Which of the following is NOT listed as a symptom of premenstrual syndrome (PMS) in the material?

• A. Acne
• B. Headache
• C. Water retention
• D. Bloating

Answer: (A)

PMS symptoms shown in the material reflect cyclic hormonal changes, especially during the luteal phase, and commonly include physical symptoms like headaches, water retention, and bloating—as well as mood-related changes. Acne, while influenced by hormones, isn’t part of that listed set in this material, so it’s the item that isn’t listed.

Headache often accompanies the menstrual cycle due to vascular changes and hormonal fluctuations around menses. Water retention and bloating arise from shifts in fluid balance and sodium handling in the body, producing that puffy, swollen feeling many notice before a period. Acne, although affected by hormones, isn’t grouped with the standard PMS symptoms in this material, which is why it’s not listed here.