PMS/PMDD
Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD) are hormone-related conditions affecting women in the luteal phase of their menstrual cycle. While PMS involves mild to moderate physical and emotional symptoms, PMDD is a severe form causing significant mood disturbances, depression, irritability, and anxiety that can interfere with daily functioning. Studies suggest PMS affects up to 75% of menstruating women, while PMDD affects approximately 5-8% of women of reproductive age.
Symptoms
- •Mood swings, irritability, anger, or increased interpersonal conflicts
- •Depression, feelings of hopelessness, or self-deprecating thoughts
- •Anxiety, tension, feeling on edge or overwhelmed
- •Breast tenderness, bloating, and fluid retention
- •Fatigue, difficulty concentrating, and changes in appetite or sleep patterns
- •Physical symptoms including headaches, joint or muscle pain
Causes & Risk Factors
- •Hormonal fluctuations in estrogen and progesterone during the luteal phase
- •Neurotransmitter sensitivity, particularly to serotonin changes in response to hormone shifts
- •Inflammation and dysregulation of prostaglandins affecting mood and pain perception
- •Nutritional deficiencies including B vitamins, magnesium, and calcium that affect hormone metabolism
Naturopathic Approach
Naturopathic treatment for PMS and PMDD focuses on restoring hormonal balance and supporting neurotransmitter function through targeted interventions. This includes optimizing nutrition with emphasis on B vitamins, magnesium, calcium, and omega-3 fatty acids to support hormone metabolism and neurotransmitter synthesis. Botanical medicines such as vitex (chaste tree), evening primrose oil, and adaptogens help regulate the hypothalamic-pituitary-ovarian axis and modulate stress response. Functional lab testing can identify specific nutrient deficiencies, hormone imbalances, and inflammatory markers. Lifestyle modifications including stress reduction techniques, regular physical activity, and sleep optimization support overall hormonal health. This comprehensive approach aims to reduce symptom severity, improve quality of life during the luteal phase, and address underlying hormonal and biochemical imbalances.
Related Modalities
Frequently Asked Questions
What is the difference between PMS and PMDD?
PMS involves mild to moderate physical and emotional symptoms that occur in the luteal phase and resolve with menstruation. PMDD is a severe form characterized by debilitating mood symptoms including severe depression, anxiety, irritability, or mood swings that significantly interfere with work, relationships, and daily activities. PMDD requires formal diagnosis and more intensive treatment approaches.
Can diet really help with PMS symptoms?
Yes, nutrition plays a crucial role in hormone metabolism and neurotransmitter production. Reducing inflammatory foods, stabilizing blood sugar, increasing intake of specific nutrients like magnesium and B vitamins, and supporting gut health can significantly reduce symptom severity. Many patients notice improvements in both physical and emotional symptoms within 2-3 menstrual cycles of dietary modifications.
How long does naturopathic treatment take to work?
Most patients begin noticing improvements in symptom severity within 2-3 menstrual cycles, though some may experience relief sooner. Acute symptoms can be addressed with targeted supplements and herbal medicines, while addressing underlying hormonal imbalances and optimizing overall health requires 3-6 months of consistent treatment. Long-term management focuses on maintaining hormonal balance through ongoing nutrition and lifestyle support.
Should I stop my current medications to try naturopathic treatment?
Never discontinue prescribed medications without consulting your prescribing physician. Naturopathic treatments can often be used safely alongside conventional medications such as SSRIs or hormonal contraceptives. In some cases, as symptoms improve with naturopathic support, you and your doctor may consider adjusting medications, but this should always be done under medical supervision.
References
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Dr. Sanika Kshirsagar, ND
Doctorate of Naturopathic Medicine (ND)
Bastyr University, Kenmore, WA
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