Premenstrual Syndrome (PMS)

Premenstrual Syndrome (PMS)

Condition Description

Physical and behavioral symptoms that occur repeatedly a few to several days before menstruation

Common Symptoms

  • Bloating, fatigue, breast tenderness, headaches, fluid retention, depression, mood swings, internal anxiety, tension, forgetfulness, difficulty concentrating, food cravings, insomnia, increased sleep, palpitations and hot flashes—some or all occurring a few to several days before menstruation

Underlying Causes

  • Hormonal imbalances
  • Yeast overgrowth, hypothyroidism, and nutritional deficiencies in minerals, vitamin B6, vitamin E and essential fatty acids

Traditional Approach

  • For behavioral symptoms: SSRIs may be prescribed like Fluoxetine (Prozac), Paroxetine (Paxil), Sertaline (Zoloft), Fluvoxamine (Luvox), Citalopram (Celexa), Escitalopram (Lexapro) or benzodiazepines like Alprozolam (Xanax)
  • For fluid retention: diuretics may be prescribed like Spironolactone (Aldactone) and Metolazone (Zaroxolyn)
  • Non-steriodal anti-inflammatory drugs (NSAIDs) for pain like Naprosyn (Aleve, Naprelan), and Mefefnamic acid (Ponstel)
  • Oral contraceptives like YAZ
  • For severe symptoms Andogens like Danazol (Danocrine) may be prescribed

EHAC Approach

  • Test for and treat any hormonal imbalances, yeast overgrowth, hypothyroidism, nutritional deficiencies (like vitamins B6 and E or magnesium or omega 6 essential fatty acids)
  • Lifestyle modification like exercise and relaxation
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