such as fatigue, headaches, rage, sadness and non-pharmacological methods are more widely used. There is evidence that yoga has positive effects on the sympathetic nervous system while also having a detrimental influence on the hypothalamic pituitary adrenal axis. Yoga is a successful way to prevent and control disease, as well as to improve overall health. Changing autonomic functioning and psychological states during the premenstrual phase is largely facilitated by yoga. Yoga also has a positive impact on the bodyâ€™s harmful secretions and relief to women experiencing cramps and gives them a comfortable way of life. Yoga significantly reduces PMS symptoms and influences emotional, physical and behavioural factors and suggesting that yoga should be used to treat PMS. A Pilates training programmed can effectively reduce the physical, psychological, and behavioural difficulties related with the more typical PMS. Pilates exercises also enhances the quality of life, sleep quality and perception of health in the elderly, improves psychological condition and provides tension control for those with hypertension. The participants will be randomly divided into three groups: Group A: Treatment protocol in group A will be yoga therapy. Group B: Treatment protocol in group B will be Pilates training. Group C: Treatment protocol in group C will be control group that consist of pelvic floor strengthening exercises. For this study subjects will be selected from various hospitals and communities. Subjects of premenstrual syndrome will be screened on the basis of inclusion and exclusion criteria and will be divided into 3 groups. For the participation in this study, informed consent will be taken. Pre intervention data will include analysis of blood pressure, heart rate, respiratory parameters, depression, anxiety, stress and quality of life of each participant of all the groups will be taken. The exercises protocol will be given for 6 weeks in three session/week for 45 minutes. Post intervention data will be taken after 6 weeks of all the parameters. This study will have follow up of one month with same subjects and data for all the parameters will be collected again.