TREAT PRE-MENSTRUAL SYNDROME NATURALLY
By Stephen Holt, M.D., MRCP (UK), FRCP (C), FACP, FACG, FACN, FACAM
INTRODUCTION
Pre-menstrual syndrome (PMS) defies clear definition. In its classic form, it is a disorder of biorhythm that results in a series of unpleasant cyclical symptoms and signs, prior to menstruation. It is naïve to believe that PMS is a simple hormonal disorder requiring merely focused hormonal intervention. Complex socio-behavioral issues or adverse life events make PMS worse and PMS amplifies such events or exacerbates several diseases.
Among the most common symptoms of PMS are: emotional change, tiredness, irritability, anxiety, change of appetite, food craving and a litany of upsets in many body structures, resulting in: headaches, sinus problems, acne, joint pain and general clumsiness. PMS is often confused with many diseases or disorders and it can even masquerade as simple depression, chronic fibromyalgia, neurosis, organic disease of the female genital tract…to name a few misdiagnoses.
NATURAL MANAGEMENT STRATEGIES FOR PMS
Before any management strategies for PMS are proposed, an understanding of the causes of this clinical conundrum is advisable, but no simple or single cause of PMS can be defined. Suggested causes of PMS include: hormonal problems, water retention, body toxins, specific nutrient deficiencies, metabolic disturbances, imbalance of neurotransmitters in the central nervous system or, in isolated cases, frank neuroticism…and other matters.
The complex causes of PMS require multi-pronged interventions and the idea that there is a magic hormonal manipulation to treat PMS in a consistent manner is a “fairy tale”. Table 1 summarizes natural interventions that are linked to suggested causes of PMS.
SUGGESTED CAUSECOMMENT
Hormonal Problems Various studies have identified changes in hormone balance in women with PMS, but there are no consistent changes that permit a clear diagnosis. High levels of estrogen and low levels of progesterone have been associated with PMS. Failure of function of the corpus luteum which forms in the ovary after ovulation may be involved. Progesterone supplementation is a popular intervention and it may be effective in some women with PMS. A preferred approach, in my opinion, is the use of herbs, botanicals and nutrients that are adaptogenic or modulators of hormonal profiles. These natural substances can be used in synergistic formulations with good effects. The use of single supplements for PMS management are obsolete and the same may apply to disturbances around the menopause. Dietary