Premenstrual Syndrome

Introduction: Why PMS Needs More Than Pain Pills

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

Root Causes: Why Is Your PMS So Severe?

Functional medicine identifies why your body overreacts to hormonal shifts:

  • Estrogen Dominance: Excess estrogen relative to progesterone
  • Nutrient Deficiencies: Low magnesium, B6, zinc, omega-3s
  • Blood Sugar Imbalances: Insulin spikes worsen mood swings
  • Gut-Liver Axis Dysfunction: Poor estrogen detoxification
  • Neurotransmitter Imbalances: Low serotonin, GABA
  • Chronic Stress: Depletes progesterone, worsens inflammation

Advanced Diagnostic Testing

We use cutting-edge labs to pinpoint your PMS triggers:

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)

Case Study: Sarah's PMS Transformation

Sarah, 34, suffered debilitating PMS for 12 years—severe cramps, 10-lb water retention, and depression. Testing revealed:

  • Severe estrogen dominance
  • Low progesterone
  • Leaky gut & gluten sensitivity

After 3 months of treatment (gut healing, DIM, bioidentical progesterone):

  • 80% reduction in symptoms
  • No more bloating or mood swings
  • Regular cycles for the first time

Testimonials

Frequently Asked Questions

No—it signals underlying imbalances that can be corrected.

Absolutely. Sugar, caffeine and dairy often worsen symptoms.

We use it sparingly while addressing root causes for lasting relief.

Many hormone and nutrient tests are covered. We provide superbills.

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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