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Is PMS Your Body's Cry for Help Signaling Underlying Issues?

Premenstrual syndrome (PMS) affects millions of people worldwide, often dismissed as a normal part of the menstrual cycle. Yet, what if PMS is more than just a monthly inconvenience? What if it is your body signaling that something deeper is wrong? Understanding PMS as a potential warning sign can open doors to better health and well-being.


Many experience PMS symptoms such as mood swings, fatigue, bloating, and irritability. While these symptoms are common, their intensity and persistence may indicate underlying health problems. This post explores how PMS might be your body's way of alerting you to issues that need attention.



What Is PMS and Why Does It Happen?


PMS refers to a group of physical, emotional, and behavioral symptoms that occur in the days or weeks before menstruation. These symptoms usually resolve once the period begins.


The exact cause of PMS is not fully understood, but it is linked to hormonal fluctuations, particularly changes in estrogen and progesterone levels. These hormones affect neurotransmitters in the brain, such as serotonin, which influences mood and behavior.


However, when PMS symptoms become severe or chronic, it may suggest that the body is struggling with more than just hormonal changes.



When PMS Signals More Than Hormones


PMS can sometimes be a symptom of underlying health issues. Here are some conditions that may be connected to or worsened by PMS:


1. Nutritional Deficiencies


Lack of essential nutrients like magnesium, vitamin B6, calcium, and omega-3 fatty acids can worsen PMS symptoms. For example, magnesium deficiency is linked to increased irritability and cramps.



2. Thyroid Disorders


The thyroid gland regulates metabolism and hormone balance. Hypothyroidism or hyperthyroidism can cause symptoms similar to PMS, such as fatigue, mood changes, and weight fluctuations.


If PMS symptoms are severe and accompanied by other signs like hair thinning or temperature sensitivity, thyroid function tests might be necessary.


3. Mental Health Conditions


Depression, anxiety, and other mood disorders can overlap with or exacerbate PMS symptoms. Sometimes, what seems like PMS is actually a manifestation of an untreated mental health condition.



4. Chronic Stress and Poor Sleep


Stress affects hormone levels and brain chemistry, making PMS symptoms worse. Poor sleep quality can also amplify fatigue and mood swings.


Addressing stress through relaxation techniques and improving sleep hygiene can help reduce PMS severity.



How to Recognise When PMS Is a Warning Sign


Not all PMS is a sign of deeper problems, but certain patterns should prompt further investigation:


  • Symptoms that disrupt daily life or work

  • Symptoms lasting longer than the typical premenstrual phase

  • Severe mood changes, including thoughts of self-harm

  • Physical symptoms like extreme pain or heavy bleeding

  • Symptoms that do not improve with lifestyle changes


If you notice these signs, consulting a healthcare provider is important.



Close-up view of a woman holding her lower abdomen, showing discomfort before menstruation


Practical Steps to Address PMS and Underlying Issues


Taking action can improve PMS symptoms and overall health. Here are some practical tips:


Track Your Symptoms


Keep a diary of your symptoms, noting their intensity, duration, and any triggers. This information helps healthcare providers identify patterns and possible causes.


Blood tests


If something feels off, a great starting point is to get some bloods taken. Your GP should be able to help with some testing. If all looks normal on these blood tests, go back to your GP and reiterate that you're still not feeling well. You can also book some private blood tests for more of a deep dive.


Improve Nutrition


Focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Get in touch with mysefl or another nutritionist if you need any advice.


Manage Stress


Incorporate stress-reduction techniques such as yoga, meditation, or deep breathing exercises into your routine.


Prioritise Sleep


Aim for 7-9 hours of quality sleep per night. Establish a consistent bedtime and avoid screens before sleeping.



The Role of Hormonal Balance and Lifestyle


Hormonal balance plays a central role in PMS, but lifestyle factors can influence how symptoms manifest. Regular exercise, maintaining a healthy weight, and avoiding excessive caffeine or alcohol can help regulate hormones and reduce PMS severity.


Example: Studies show that women who engage in moderate exercise regularly report fewer mood-related PMS symptoms.



Understanding PMS as a Holistic Health Indicator


Viewing PMS as a signal rather than just a monthly nuisance encourages a holistic approach to health. It invites attention to diet, mental health, stress levels, and medical conditions that might otherwise go unnoticed.


Listening to your body and responding to its signals can lead to better health outcomes and a more comfortable menstrual cycle.



 
 
 

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Alex Capadose is a registered naturopathic nutritional therapist, certified by CNHC and BANT. 

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