Premenstrual Syndrome: Diagnosis, PMS Treatment in Istanbul | Gynecologist Irina Ergül

Treatment of premenstrual syndrome

Premenstrual syndrome (PMS) seriously affects your work, relationships, and overall well-being. Irritability, pain, bloating, and depression—these symptoms interfere with the normal lives of nearly 80% of women. Dr. Irina Ergül offers individualized treatment that can help you restore comfort and energy.

What is PMS?

Premenstrual syndrome is a set of symptoms associated with fluctuations in the hormones estrogen and progesterone. Physical manifestations include headaches, breast and abdominal pain, and bloating. Emotional symptoms include irritability, anxiety, depression, and difficulty concentrating.

Diagnostics

We conduct a full examination: consultation, hormone tests, ultrasound, and vitamin level checks. This allows us to accurately determine the cause and select effective treatment.

Treatment methods

Medication-based: hormonal contraceptives, vitamins (calcium, magnesium, vitamin D), NSAIDs for pain, and, if necessary, antidepressants.

Non-medication-based: physical activity, healthy diet, reduced caffeine intake, regular sleep, meditation, and yoga.

Why choose us?

extensive experience in gynecology
individualized approach to each patient
consultations in Russian language
results within 1–3 cycles

How to find us

Dear women!

Starting from August 1, 2024, I will be happy to welcome you to my new office at: Bahçelievler mah., E-5 Yanyol No 14/B Metroport Busidence / Bahçelievler / Istanbul. Office No. 1009, 10th floor.

Appointments can be made by phone:
Doctor’s secretary: (0506) 886 18 86

Clinic website: rusginekolog.com

The doctor kindly asks for your understanding regarding possible delays in appointment times due to emergency situations, which often arise in obstetrics and gynecology.

Consultation fee

Initial consultation

6 000 TL

Clarification of complaints and goals, collection of medical history, review of examinations (if available), and development of a diagnostic/treatment plan. If necessary, recommendations for additional laboratory tests and ultrasound.

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Follow-up visit

0 TL for 1 month

Review of laboratory test/ultrasound results, assessment of dynamics, answering questions, and adjustment of the treatment plan. Required for monitoring therapy and ongoing follow-up.

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Laboratory tests

from 2 500 TL

The cost depends on the set of tests. We will help select only the necessary tests for your case and advise on how to prepare for testing.

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Irina Ergyul

I help with gynecological conditions, pregnancy preparation and management, as well as diagnosing causes of infertility and supporting IVF programs.
I explain the plan in simple terms and guide the patient step by step — from examinations to results.

20+ years of experience

ISUOG member

Private office

Consultations in EN / TR / RU

Frequently asked
sorular ve yanıtları

What is PMS and how common is it?

It's a complex of physical and emotional symptoms that appear a few days before menstruation and disappear once it begins. PMS affects nearly 80% of women of reproductive age. In 20-30% of women, the symptoms are so severe that they seriously affect their work and personal lives. It's not just a bad mood—it's a medical condition that requires professional attention.

What causes the syndrome?

The main cause is natural fluctuations in estrogen and progesterone levels during the second half of the menstrual cycle. Additional risk factors include vitamin deficiencies (especially calcium, magnesium, and vitamin D), chronic stress and sleep deprivation, an unhealthy diet with excess caffeine and sugar, a sedentary lifestyle, and a family history. Each woman has her own set of triggers.

Are hormonal contraceptives safe for PMS?

Yes, modern hormonal contraceptives are safe and effective for PMS. They stabilize hormonal fluctuations, significantly reducing symptoms. A doctor carefully selects the right medication, taking into account all contraindications, your medical history, and individual characteristics. Regular monitoring allows you to monitor the effectiveness and safety of the treatment.

What lifestyle changes help?

Regular physical activity (at least 150 minutes per week) significantly reduces symptoms. A healthy diet rich in fruits, vegetables, and protein, low in caffeine and sugar, helps stabilize hormones. Adequate sleep (7-9 hours per night) is critical. Stress management through meditation, yoga, or therapy reduces emotional symptoms. Limiting alcohol consumption and quitting smoking improve overall well-being.

What are the main symptoms of PMS?

Physical symptoms include headaches and migraines, chest and abdominal pain, bloating and fluid retention, sleep disturbances, fatigue, and weakness. Emotional symptoms include irritability and aggression, anxiety and depression, mood swings, loss of concentration, and loss of interest in activities. Symptom intensity ranges from mild discomfort to severe impairment.

What treatments are offered?

We offer a comprehensive approach. Medication treatment includes hormonal contraceptives to stabilize hormone levels, vitamins and minerals (calcium 1200 mg/day, magnesium 400 mg/day, vitamin D), and NSAIDs for pain relief. Low-dose antidepressants are prescribed for emotional symptoms. Non-medication options include regular physical activity, a healthy diet, sleep management, yoga, meditation, and psychological support.

How long does treatment take?

The first results usually appear within the first month of taking the medication. Optimal results are achieved after 2-3 menstrual cycles, when the most effective treatment method becomes clear. Once stable improvement is achieved, maintenance therapy is initiated. Most women require long-term treatment, but some can discontinue the medication after normalizing their lifestyle.

When should you see a doctor?

Consult a gynecologist if PMS symptoms are seriously affecting your work, studies, or relationships; if symptoms are very intense or have changed suddenly; if home remedies aren't helping; if you want to try hormonal contraception or other treatments; if symptoms are interfering with your quality of life, don't wait—consult a specialist. Dr. Irina Ergyul will conduct a full examination and offer the best solution.

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Premenstrual syndrome (PMS)

Treatment of premenstrual syndrome

Consultation fee

Irina Ergyul

I continuously improve my professional qualifications

I work with patients from different countries

Frequently asked
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My other areas of expertise

Blog about women’s health

Premenstrual syndrome (PMS)

Treatment of premenstrual syndrome

Consultation fee

Irina Ergyul

I continuously improve my professional qualifications

I work with patients from different countries

Frequently asked sorular ve yanıtları

My other areas of expertise

Blog about women’s health

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