4.2. Recommendations
PMS
In spite of a variety of cross-sectional studies evaluating the relationships between PMS and dietary patterns, the paucity of evidence to date has substantiated the need for further prospective randomized studies with larger sample sizes to understand the potential factors impacting the PMS manifestations. These randomized studies should also explore the possible role of geographical variations and culture-based diets on PMS progression and its clinical manifestations in adolescent and adult females. Clinical trials should further explore the interactions between diets and medications and their possible influence on PMS development in females of various age groups.