How Can Premenstrual Syndrome Affect a Woman?

Introduction: PMS Needs More Than Painkillers

Premenstrual Syndrome (PMS) is often dismissed as “just part of being a woman”—but it doesn’t have to be. At Patients Medical in New York City, we take a functional and integrative medicine approach to PMS that gets to the root of your hormonal imbalances. Whether your symptoms are physical, emotional, or both, relief is possible without relying solely on synthetic hormones or pain medication.

What Is Premenstrual Syndrome (PMS)?

PMS refers to a cluster of physical and emotional symptoms that occur 1–2 weeks before menstruation, due to fluctuations in estrogen, progesterone, and other key hormones. It affects up to 85% of menstruating women to some degree.

 

Common Symptoms of PMS

Why Do You Experience PMS? A Functional Medicine View

Traditional medicine often treats PMS with birth control or antidepressants. Functional medicine looks deeper—at the “why.” Common root causes we uncover at Patients Medical include:

  • Estrogen dominance: Too much estrogen compared to progesterone
  • Poor liver detoxification: Prevents proper estrogen breakdown
  • Inflammatory diet: High sugar and processed foods trigger hormone swings
  • Low magnesium or B6: Nutrient deficiencies worsen mood and cramps
  • Thyroid imbalances: Common in women with PMS and fatigue
  • Adrenal dysfunction: Cortisol imbalances intensify PMS
  • Gut dysbiosis: Poor gut health affects hormone regulation

 

Advanced Diagnostic Testing

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

Female hormone panel (estrogen, progesterone, LH, FSH)

Adrenal function and cortisol curve

Thyroid panel (TSH, Free T3/T4, reverse T3, antibodies)

Micronutrient testing (magnesium, B6, iron, D)

Liver function and detox markers

Stool analysis and gut microbiome testing

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: Laura’s PMS Turnaround

Laura, age 34, had struggled with painful periods, mood swings, and breast tenderness for years. She’d tried birth control and antidepressants with little relief.

Lab results showed:

  • Estrogen dominance
  • Low progesterone
  • Subclinical hypothyroidism
  • Low magnesium and vitamin D

Her 3-month plan included:

  • Detox-friendly meal plan
  • Magnesium and DIM supplements
  • Adrenal and thyroid support
  • Weekly IV therapy

By month 3, Laura reported minimal PMS, clear skin, better moods, and regular cycles—without medication.

Testimonials

Frequently Asked Questions

No—it signals underlying imbalances that can be corrected.

Absolutely. Sugar, caffeine and dairy often worsen symptoms.

 Yes. Nutrition, lifestyle changes, herbs, and supplements can provide powerful symptom relief.

 They may mask symptoms but don’t address root causes like inflammation, hormone detox, or nutrient deficiency.

PMDD is a severe form of PMS that involves extreme mood changes and significantly impacts daily life.

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

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

 Symptoms like bloating, mood swings, heavy periods, and tender breasts are common. We confirm it with hormone testing.

 Absolutely. High cortisol can lower progesterone, worsening PMS symptoms.

 We are out-of-network but provide superbills. Some labs may be partially reimbursed.

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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