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Many women experience physical and emotional changes before their menstrual cycle begins. This group of symptoms is known as premenstrual syndrome, often called PMS. Studies estimate that up to 75 percent of women experience some form of PMS during their reproductive years. Common PMS symptoms include abdominal cramps, mood swings, fatigue, headaches, breast tenderness, bloating, and irritability. These symptoms usually appear in the days before menstruation and often improv