As we age there are more life stressors from work, marriage, children, divorce, hormonal changes and illness.  Women in their 30’s may have less of these life stressors and can manage their PMS symptoms through lifestyle and behavioral changes.  Women in their 40’s may be affected by more of these life stressors and may have a more challenging time managing their PMS symptoms. Hormonal imbalance in women starts to peak from 45 to 55years adding another difficult layer of symptoms associated with PMS and Peri-Menopause.  It can be challenging to know if the symptoms are from PMS or Peri-Menopause. A health care provider may be the best way to understand exactly what the cause of your symptoms is and know what medication is recommended. The average age of menopause is 51year so many emotional and physical changes occurring during this time represent this next chapter in a women’s life.