"PMS” usually stands for premenstrual syndrome. In pizza shop lingo, a “PMS” pizza contains pepperoni, mushrooms and sausage. The name “PMS” for this pizza has been cited in print since at least 1990.
25 August 1990, St. Louis (MO) Post-Dispatch, “VP Fair Approaches Day Of Decisions” by Jerry Berger, pg. 1D:
After I had inhaled half of the pie, server Christopher Ybarra popped over and inquired, “How’s your PMS?” While I swallowed a glass of Buena Vista to recover from a choking spell, Ybarra explained, ‘’Sorry, but it’s an in-house code for pizza with pepperoni, mushrooms and sausage.”
Google Groups: rec.humor
Jul 31 1995, 1:00 am
Pepperoni, Mushrooms, & Sausage.
Quite disgusting the first time I ordered a pizza and saw PMS written on the box.
Augusta (GA) Chronicle
16 October 1996, Augusta (GA) Chronicle, “Pizza lingo tends to be bit crusty” by David Hawley (St. Paul Pioneer Press), pg. 1B, col. 6:
When it comes to pizza shops, mushrooms are “screamers”, a slice of pepperoni is a “flyer”, sausage is called “alpo” and anyone – including men – can get PMS on theirs to go.
In this case, however, PMS stands for pepperoni, mushrooms and sausage.
Google Groups: alt.appalachian
Nov 19 1998, 2:00 am
>Uhhh, hold the see-gar...put a Bud with the pizza (Pepperoni, extra
add mushrooms and sausage, then we’ll have us a PMS pizza
Straight Dope Message Board
12-16-1999, 09:12 AM
My regular is Domino’s regular crust with pepperoni, mushrooms, and sausage (PMS ).
Published by tb-admin on Wednesday, April 13th, 2011
A meat lover’s pizza with pepperoni, mushroom & Italian sausage!
New York (NY) Times
‘We There Yet?’ When ‘There’ Is the Arctic Circle
By DANIELLE BELOPOTOSKY
Published: July 8, 2011
Across the road at Panorama Pizza, we found an upbeat crowd, live music and cornhole, a game I had always associated with the Midwest. Enjoying the midnight sun out on the restaurant’s deck, we fortified ourselves with a PMS pizza (pepperoni, mushroom and sausage) and beer on tap.
A la Sl!ce.
PMS: Pepperoni, Mushrooms, Sausage
Posted on August 24, 2012
Whether you are making your own pizza, going to a restaurant, or ordering in, most men and women will enjoy PMS: Pepperoni, Mushrooms, Sausage. I have to say, PMS pizza is a classic, wonderful choice to make when in the pizza eating mood. The best and most easiest place to get a good PMS pie is at Pizza Hut.