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PMS and Hormone Balance

PMS symptoms characteristically occur 10-14 days prior to menstruation and starts of settle down after the onset of menses. It is important to understand that PMS is different from dysmenorrhea, a condition whereby a woman experiences cramping and/or pain during the menstrual period. PMS can have symptoms ranging from:

  • Mood-related ("affective") symptoms: depression, sadness, anxiety, anger, irritability, frequent and severe mood swings, jittery
  • Mental process ("cognitive") symptoms: decreased concentration, indecision, anxiety, irritability, depression, anger, foggy, poor memory,
  • Pain: headache, breast tenderness, joint and muscle pain, back pain, restlessly legs, swelling.
  • Nervous system symptoms: insomnia (sleeplessness), hypersomnia (sleeping for abnormally long periods of time), anorexia, food cravings of salt - sugar- fat, fatigue, lethargy, agitation, a change in sex drive, clumsiness, dizziness or vertigo, paresthesia (prickling or tingling sensation)
  • Gastrointestinal symptoms: nausea, diarrhea, constipation, stomach cramps, weight gain, edema, food cravings, palpitations (rapid fluttering of the heart), sweating
  • Fluid and electrolyte symptoms: bloating, edema, weight gain, oliguria (reduced urination)
  • Skin symptoms: acne, boils, rash oily skin, increase in body hair, greasy or dry hair

 The cyclical nature of PMS indicates a correlation of hormonal changes that accompany the normal menstrual cycle. Several research studies have documented differences in estrogen and progesterone levels in the luteal (second half of the menstrual cycle following ovulation) phase of the cycle between women with PMS and those without. A higher level of estradiol (one of three main estrogens produced by the body) and a lower level of progesterone have been observed in women with PMS. Other studies have documented significantly lower levels of both progesterone and allopregnanolone (a metabolite of progesterone that reduces anxiety) in both the luteal and follicular (the first part of the menstrual cycle from the menses to ovulation) phases in women with PMS.  Successful management of PMS is best addressed with an individualized and holistic approach utilizing a combination of tools including balancing of hormones, nutrient and herb supplements, dietary changes, and exercise and stress management. Mild to moderate PMS is often easily managed by a woman herself through tracking the changes that occur cyclically and identifying and utilizing the appropriate health support measures.

Herbal remedies have been used for centuries,  Herbs can be used in combination or singular, depending upon the symptoms that are occurring. Native Americans used these herbs to help relieve symptoms related to PMS.
Chasteberry "VITEX" Valerian Root , Dong Quai, , Ginger Root  Cramp Bark , White Willow Bark
Red Raspberry, Wild Yam , Black Cohosh
, Milk Thistle, and Kelp

While studies show that herbs and supplements can help with PMS, the biggest issue is the Diet.   As the saying goes, "You are What You Eat".  Diet can make a huge difference in the severity of PMS

Eliminate these foods from your diet
Sugar (including honey, syrup, and "-ose" additives like fructose or sucrose), caffeine (in coffee, chocolate, and cola drinks), artificial sweeteners, cigarettes, and alcohol.
Emphasize these foods in your diet
Whole grains (bread, pasta, brown rice), dried beans, nuts, fresh fruits such as strawberries, blueberries, apples, pears, plums, pineapple.  Increase vegetables too, such as, lettuce, kale, tomatoes, beets, cucumbers, yams, squash, broccoli, mushrooms, asparagus and green beans.
Avoid these foods when possible
Salty and smoked foods, and dairy products. If bloating is a problem, limit fruit and eliminate fruit juices.
Also, discuss with your doctor what rigorous exercise will reduce both physical and emotional symptoms.


References:
Bicikova M, Dibbelt L, Hill M, Hampl R, Starka L. "Allopregnanolone in women with premenstrual syndrome." Horm Metab Res 1998;227-30.

Hammarback S, Damber JE, Backstrom T. "Relationship between symptom severity and hormone changes in women with premenstrual syndrome." J Clin Endocrinol Metab 1989;125-30.

Hudson T. Women’s Encyclopedia of Natural Medicine. Los Angeles: Keats Publishing 1999:245-256.

Monteleone P, Luisi S, Tonetti A, Bernardi F, Genazzani AD, Luisi M, Petraglia F, Genazzani AR. "Allopregnanolone concentrations and premenstrual syndrome." Eur J Endocrinol 2000;269-73.

Murray M. "A comprehensive evaluation of premenstrual syndrome." American Journal of Natural Medicine 1997; 4(2):6-22.

Wang M, Seippel L, Purdy RH, Backstrom T. "Relationship between symptom severity and steroid variation in women with premenstrual syndrome: study on serum pregnenolone, pregnenolone sulfate, 5 alpha-pregnane-3,20-dione and 3 alpha-hydroxy-5 alpha- pregnan-20-one." J.Clin.Endocrinol.Metab 1996;1076-82.
 

 

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