How can premenstrual syndrome affect women?

a. by causing heavy blood flow during menstruation
b. by causing breast cancer
c. by causing social withdrawal
d. by causing breast tenderness

Premenstrual syndrome is a condition that affects a woman's emotions, physical health, and behavior in the one to two weeks before a woman's period. One way PMS affects women is the following: By causing breast tenderness. Correct D

Other physical symptoms include: Joint or muscle pain , headache , fatigue . PMS  causes also emotional changes and can cause wild, uncontrollable mood swings in some women.

i say that the answer is 'd'