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Most women of reproductive age experience one or more mild emotional or physical symptoms for one or two days before the onset of menses. The clinically significant PMS is defined as at least one symptom associated with economic or social dysfunction that occurs during the five days before the onset of menses and is present in at least three consecutive menstrual cycles. Symptoms could be affective (angry outbursts, depression ) or physical (eg, breast pain and bloating).
Premenstrual Syndrome (PMS)
Let's explore the causes (pathogenesis):
1. Ovarian steroid: with the hormonal fluctuations of the menstrual cycle, hormonal disproportion like estrogen surplus and progesterone deficiency have been proposed.
Estrogen levels that fluctuate during the luteal phase are what is responsible for women’s mood changes.
According to the molecular biology studies, the decreased estrogen causes a decline in dopamine, and serotonin that leads to insomnia, fatigue, depression, which are common symptoms of PMDD and PMS.
2. Neurotransmitters: It is anticipated that PMS is likely to be influenced by the action of progesterone on neurotransmitters like gamma-aminobutyric acid (GABA), opioids, serotonin, and catecholamine. Preexisting serotonin deficiency with increased progesterone sensitivity is also considered responsible for this disorder.
3. life style and stress: positive association between PMS and excess intake of sweet-tasting food items. insulin resistance, and certain nutritional electrolyte deficiencies, and genetic factors have a role in PMS. Thus, making it evident that lifestyle factors have a significant association with PMS and PMDD.
Our Approach to PMS Treatment
At Wellness Path 4u, we take a holistic approach to managing PMS, addressing both symptoms and underlying imbalances.
1. Comprehensive Evaluation
Review of menstrual history medications, rule out other endocrine disorders or mood disorder.
Hormone and lab testing when needed
Lifestyle and nutritional assessment
2. Personalized Treatment Plan
Bioidentical hormone therapy (BHRT) when appropriate
These hormones that are biologically identical to those that are naturally produced by the body. Treatment can come in a variety of forms, including creams, pills. During your consultation, your doctor will work with you to decide which treatment option is best for your needs.
Nutritional support and supplementation
Stress management and relaxation strategies
Lifestyle recommendations for exercise, sleep, and diet.
3. Ongoing Support & Monitoring
Regular follow-ups to track progress
Adjustments to treatment as needed
Continued education and empowerment
Take the First Step Toward Relief
You don’t have to live with the disruptive effects of PMS. At Wellness Path 4u, we provide personalized care to help you regain balance, improve comfort, and feel like yourself again.
Contact us today to schedule your consultation and begin your path to wellness.
