What's In A Name? PMS-A, PMS-C, PMS-D, PMS-H & PMS-P
There is a bit of assumed knowledge when we talk about a concept like Premenstrual Syndrome (PMS). When discussing the typical symptoms recently with a client I noticed that they did not believe that they experienced the issue, “…but I don’t get irritable or weepy before my period,” was the general feedback. But then they went on to describe some other classic symptoms that are not generally recognised as PMS in many casual circles. She described physical symptoms such as sore and tender breasts, anxiety, changes in bowel function, water retention and fatigue around the menses but had not made the connection between her set of symptoms and PMS. It may be news to hear that there are five distinct types of PMS and that mood alterations are not the sum of the issue.
The reason why understanding more about PMS is so important is that we consider that a woman’s experience during her menstrual cycle can give us important clues as to her overall health. If she cannot have a ‘functional period’ it may flag that there are biological, environmental and nutritional drivers that need attention and nurturing. Remembering that some key risk factors of menstrual dysfunction can also be risk factors for other conditions such as inflammatory disease, autoimmune disease and mood disorders.
We have included a brief description of the five different types of PMS we typically recognise. Each type can be supported with a healthy diet and lifestyle interventions. By addressing these symptoms, we can get back a lot of time within a woman’s lifetime where she can engage in life, be present with her family, work to her fullest potential and feel completely supported. This list is not exhaustive and does not explore more serious conditions such as Premenstrual Dysphoric Disorder (PMDD).
Premenstrual syndrome with Anxiety (PMS-A): Potentially the most classically recognised type of PMS due to its hallmark mood changes. PMS-A can cover both anxiety as well as depressive symptoms and is exacerbated by hormone fluctuations. PMS-A symptoms include nervous tension (even outside of having a period), anxiety, mood swings and irritability.
Premenstrual syndrome with Hyperhydration (PMS-H): One of the least well known series of symptoms, PMS-H can be triggered by an increase in circulating aldosterone levels. Symptoms includes issues with weight gain, abdominal bloating, breast tissue tenderness or pain and swelling of the extremities (particularly feet).
Premenstrual syndrome with Cravings (PMS-C): Issues surrounding blood-sugar regulation are paramount with these sufferers. Symptoms include dizziness, increased appetite, heart pounding, headache, cravings for sweet foods and carbohydrates and fatigue.
Premenstrual syndrome with Depletion (PMS-D): Although all of the types of PMS are associated with hormonal dysregulation to some degree, this type of PMS is particularly associated with alterations in oestrogen levels and feelings of exhaustion. This can happen in times of stress, peri-menopause (the time leading into menopause), over-exercise, underweight or other issues with ovulation. Symptoms include depression, forgetfulness, confusion, insomnia, crying or low mood.
Premenstrual syndrome with Pain (PMS-P): Believed to be driven by an excess of inflammatory prostaglandins, this type of PMS is distinguishable by increased sensitivity to pain symptoms. Symptoms include cramps, backache and general aches and pains. Maintaining a healthy diet, reducing animal fats prior to menses and increasing the intake of cruciferous vegetables (cabbage, cauliflower, broccoli, broccolini and kale) may help in this instance.
To find out more about whether you may be experiencing some PMS symptoms take the test and access your free resources to support your way to recovery. If you would like to know how natural medicine may support each of these different manifestations book your free 15 minute discovery call here.
The information provided on the Nurture Point Pty Ltd blog and greater website is for educational and information purposes. The information provided within the blogs, or anywhere else on this site is not, nor is it intended to be, a substitute for professional advice or care. Please seek the advice of a qualified health care professional in the event something you have read here raises questions or concerns regarding your health. We offer personalised Naturopathic consultations as an online service. We offer nutrition care, herbal medicine and lifestyle advice. If you wish, feel free to book in a time here.
