PMS: A Monthly Update

PMS: A Monthly Update

For every woman, their monthly cycle is a direct barometer of how their body is feeling. An estimated 75 to 80% of women experience the following symptoms on a monthly basis:

  • Anxiety, depression, lability or irritability
  • Poor concentration
  • Lack of energy
  • Change in appetite, overeating, or food cravings
  • Hypersomnia or insomnia
  • Acne
  • Breast tenderness
  • Bloating
  • Headache, joint or muscle pain

What are these symptoms trying to say? There is an imbalance in their biochemistry, diet or lifestyle that is the cause of these symptoms. Addressing the underlying cause of PMS symptoms will not only improve monthly symptoms, but also improve other conditions associated with the cause of these symptoms.


Your thyroid is important for metabolism and energy, though women may have more symptoms, PMS may be a symptom of hypothyroid, low thyroid function. Multiple studies have found that the incidences of hypothyroid are substantially higher in women with PMS. Thyroid assessment may be the first key to improving monthly PMS symptoms.

Hormone imbalance

Excess estrogen is the most common imbalance associated with numerous female disorders, including PMS. With external sources of toxins that mimic estrogens, such as PCBs, estrogen has become one of the most demanding hormones to clear from the body. Estrogen is kept balanced in the body with its counterpart, progesterone. When progesterone is not sufficient in the body, from stress or lack of nutrients, estrogen is also functionally dominant from being unopposed. These hormones can be assessed in blood and urine to determine if they are in appropriate ranges. Avoidance of external sources of estrogen and proper nutrition can help bring hormones back into balance.

Poor detoxification

Excess estrogen can be a byproduct of slow detoxification pathways and a major cause for PMS. The body needs specific B vitamins, proteins and sulfur containing foods like eggs, onions and garlic as well as other nutrients to clear this hormone. Studies have shown that sufficient B Vitamins and other nutrients can not only help reduce estrogen levels, but also improve detoxification pathways.

Imbalanced diet

Nutrition can have a profound impact on our hormones, detoxification pathways and overall health. Women suffering from PMS were found to have 62% more carbohydrates, 275% more sugar, 79% more dairy products, 78% more salt, 53% less iron, 77% less manganese and 52% less zinc than women with no PMS symptoms. Nutrient deficiencies may arise from deficiencies in diets, or also increased demand due to an increase of caffeine or taking a daily medication.

Excess in animals fats and saturated fats have been found to put more stress on female hormones, and in fact studies have shown that vegetarian women have less PMS symptoms. This fact may be due to other studies showing that vegetarians have been found to have lower estrogen levels than omnivores and clear hormones more effectively. It is speculated that this is because vegetarians have a higher fiber diet and eat more vegetables, which both offers more nutrients and better detoxification.

Sugar and diets high in sugar are correlated with PMS symptoms, particularly with mood changes and food cravings. Sugar has been established to impair estrogen metabolism as well as effect insulin resistance, both of which will exacerbate mood and other symptoms during PMS.

Caffeine can also make PMS symptoms worse, especially associated with fibrocystic breasts and depression symptoms. Caffeine consumption and PMS symptoms have also been directly correlated, meaning, the more caffeine, the worse the symptoms.

Exercise and Stress Management

Cortisol, a major stress hormone, can influence blood sugar levels, mood and other hormones, including thyroid and sex hormones. With chronic stress, cortisol can be elevated and exacerbate premenstrual syndrome symptoms. Research has shown when women have a good outlet for stress, such as biofeedback, exercise or counseling, they have less PMS symptoms. Exercise in particular has been well studied to reduce and prevent PMS symptoms. In study after study, athletes report less PMS than non-athletes, however even moderate exercise seems to reduce symptoms.

Suffering for a few days of cramps or drowning negative emotions in chocolate every month may seem unfair but manageable. However, premenstrual syndrome or any PMS symptoms should not be ignored, but rather listened to as to find the imbalance and start eating better, moving more and replacing depleted nutrients.

Dr. Lauren Young is a board certified naturopathic physician with a family practice in Manchester, CT. She is currently accepting new patients and is in network with most insurance companies. To make an appointment, call (860)533-0179 or visit


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