Introduction: Premenstrual syndrome (PMS), a common cyclic disorder of young and middle-aged women, is characterized by emotional and physical symptoms that consistently occur during the luteal phase of the menstrual cycle, and remit after onset of menstruation .It’s bad impact will influence the professional activities specially in working ladies. Although PMS is undiagnosed disease but Different treatment strategies are being adopted by females to eliminate the symptoms of PMS^. This study is design to find out which strategy is most commonly practiced especially in working ladies.

Objectives: To determine the frequency of pharmacological & non-pharmacologic strategies used by working ladies of reproductive age for the management of pre menstrual syndrome.

Setting: Dow University Hospital, Dow International Medical Centre (DIMC).

Duration: 12 months from 15.6.2016 to 15.6.2017

Designee: Cross sectional study

Subject and Methods: A total of 221 female having PMS problem reported in Gynae OPD were including in this study. All the working women were assessed the management strategies used during PMS to overcome its symptom all the assessment was done. All the information was entered in proforma.

Results: The average age of the patients was 26.68±5.31 years. There were 19(8.6%) females used non-pharmacologic strategies, 82(37.1%) was used pharmacological strategies while 120(54.3%) female used both pharmacological & non-pharmacologic strategies to relive PMS. In pharmacological strategies, ponstan and paracetamol were commonly used to relive PMS while in non-pharmacologic strategies exercise and psychological therapy was 35.7% and 38.9% respectively.

Conclusion: - In is concluded that complete social and personal counseling and awareness along with medical treatments will improve the life style of the working ladies facing this problems. As it adversely affects the educational, social and emotional well-being, means should be adopted to reduce the incidence of this disorder.