PMS - Integrative Functional Care

Introduction: Why PMS Deserves More Than Symptom Relief

90% of women experience PMS, yet most are told it’s “normal.” At Patients Medical in NYC, we uncover the hidden hormonal and metabolic imbalances behind your symptoms—from estrogen dominance to nutrient deficiencies—and create personalized plans to restore balance naturally.We treat the whole hormonal system, not just your symptoms

What Is Premenstrual Syndrome?
PMS refers to physical and emotional symptoms that occur 1-2 weeks before menstruation and resolve with your period.

Types of PMS:

  • PMS-A (Anxiety): Irritability, mood swings
  • PMS-C (Cravings): Sugar cravings, fatigue
  • PMS-D (Depression): Sadness, brain fog
  • PMS-H (Hydration): Bloating, breast tenderness
  • PMDD: Severe, debilitating symptoms affecting daily life

 

Common Symptoms of PMS

Which Factor Is Considered a Cause of PMS?

PMS is not caused by one isolated issue. Multiple factors contribute to hormonal imbalances that drive symptoms. The most recognized root causes of PMS include:

  1. Estrogen Dominance: Too much estrogen in relation to progesterone can cause breast tenderness, irritability, and bloating. Environmental toxins and poor detoxification make this worse.

  2. Nutrient Deficiencies: Low levels of magnesium, vitamin B6, calcium, and omega-3s impact mood, nerve function, and hormonal regulation.

  3. Chronic Stress: Elevated cortisol suppresses progesterone and worsens PMS-related anxiety, insomnia, and fatigue.

  4. Blood Sugar Imbalance: Unstable glucose levels lead to cravings, mood swings, and hormonal disruption.

  5. Gut Health & Estrogen Recycling: Poor gut health prevents proper estrogen clearance, contributing to its accumulation in the body.

  6. Liver Detoxification Issues: The liver processes estrogen. If sluggish, estrogen can recirculate and worsen PMS symptoms.

Functional medicine looks at all of these together to create a holistic, personalized plan.

Diagnostic Testing We Use

To truly treat PMS, we need to understand your hormone, nutrient, and metabolic status. Our testing may include:

DUTCH Hormone Test (estrogen, progesterone metabolites)

Micronutrient Panel (magnesium, B vitamins, zinc)

Blood Sugar & Insulin Tests (fasting glucose, HbA1c)

Gut Health Analysis (microbiome, zonulin for leaky gut)

Neurotransmitter Testing (serotonin, GABA, dopamine)

Thyroid Panel (TSH, free T3/T4, antibodies)

Integrative Treatments for PMS

Hormone Balancing

  • Vitex (Chasteberry): Supports progesterone production
  • DIM & Calcium-D-Glucarate: Promotes estrogen detox
  • Bioidentical Progesterone (if deficient)

Nutritional Therapy

  • Anti-inflammatory diet (rich in cruciferous veggies, flaxseeds)
  • Targeted supplements (magnesium glycinate, omega-3s, vitamin B6)

Gut-Liver Support

  • Liver detox protocols (milk thistle, NAC)
  • Probiotics for estrogen metabolism

Stress & Mood Support

  • Adaptogens (rhodiola, ashwagandha)
  • 5-HTP or GABA for serotonin support

Pain & Inflammation Relief

  • Acupuncture for cramp relief
  • Turmeric & Ginger (natural COX-2 inhibitors)

Real Case Study: Tania’s Transformation

Tania, 34, came to us with severe PMS—cramps, emotional outbursts, fatigue, and migraines. Her lab work revealed estrogen dominance, magnesium deficiency, and blood sugar instability.

We crafted a 3-month plan including:

  • A magnesium-rich, anti-inflammatory diet
  • DIM and Vitex supplementation
  • Weekly IV nutrient therapy
  • Gut support and stress reduction protocol

After 2 cycles, her migraines disappeared, her mood stabilized, and she finally felt like herself before and during her period.

Testimonials

Frequently Asked Questions

 PMS is usually caused by hormone imbalances, nutrient deficiencies, poor detoxification, gut dysbiosis, or stress—not just normal hormonal shifts.

 Many women experience complete relief with targeted interventions that restore hormonal and metabolic balance.

 Birth control may mask symptoms but doesn’t correct the root causes. We prefer functional, sustainable solutions.

 Yes, it’s one of the most frequent causes—often due to poor liver detox and gut health.

 Stress depletes progesterone and worsens mood swings, insomnia, and bloating.

 Magnesium reduces cramps, supports mood, and balances hormones. It’s often depleted in women with PMS.

 Absolutely. A healthy gut clears excess estrogen, regulates inflammation, and impacts mood through the gut-brain axis.

 Yes. Diets high in sugar, caffeine, and processed foods can worsen PMS. Anti-inflammatory, whole-food diets help reduce symptoms.

 Yes, we use saliva, blood, and urine testing to assess your full hormonal picture.

 We’re out-of-network but provide superbills for reimbursement. Many labs may be partially covered.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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