As part of the health interview I have with each patient, I ask women about their monthly period. Many say it’s horrible; some have such a bad time that they occasionally have to stay in bed for days.
What amazes me, though is that these women rarely think PMS is a problem; they assume that there is nothing that can be done. “I’ve just learned to live with it”, they often say.
When I tell them that they should start their period and not even know it (that is: no pain, no irritability, no bloating...) they often laugh. They laugh even harder when they change their lifestyle and take a few supplements and realize that they have been living with pain and discomfort that they didn't need to.
What is PMS?
Premenstrual Syndrome (PMS) is a collection of symptoms that typically occur right before a women’s period. For some, it starts a week or more before, for many PMS starts a few days before their period.
PMS symptoms range from mood changes including irritability, nervousness, feeling of lack of control, agitation, anger, insomnia, difficulty in concentrating, lethargy, severe fatigue and depression.
There is even a listing in the DSM, the book on psychiatric disorders, which lists a PMS dysthymic disorder that underscores the low or depressive feeling that many women have around their period.
PMS symptoms also include fluid retention, weight gain, breast fullness and pain, headaches, vertigo, numbness, heart palpitations, bloating, constipation, nausea, vomiting, changes in appetite, backache, worsening of acne, and much much more.
I often see migraines and other chronic conditions get worse right before a women’s period. Women often crave certain foods right before their period, most notably, chocolate. Chocolate is high in magnesium and has mood altering effects, both of which help to explain its popularity among the PMS crowd.
Is this the pain you have to live with?
No, there is much that you can do.
DIET:
Worsening of PMS symptoms is often related to an increase in sugar, alcohol and caffeine.
Increasing fiber, which increases the removal of estrogens from your body, has also been shown to decrease PMS. Increasing vegetables is a great way to increase fiber. Soy has been found to have a moderating effect on PMS. While diets that avoid all of the above are difficult, many who suffer the extreme form of PMS find relief from these simple measures.
NUTRITION:
Many nutrients have been shown to be low in women who have the most severe forms of PMS, the most important of these being Vitamin B6 and Magnesium. Supplementing with Vitamin B6, Magnesium, Calcium, Zinc, Vitamin E have been found to be effective.
Essential fatty acids in the form of both fish oils (EPA/DHA) and evening primrose oils are often helpful. A good multivitamin covers many of the basic requirements, but supplementing with additional B vitamins and Magnesium/Calcium is probably necessary in most women with PMS.
HERBS:
Many herbs are helpful for women suffering from PMS, but their use is best decided on an individual basis. Herbs that have been traditionally used and have been helpful in PMS are Vitex, Dong quai, Licorice root, Shepard’s purse, Motherswort and Black cohosh.
Additionally, herbs that help the liver often help PMS; these include Dandelion, Burdock, Rosemary and many more.
PMS is not the pain that you have to live with. Many women are surprised when their symptoms go away. The pains that they have been having since their teenage years disappear. They enjoy the freedom to feel great each and every day.
PMS: The Pain You Have To Live With?
Scott D Olson 257 W Delaware Circle Littleton, CO 80120 720-255-3188