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/

Adrenal Health and Support

Adrenal health is of importance particularly going through perimenopausal years as well as menopause and beyond. So what are our adrenals and what do they do?

Artistic expression of a human kidney and adrenal gland.

Our adrenals are small glands that sit on top of our kidneys, and are responsible for making and releasing adrenalin and cortisol; hormones produced as part of our stress response, and our sleep/wake cycle.

Imagine you are crossing a road and suddenly seemingly out of nowhere a lorry is approaching at high speed. Immediately your adrenals create a stress response which causes your body to put all of its reserves into your limbs so that you can run fast to safety. Once safely across the road, your body is then flooded with a sense of relief and you will need to rest and recover from the experience. This would be a normal, healthy example of how our adrenals are supposed to work for us.

However, our busy and hectic modern day lives leave us stresed more than ever. Rushing from appointment to appointment, too many things on our to-do list, worries over children, finances, constant attention to our mobile phones, balancing and juggling parenting with careers, all impact our adrenals. As far as our adrenal glands are concerned, this is stress and they will be creating a stress response. A continued stress response, without the physical release or the recovery time.

Clues that your adrenals may need support include:

  • Poor sleep;
  • Changes in the way you’re able to cope with stress;
  • Blood sugar spikes;
  • Fatigue;
  • Mood swings and low mood;
  • Brain fog.

In addition to this, as we approach menopause (perimenopause can be as much as 10 years leading into menopause) our reproductive hormone levels begin to decline as the ovaries gradually stop producing oestrogen and progestrone. As this happens, our adrenals respond. They answer by making a hormone estradiol (a type of oestrogen) which plays a role in bone health, heart health and protection of the nervous system through and beyond menopause.

As we have already discussed, our adrenals create a stress response within the body in order to keep us safe and away from danger. The additional role they take on (on behalf of the ovaries) during menopause and beyond will not be prioritised over their main function. So it is hugely important to find ways of managing stress. I think we are all guilty of saying “oh, its just stress” or “I am just stressed”: stress has huge implications on our health, particularly continued stress that isn’t acknowledged or managed.

Ideas to help create balance in your life and to carve out some me-time include:

  • Booking in for a regular reflexology session,
  • Run yourself a candlelit bath with expertly blended aromatherapy products;
  • Switch to herbal teas particularly in the afternoon and evenings (liquorice is a great choice);
  • Turn your phone off for an hour;
  • Go for a walk in nature near trees or open water;
  • Add more plants to your living space;
  • Declutter.

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