Premenstrual dyspnea is caused by hormonal fluctuations that occur before menstruation. This uncomfortable condition affects 2 to 5 percent of women and usually improves with perimenopause. For many women with premenstrual dyspnea, symptoms can be severe and interfere with daily activities. If medications are ineffective or poorly tolerated, the following natural remedies may be beneficial to improve overall health, reduce stress, and control symptoms.