1. Introduction
bleeding, fatigue, anxiety, edema, sleep disturbances, cramps, pain, primary dysmenorrhea, depressive, irritability
PREMENSTRUAL SYNDROME (PMS), BLEEDING, PMS, EDEMA, PRIMARY DYSMENORRHEA, ADHESIONS
Premenstrual syndrome (PMS) is a common condition experienced by women of reproductive age. It is characterized by a range of behavioral, physical, and psychological symptoms that occur during the luteal phase of the menstrual cycle, typically 7 to 10 days before menstrual bleeding starts and ending with the onset of the secretory phase, due to hormonal changes. These symptoms can include cramps, changes in appetite, fatigue, irritability, edema, pain, sleep disturbances, depressive thoughts, and anxiety.Women use various methods to manage PMS symptoms, including physiotherapy, lifestyle changes, diet, stress management, cognitive behavioral therapy, alternative medicine, and pharmacological treatment.Progressive relaxation exercises (PRE) were first introduced by Jacobson in 1924. Relaxation has been shown to decrease oxygen consumption, muscle tone, heart rate, and respiratory rate, and can help patients shift their focus away from pain, potentially increasing endorphin production and reducing pain intensity.MRT is a physiotherapy technique that aims to mobilize soft tissue, increase fascial mobility, reducing adhesions and pain.A recent study compared MRT with connective tissue massage in women with primary dysmenorrhea and found both methods to be effective in reducing pain and increasing pain threshold. The increase in pain threshold and decrease in pain intensity may be attributed to MRT ability to relax the fascia, reduce sensitivity, and increase myometrial blood flow.The aim of this study is to investigate the effects of PRE and MRT on premenstrual symptoms, blood flow rate, pain, sleep quality and quality of life in women with PMS.