Premenstrual Syndrome

Premenstrual Syndrome

Introduction: Why PMS Needs a New Approach

Premenstrual Syndrome (PMS) affects up to 75% of menstruating women, often dismissed as “normal.” But when your hormones disrupt your mood, energy, digestion, and mental clarity every month—it’s time for a new perspective.

At Patients Medical in New York City, we address PMS at its roots, using a personalized, integrative approach that blends conventional, holistic, and functional medicine.

You are not overreacting. And you don’t need to suffer in silence.

What Is Premenstrual Syndrome (PMS)?

PMS refers to a cluster of physical, emotional, and behavioral symptoms that typically occur 1–2 weeks before menstruation and resolve with the onset of your period.

While common, PMS is not inevitable. It’s often a sign of underlying hormonal imbalances, inflammation, gut dysfunction, or chronic stress.

what Is Premenstrual Syndrome (PMS)

Symptoms of PMS May Include:

Root Causes: Why Did You Develop PMS?

At Patients Medical, we don’t treat PMS as “just hormones.” We investigate the deeper reasons your body is out of balance.

Common root causes include:

  • Estrogen dominance or low progesterone
  • Poor liver detoxification of hormones
  • Leaky gut or gut microbiome imbalance
  • Chronic stress or adrenal fatigue
  • Thyroid dysfunction
  • Nutrient deficiencies (magnesium, B6, zinc)
  • Blood sugar instability
  • Toxin overload from endocrine disruptors
  • Sleep disruption or circadian rhythm imbalances
Root Causes: Why Did You Develop PMS

Diagnostic Testing We Use

We use advanced functional lab testing to pinpoint what’s driving your PMS symptoms:

Hormone testing (estrogen, progesterone, cortisol, DHEA, testosterone)

Thyroid panels (TSH, Free T3/T4, Reverse T3, antibodies)

Gut health and microbiome analysis

Nutrient status (Vitamin D, B6, magnesium, zinc)

Blood sugar and insulin levels

Inflammatory markers (CRP, homocysteine)

Liver detox panels and MTHFR gene analysis

By uncovering what’s really going on, we can develop a plan that heals, not just manages.

Integrative Treatments for PMS

Personalized Nutrition

We create anti-inflammatory meal plans that support hormonal and neurotransmitter balance. This may include:

  • Estrogen-balancing cruciferous vegetables
  • Blood sugar-stabilizing meals
  • Elimination diets for food sensitivities
  • Seed cycling to promote hormone rhythm
IV Nutrient Therapy

IV Nutrient Therapy

Custom IVs with magnesium, B vitamins, and glutathione reduce inflammation, ease cramps, and support detoxification pathways.

Herbal & Nutraceutical Support

We use targeted, physician-approved supplements like:

  • Chasteberry (Vitex agnus-castus)
  • Magnesium glycinate
  • Vitamin B6 and calcium
  • DIM and calcium D-glucarate for estrogen clearance
  • Adaptogens (ashwagandha, rhodiola) for stress balance
Herbal & Nutraceutical Support

Stress Management

Meditation, acupuncture, breathing practices, and adrenal adaptogens help regulate the HPA axis and reduce cortisol-driven PMS.

Hormone Balancing

We may use bioidentical progesterone or natural hormone support based on labs to ease mood swings, insomnia, and breast tenderness.

Hormone Balancing

Gut and Liver Detox

Your liver and gut regulate hormone clearance. We address leaky gut, sluggish detox, and microbiome imbalance to break the cycle of recurring PMS.

Real Case Study: Emily’s PMS Reversal Journey

Emily, 34, came to us with monthly PMS so severe she couldn’t focus at work or enjoy her relationships. Her symptoms included bloating, anxiety, breast tenderness, and irritability.

Testing revealed estrogen dominance, adrenal fatigue, and a zinc and magnesium deficiency.

We created a 3-month plan with:

  • A hormone-balancing meal plan
  • DIM and magnesium supplementation
  • Stress-adaptogen herbal support
  • Bioidentical progesterone cream
  • Weekly IVs with magnesium and B-complex

By month 3, her PMS symptoms had nearly disappeared—and her cycles were balanced for the first time in years.

Testimonials

Meet Our Doctors

Rashmi Gulati, MD

Medical Director of Patients Medical

Stuart Weg, MD

A holistic pain management physician

Dr. Emine Cosar, MD

Consult Dr. Emine Cosar, MD. For Gynecology

Frequently Asked Questions

 Yes. Many cases are caused by reversible hormone, gut, and lifestyle imbalances that respond well to integrative therapies.

 Not necessarily. While hormonal birth control may suppress symptoms, it doesn’t treat the root causes. We aim to restore balance naturally.

 Most patients who come to us have. Our unique approach includes advanced testing and custom protocols that often reveal overlooked causes.

 Yes. We focus on restoring your natural hormonal balance, which can also improve fertility.

 Many women see improvement in 1–3 cycles, though full hormone rebalancing may take 3–6 months depending on severity.

 PMDD (Premenstrual Dysphoric Disorder) is a more severe form of PMS. Our approach is personalized for both conditions.

 Yes. Early support helps young women avoid years of unnecessary suffering or dependence on hormonal medication.

 We are an out-of-network provider but can supply superbills for possible reimbursement. Lab work may be partially covered.

 Absolutely. We support collaboration and ensure your care team is aligned.

 Yes. We support integrative solutions, whether you choose conventional, natural, or combined care.

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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