The Marion Gluck Clinic

Pre-Menstrual Syndrome (PMS)

Premenstrual syndrome (PMS) is extremely common and refers to physical and emotional symptoms that occur in the one to two weeks prior to the start of a woman’s period/menstruation.

This common imbalance usually relates to low levels of progesterone, the hormone which is produced in the second part of the cycle (post ovulation). This is the luteal phase of the monthly cycle. When the balance of oestrogen and progesterone in the luteal phase is disturbed, this can cause physical and mood-related symptoms.

Most women who have a menstrual cycle experience cyclical symptoms, such as painful breasts, bloating, headaches, fatigue, mood swings, irritability and increased appetite. This is acceptable if the symptoms are minor and do not affect the rhythm of women’s personal or professional lives. Unfortunately, this is not always the case, and severe symptoms affect many women, despite PMS being the result of a highly treatable hormone imbalance.

Symptoms can include:

  • Mood swings
  • Depression
  • Anxiety
  • Irritability
  • Anger
  • Abdominal bloating and cramping
  • Breast tenderness
  • Headaches
  • Fatigue
  • Back pain
  • Food cravings
  • Cramping
  • Weight gain

How do we treat PMS?

At the Marion Gluck Clinic, we evaluate the full picture of symptoms and perform a comprehensive female hormone profile in the second part of the menstrual cycle to establish if there is a hormone imbalance. If there is, the relevant bio-identical hormones are prescribed at a dosage tailored to the individual’s needs.

With treatment, patients generally see their symptoms diminish and establish a better quality of life in the second half of their cycle.

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