Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD)
Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD) are hormonal conditions that occur in the second half of the menstrual cycle, typically after ovulation and before the period begins.
PMS is very common and involves physical, emotional, and psychological symptoms that resolve once menstruation starts. PMDD is a more severe form of premenstrual symptoms that can significantly affect mood, wellbeing, relationships, and daily functioning.
Both conditions are linked to hormonal fluctuations throughout the menstrual cycle and the body’s sensitivity to these changes.
Understanding PMS and PMDD
Learn the basics of PMS and PMDD
PMS and PMDD are not simply caused by having “too much” or “too little” of a particular hormone, but rather how the body responds to normal hormonal changes, particularly fluctuations in estrogen and progesterone.
After ovulation, progesterone rises and then falls if pregnancy does not occur. These hormonal shifts can influence neurotransmitters in the brain, including serotonin, which plays an important role in mood, sleep, and emotional regulation.
PMDD is thought to involve an increased sensitivity of the nervous system to these hormonal changes.
Other factors that may influence PMS and PMDD include nervous system health, stress, inflammation, nutritional status, and overall hormonal balance.
Each person’s experience is unique, and symptoms can vary from cycle to cycle.
Common symptoms
Recognise the signs of PMS and PMDD
Symptoms typically occur in the luteal phase (the 1–2 weeks before the period) and improve once menstruation begins.
Common symptoms include:
• Mood swings
• Irritability or anger
• Anxiety
• Low mood or tearfulness
• Fatigue
• Breast tenderness
• Bloating
• Headaches
• Food cravings
• Sleep disturbances
• Difficulty concentrating
PMDD may include more severe emotional and psychological symptoms that interfere with daily life.
Natural solutions
Discover natural ways to manage PMS and PMDD
A naturopathic approach focuses on supporting healthy hormonal rhythms and nervous system balance throughout the menstrual cycle.
Support may involve exploring areas such as:
• Hormonal balance
• Nervous system support
• Stress resilience
• Nutritional status
• Liver health and hormone metabolism
• Gut health
Care is always individualised, with the goal of supporting the body’s natural cycle and improving overall wellbeing.
Testing options
Learn about testing when it comes to PMS and PMDD
Testing can help provide insight into hormone patterns and other factors that may be contributing to symptoms.
Depending on the individual, testing may include assessment of:
• Reproductive hormones
• Thyroid function
• Iron and nutritional status
• Stress hormone patterns
• Inflammatory markers
• Other relevant functional or pathology testing
This helps guide a personalised and informed approach.
Lifestyle factors
How daily habits impact PMS and PMDD
Daily habits can have a significant impact on hormone balance and premenstrual symptoms.
Factors that may influence PMS and PMDD include:
• Stress levels and nervous system health
• Sleep quality
• Nutrition
• Work-life balance
• Emotional wellbeing
• Overall lifestyle load
Supporting the body consistently throughout the entire menstrual cycle can help promote more balanced hormonal rhythms.
Getting started
Take the first step towards managing your PMS and PMDD
If you experience difficult physical or emotional symptoms before your period, it’s important to know this is not something you simply have to live with.
A comprehensive consultation provides the opportunity to explore your cycle, hormonal patterns, symptoms, and overall health in detail.
From there, we work with you to better understand your hormones and create a personalised approach to support your menstrual health and wellbeing.
Supporting your hormones can help you feel more balanced, supported, and in control throughout your cycle.