PMS and it’s extremes

Woman experiencing severe menstrual cramping.

Approximately 90% of women suffer from Premenstrual Syndrome (PMS) at some point in their lives. During the few days leading up to menstruation can present with all sorts of symptoms such as bloating, irritability, frustration, anger, back ache, acne, abdominal cramping and pain, feeling tearful and emotional, as well as anxious and depressed.

Every cell in our body has a hormone receptor, so PMS can be attributed to over 200 symptoms as fluctuating hormone levels can have an impact everywhere in the body. These may be symptoms you only experience during the build up to your period, or perhaps these are symptoms you already experience, but are exacerbated at this time of your cycle.

In TCM terms, the luteal phase of your cycle e.g. the second half of your cycle between ovulation and your period, is when your body is at its most Yang. It is the part of the cycle where there is the most energy. Your body is gearing up for the possibility of a pregnancy with the surge of progesterone helping to really plump up the uterine lining for an embryo to implant. This surge of hormone and surge of energy can make us feel energised and productive, however as this starts to wane and drop just before our period starts, can suddenly leave us feeling depleted. The smooth flow of Qi is now not so smooth, as the progesterone starts to dip and body temperature starts to drop, our overall hormone levels can quickly leave us feeling grumpy and moody, and present us with physical symptoms too.

Switching between the Yang half of our cycle to the Yin half i.e. our menses, can create Qi stagnation. Getting to know your cycles by charting on a calendar, or Basal Body Temperature (BBT) charting can really help you to understand what is going on inside your body, help you identify symptoms and mood changes, and shed light onto areas that perhaps might need further attention.

For example, some people do not just suffer with “regular” PMS, but can experience more extreme versions such as Premenstrual Dysphoric Disorder (PMDD) and Premenstrual Exacerbation (PME). These extreme versions of PMS can be very difficult to deal with and manage on a monthly basis. “Experiencing PMDD can make it difficult to work, socialise and have healthy relationships. In some cases, it can also lead to suicidal thoughts.”1

Understanding your own personal cycle, the length of your follicular and luteal phases, and looking at your BBT throughout your cycle can open up possibilities to improve symptoms you’re experiencing. You might discover that phases of your cycle are too long/short or your temperature is not high enough or too high for example.

Supporting progesterone can help with PMS. To support progesterone production and your luteal phase, add more nutrient dense calories into your diet at this phase of your cycle. After all, your body is gearing up for a potential pregnancy, and some women find that they are hungrier at this time. Adding more protein, and looking at using adaptogens such as Ashwaganda to help manage stress and change. “Adaptogens are the umbrella term for fungi and plant-derived compounds that help the body adapt to stress.”[2] Magnesium is also said to help, as many of us are depleted in magnesium and it is involved in a myriad of daily bodily functions. Using a topical spray or adding in Epsom Salts to your evening bath are easy ways to get magnesium into your body. Magnesium often becomes low as a result of stress. [3]

Managing stress is also key to supporting your luteal phase. Booking in for regular reflexology or acupuncture can offer you the opportunity to feel relaxed and receive some downtime already scheduled into your diary. With acupuncture in particular, treating throughout the cycle can help you regulate and improve your quality of life. Vitamin B complex supports the body’s ability to handle stress. [3]

Understanding your cycle can help you to prepare and plan for what might be up ahead. Scheduling your diary around your cycle can help you to be more productive when you are feeling at your most energised, and avoid difficult social situations when you’re likely to be feeling fragile. You can also use your cycle to help with meal planning and snacking, and scheduling in more gentle exercise within the luteal phase.

If you would like fertility support in Lancashire and to book in with me please get in touch.

  1. https://www.mind.org.uk/information-support/types-of-mental-health-problems/premenstrual-dysphoric-disorder-pmdd/about-pmdd/
  2. https://www.parsleyhealth.com/blog/what-are-adaptogens/
  3. https://webfmd.com/hpa-axis-dysfunction-treatment/

Let’s talk about periods

Did you know that a true menstrual period only comes if ovulation occurred. This means that if you are on the oral contraceptive pill (OCP) and have “periods”, these are really withdrawal bleeds and not true menstrual periods. This is because the OCP prevents you from ovulating.

If you are trying to conceive then it is wise to give your body time to readjust from stopping OCP and get back to a normal cycle.

Period Flow

The flow of your period should be tracked on the day that menstrual blood starts flowing properly (this would be marked as day 1). Often light spotting can occur beforehand so only class day 1 of your period when it gets going properly.

A normal, healthy period would be 3-5 days of bleeding and have a clear end. A regular flow is normal.

Heavy flow and flooding are something to be flagged. This would be more than 5-7 days of bleeding, or if you are having to change sanitary products more than every 2-3 hours. These issues might indicate issues such as thyroid imbalances, fibroid, low iron.

Likewise, very light pink blood for less than 3 days is also something to be flagged. This might be a sign of low oestrogen levels.

Period Pain

Woman feeling emotional and in pain during menstruation.

Rate your pain levels on a scale of 0-10. Mild cramping when your period starts is normal. Anything more should be flagged. Does it stop you from going to work? Do you need to take pain killers? Do you need to use a hot water bottle? Anything more than a 1 on the scale indicates a red flag. Where is the pain in your body? e.g. headaches, abdominal pain, breast pain, lower-back pain? These can all be clues and could indicate imbalances that can be addressed.

Period Frequency

Cycle length (day 1 to the next day 1) should be 24-35 days in length. There should be a clear start and end to the period.

If you have spotting before or afterwards this is something to be noted. Similarly, the colour of the blood should be a healthy red colour with no clots. If it is pink, dark red, purple, or black, then these are all flags to be noted.

Acupuncture

After discussing all of the above in a consultation, acupuncture can help rebalance the body with certain point prescriptions based on your symptoms. Alongside regular acupuncture, lifestyle changes and wellbeing techniques can also be adopted to optimise health and chances of conception.

There are lots of things to think about and consider with fertility awareness. Education is key and having knowledgeable support from an acupuncturist or reflexologist can be invaluable.

If you are looking for fertility support in Lancashire please get in touch.