Premenstrual syndrome (PMS), also sometimes referred to as Premenstrual Disorder (PMD) is a widespread and prevalent condition associated with the second half of the female reproductive cycle. Many women at some point in their menstruating years experience some of the countless symptoms that go along with PMS. This review of literature is focused on the understanding of the disorder comparatively from a western and Ayurvedic perspective. It will not go into the in-depth Ayurvedic treatment protocol, only a general insight to treatment as it compares to western medicine. The reader should have a basic knowledge of Ayurvedic anatomy and physiology.