Premenstrual syndrome (PMS) is a set of physical and psychological symptoms that occurs during the premenstrual period. It is a commonly occurring condition. The presence of PMS symptoms is associated with a deterioration in patients’ quality of life and affects their daily lives. In recent years, ongoing research has focused on identifying effective methods of alleviating PMS symptoms through both non-pharmacological and pharmacological therapies. Non-pharmacological methods used include dietary changes, physical activity and psychosocial interventions including relaxation techniques. Non-pharmacological methods appear to be a low-cost alternative to pharmacological ones. An appropriate diet rich in fruits, regular physical activity especially in the form of yoga and Pilates, and the use of relaxation and cognitive and behavioral techniques can reduce the severity of PMS symptoms. Pharmacological methods include the use of SSRI group drugs, which are the first choice for pharmacological treatment, SNRI group drugs, and drugs that affect the endocrine system, including hormonal contraception. Currently, the effect of using herbal preparations containing the extract of chaste tree (Vitex agnus-castus L.) is also being studied. It is necessary to conduct further research on the possibility of alleviating PMS symptoms both non-pharmacologically and with drugs, and to develop an optimal best practices for patients suffering from PMS symptoms.