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These Hormones Might Be The Cause For Your PMS Symptoms

Stephanie Gray, DNP, M.S., ARNP
Functional Medicine Provider
By Stephanie Gray, DNP, M.S., ARNP
Functional Medicine Provider
Stephanie Gray, DNP, M.S., ARNP, ANP-C, GNP-C, ABAAHP, FAARFM, is a functional medicine provider and Amazon bestselling author of Your Longevity Blueprint. She co-owns the Integrative Health and Hormone Clinic in Hiawatha, Iowa.

Many women hate their period. They anticipate their menstrual cycle as a dreadful few days to a week they have to plan their life around every single month. They live in fear of raging premenstrual tension syndrome (PMS) symptoms like mood changes, anxiety, headaches, gastrointestinal symptoms, tender breasts, and fatigue. Heavy menstrual cramping and bleeding only further support that negativity. Sadly, this occurs in 30 to 40 percent of the reproductive female population.

So what's really to blame for these symptoms? In my experience, PMS in many patients is associated with higher estrogen and lower progesterone states. Estrogen is a proliferative hormone, meaning it causes the lining of your uterus to grow or thicken. The higher your estrogen, the thicker it gets and the more you bleed. Progesterone is a more soothing, calming hormone. It's also an anti-proliferative hormone, meaning it keeps that growth in check.

Ultimately, you want to have a good balance of estrogens and progesterone and not be estrogen-dominant and low on progesterone. If we divided your 28-day cycle into four weeks, week one being the week of bleeding, most women feel worse week four, the week preceding bleeding. This is likely due to progesterone dropping. In fact, many women are so sensitive to this fluctuation that the drop triggers headaches and other symptoms.

But what if week four of your cycle didn't have to be so dreadful? Consider these natural solutions to reduce high estrogen and boost progesterone—ultimately improving PMS symptoms and that heavy bleeding!

1. Change your diet to support estrogen-progesterone balance.

Believe it or not, some foods can increase estrogen. That's the bad news. The good news is that if your goal is to keep estrogen down, avoiding or even just limiting certain foods can help you accomplish your goal. In just one example, many patients with heavy bleeding have a condition called endometriosis. Research shows a dairy-free diet may help reduce inflammation and improve endometriosis. I have seen this both in patients and in myself personally. If you want to change your diet, you can start with the following:

  • Avoid meat from animals that have been given hormones.
  • Eat organic when you can.
  • Also reduce soy products like tofu and miso, reduce flaxseeds and sesame seeds, and beans.
  • Increase foods that boost progesterone like yams as well as oily fish like sardines, mackerel, and salmon.

It's a good idea to not only remove trigger foods, but consider an anti-inflammatory diet. This means avoiding foods that you might be sensitive to—which you can be tested for or find out for yourself using an elimination diet. Some other changes that might be helpful include:

  • Increasing cruciferous vegetables can help with proper estrogen clearance.
  • Avoiding caffeine, which only robs you of nutrients like magnesium that can help with cramping.
  • Eating to balance your blood sugar, starting your day with healthy fats and protein.

2. Reduce stress with deep breathing and calming exercises.

Hormones are produced by what I call our "A team"—which is our sex organs like the ovaries in women and testes in men—but also by our "B team," which consists of our adrenal glands. In reality, this means that stress is your body's biggest hormone hijacker. The more stress you are under, the less your "B team" can help with hormone production.

Considering lifestyle changes like setting healthy boundaries and saying no to what is not an absolute "yes" can help your body keep functioning as it should. Deep breathing, meditation, and calming exercise like yoga have proved helpful for reducing stress as well.

3. Consider supplementation with vitamins, minerals, and herbs.

Many of us are nutritionally deficient and don't even realize it. Sadly, our foods aren't as nutritionally dense as they used to be, and we may not be getting the ones that are essential for hormone production.

The mineral magnesium is soothing and calming, excellent for reducing menstrual cramps, assisting with sleep, reducing headaches, and even boosting mood. It also is a cofactor for both progesterone production and neurotransmitter production like serotonin. Vitamins are very important for your adrenals and for energy during this time of the month. B vitamins, specifically, help the liver break down estrogen levels to control its amount and maintain hormonal balance. B's are also important for neurotransmitter production like serotonin (which makes you feel good). Lastly, omega-3 fatty acids like fish oil are anti-inflammatory, which can help reduce menstrual cramps and actually reduce heavy bleeding.

Photo by Stanislav Sablin / iStock

Other cultures have used herbs for centuries to help boost hormone levels. Adaptogenic herbs may help the body adapt to stress. Rhodiola is thought to support the nervous system, mood, mental clarity, performance, and sleep. Eleutherococcus (ginseng) may help with memory, endurance, and energy. Schisandra may help with mental clarity, a healthy stress response, and emotional well-being. Ashwagandha's benefits are important for memory, mood, energy, and endurance, and it also helps to improve cortisol and thyroid levels. Vitex can support the pituitary gland to produce LH necessary for the body to produce progesterone and to ovulate. DIM may be very helpful in clearing our excess estrogen from the body.

It's always a good idea to work with your doctor, a functional medicine expert, or a hormone specialist when considering supplementing. They can help you narrow down the options and find the nutrient and dosage that will work for you.

4. Have your hormones checked.

Your heavy bleeding could also stem from having poor thyroid function. If your most important thyroid hormone, your free T3, is on the low end, find a provider who will help you optimize it. By testing your hormones, you can also discover whether you have higher estrogen levels. If natural remedies to boost progesterone aren't effective, consider natural progesterone replacement therapy. I've seen this help a countless number of patients.

Lastly, when you're dealing with a hormone imbalance, it's a good idea to choose safe personal care products that are free from endocrine-disrupting chemicals like parabens and phthalates. Consider using the Environmental Working Group to learn whether your products are safe or only contributing to your PMS. Hopefully, these five steps can help you no longer dread that monthly cycle!

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Stephanie Gray, DNP, M.S., ARNP author page.
Stephanie Gray, DNP, M.S., ARNP
Functional Medicine Provider

Stephanie Gray, (DNP, MS, ARNP, ANP-C, GNP-C, ABAAHP, FAARFM), is a functional medicine provider who helps men and women build sustainable and optimal health and longevity so they can focus on what matters most to them. She has been working as a nurse practitioner since 2009 and completed a doctorate focusing on estrogen metabolism from the University of Iowa in 2011. Gray also has a masters in metabolic nutritional medicine from the University of South Florida’s Medical School. Her expertise lies within integrative, anti-aging, and functional medicine. She is arguably one of the midwest's’ most credentialed female healthcare providers combining many certifications and trainings. She was the first nurse practitioner in the state of Iowa certified through the American Academy of Anti-Aging Medicine’s Board of Anti-Aging Health Practitioners (ABAAHP). She completed their advanced fellowship in Anti-Aging Regenerative and Functional medicine in 2013. She became the first BioTe certified provider in Iowa to administer hormone pellets also in 2013. She continues to stay progressive with the study of natural hormone replacement therapy and nutrigenomic continuing to pursue her extensive education while she practices. This training allows her to provide her patients the most comprehensive care. She is the author of the FNP Mastery App and an author of the book Your Longevity Blueprint. She is co-founder of Your Longevity Blueprint Nutraceuticals with her husband, Eric. They own the Integrative Health and Hormone Clinic in Hiawatha, Iowa.