Premenstrual Syndrome 4 (PMS 4) is a severe form of premenstrual syndrome that affects a small percentage of women. It is characterized by intense emotional and physical symptoms that can disrupt daily life. Common symptoms include extreme mood swings, anxiety, depression, fatigue, and physical discomfort such as bloating and breast tenderness. The exact cause of PMS 4 is not fully understood, but it is believed to be linked to hormonal changes during the menstrual cycle. Treatment options may include lifestyle changes, dietary adjustments, and medications to help manage symptoms. Consulting a healthcare provider is essential for proper diagnosis and support.