Bovista: Premenstrual problems with puffiness in the extremities, fluid retention, and a bloated feeling often indicate a need for this remedy. The woman may feel very awkward and clumsy, and may constantly be dropping things because of swollen-feeling hands. Diarrhea occurring around the time of the menstrual period strongly indicates this remedy.

Calcarea carbonica: PMS with fatigue, anxiety, and a feeling of being overwhelmed suggest a need for this remedy. The woman may have problems with water-retention and weight gain, tender breasts, digestive upsets, and headaches. Periods often come too early and last too long, sometimes with a flow of bright red blood. A general feeling of chilliness, with clammy hands and feet, and cravings for sweets and eggs are other indications for Calcarea.

Caulophyllum: This remedy is often helpful to women with a history of irregular periods, difficulty becoming pregnant, or slow childbirth due to weak muscle tone of the uterus. Symptoms include discomfort during periods and a heavy flow of blood or other discharge. Drawing pains may be felt in the pelvic region, thighs, and legs. Stiffness or arthritis, especially in the finger-joints, often is seen when this remedy is needed.

Chamomilla: A woman likely to respond to this remedy is angry, irritable, and hypersensitive to pain. Cramping may come on, or be intensified, because of emotional upset. Flow can be very heavy, and the blood may look dark or clotted. Problems are often worse at night. Heating pads or exposure to wind may aggravate the symptoms, and motion (such as rocking or brisk walking) may help to reduce the tension and discomfort.

Cimicifuga (also called Actaea Racemosa): This remedy can be helpful for irregular and painful periods, with shooting pains that go down the hips and thighs, or cramps similar to labor-pains that are felt in the pelvic area. Headache with pain and stiffness in the neck and back will often occur with PMS. The woman is likely to be intense and talkative, becoming agitated, fearful, and depressed before a menstrual period.

Kreosotum: Headache, nausea, and a heavy flow that makes the genitals and surrounding skin feel irritated and swollen are indications for this remedy. Kreosotum is often indicated for women with PMS who feel irritable and uncomfortable, and have a strong dislike of sexual activity.

Lachesis: Women who need this remedy are usually intense, with a tremendous need for an outlet, both physically and mentally. Symptoms of PMS include congestion, headaches, flushing, surges of heat, and an intense outspoken irritability—often with strong feelings of suspicion or jealousy. When the flow arrives, it may be heavy, but brings relief of tension. Intolerance of restrictive clothing around the waist or neck is another indication for Lachesis.

Lilium tigrinum: This remedy may be helpful if a woman is inclined toward rage during PMS, makes other people “walk on eggs,” and is extremely sensitive and irritable. Pressure in the rectum and in the pelvic region, with a sensation that the uterus is pushing out, may make her feel a frequent need to sit or cross her legs. Emotions and excitement aggravate the symptoms, and fresh air will often bring relief.

Lycopodium: PMS with a craving for sweets and a ravenous appetite (sometimes a bulimic tendency) suggests a need for this remedy. Digestive upsets with abdominal bloating and flatulence are often seen, with the person feeling worst in the late afternoon and evening. Menstrual periods may be delayed, followed by a heavy flow that goes on for extra days. A woman who needs this remedy often wears a worried look and lacks self-confidence—although she may be irritable and bossy to pets and family members. A desire to be alone, but with someone in the other room, is another indication for Lycopodium.

Natrum muriaticum: A person who needs this remedy usually seems reserved to others, but is deeply emotional inside. She may feel extremely sad and lonely, but gets affronted or angry if others try to console her or sympathize. Depression, anger over minor things, and a need to be alone to cry are often seen when Natrum mur is needed. Menstrual problems can be accompanied by migraines, or a backache that feels better from lying on something hard or pushing a solid object against the painful place. A craving for salt, strong thirst, and a tendency to feel worse from being in the sun are other indications for this remedy.

Nux vomica: When a woman with PMS is extremely impatient, pushy, and intolerant, this remedy may be of use. Uncomfortable, irregular menstrual periods can be experienced, often with a nagging urge to move the bowels before the flow begins. Constipation is common, and constricting pains may extend to the rectum or tailbone region. Anger, mental strain, physical exertion, and overindulgence in coffee, alcohol, or food can aggravate the problems. The woman often feels chilly and improves from warmth and rest.

Pulsatilla: This remedy can be helpful during many conditions involving hormonal changes and is often helpful to girls who have recently started having periods. PMS with irritability, moodiness, and weepiness is typical. Delay or suppression of the menstrual flow can be accompanied by queasy feelings, nausea, and faintness. Being too warm or in a stuffy room makes things worse, and fresh air can bring relief. The timing, amount, and nature of the menstrual flow are changeable—as are the woman’s moods—when Pulsatilla is the remedy. The woman usually is emotional and needy, wanting a lot of attention and comforting.

Sepia: A woman who needs this remedy with PMS feels weary and dragged-out, wanting others (especially family members) to keep their distance. She often feels taken for granted and overworked, becoming irritable or sarcastic if demands are made. Late periods or scanty flow with a feeling that the pelvic floor is weak, or as if the uterus is sagging, often indicates a need for Sepia. Dampness and perspiring may aggravate the symptoms. Warmth and exercise, especially dancing, often restore some energy and brighten up the her mood.

Veratrum album: Menstrual periods with very heavy flow and cramping, with a feeling of exhaustion and icy coldness suggest a need for this remedy. Vomiting and diarrhea are often seen. Periods may start too early and go on too long. The woman feels worse at night, from exercise, and from drinking things that are warm. Cold drinks, small meals, and wrapping up in warm clothes or covers may help to bring improvement.