A holistic approach to managing premenstrual syndrome (PMS)

Written in association with: Dr Hina J Shahid
Published: | Updated: 18/10/2024
Edited by: Aoife Maguire

Premenstrual syndrome (PMS) impacts many women with symptoms that can include physical discomfort, such as bloating, headaches, and cramps, as well as emotional symptoms like mood swings and irritability. For those seeking natural ways to alleviate these symptoms, a holistic approach may provide relief by focusing on the body as a whole.

 

We speak to a Dr Hina J. Shadid, a family doctor specialising in integrative women's health, who discusses some key components of a holistic approach to PMS, including diet, exercise, stress management, and herbal supplements.

 

 

Diet and nutrition

 

Eating a balanced diet is essential for reducing PMS symptoms. A focus on whole foods—such as fruits, vegetables, lean proteins, and healthy fats—helps maintain hormone balance and can reduce inflammation. Dark leafy greens, for example, are rich in magnesium, which may help reduce muscle cramps, while omega-3-rich foods like salmon and flaxseeds offer anti-inflammatory benefits.

 

Reducing sugar, caffeine, and salt intake can also have a noticeable impact. Sugar and caffeine can contribute to mood swings and irritability, while salt increases bloating and fluid retention. By limiting these, women can support a more stable mood and feel less physically uncomfortable.

 

Exercise

 

Regular physical activity can help manage PMS symptoms by increasing endorphin levels, which are natural chemicals in the brain that enhance mood and reduce pain. Moderate exercise such as walking, cycling, or swimming, done consistently, can boost energy and reduce stress.

 

Yoga, in particular, is beneficial for both physical and emotional relief from PMS. It promotes relaxation, reduces tension, and can specifically target the areas of the body most affected by PMS, such as the lower back and abdomen. Simple breathing exercises or meditation practices during yoga can also help to calm the mind and lower stress levels.

 

Mind-body techniques

 

Managing stress is crucial for alleviating mood-related PMS symptoms, such as irritability, anxiety, and depression. Techniques like mindfulness and meditation promote relaxation and allow women to become more aware of their thoughts and emotions, which can ease mood swings.

 

For those experiencing severe emotional symptoms, cognitive behavioural therapy (CBT)  can be particularly helpful. CBT is a form of therapy that helps identify and change negative thought patterns, providing coping mechanisms for managing stress. Working with a trained therapist can offer valuable tools for emotional resilience, especially during challenging times in the menstrual cycle.

 

Herbal remedies

 

Many women find herbal remedies effective in managing PMS symptoms. Chasteberry (Vitex agnus-castus) is an herb known for its hormone-balancing properties, which may alleviate symptoms like breast tenderness and irritability. However, it’s important to consult a healthcare provider before beginning any herbal treatment, as effectiveness and safety can vary.

 

Magnesium and calcium supplements are also worth considering. Many women with PMS have lower levels of these minerals, and taking them may reduce symptoms such as cramps, bloating, and mood changes. As with any supplement, it is best to check with a medical professional for proper dosage and safety.

 

Sleep and rest

 

Quality sleep is essential for managing PMS, as it supports hormone regulation and emotional stability. Women experiencing PMS often suffer from disrupted sleep, which can worsen symptoms. Maintaining a regular sleep schedule and creating a restful sleep environment, free from screen time before bed, can greatly improve sleep quality.

 

By focusing on diet, exercise, stress management, and sleep, women can take a holistic approach to managing PMS. These practices promote overall well-being and help reduce the intensity of PMS symptoms naturally. For the best results, always consult a healthcare professional when incorporating new supplements or lifestyle changes.
 

 

If you would like to book a consultation with Dr Shadid, do not hesitate to do so by visiting her Top Doctors profile today.

By Dr Hina J Shahid
GP (general practitioner)

Dr Hina Javaid Shahid is a leading family physician, with over 15 years of experience, based in inner city London. She specialises in women's health, with a focus on longevity and hormonal health, lifestyle medicine, well-woman screening, and coaching (personal development). Her clinical interests are the holistic management of premenstrual syndrome and longevity medicine tailored for women.

She qualified with Distinction in Medical Sciences from University College London in 2008 and first prize in Psychology, Sociology and Epidemiology. She also holds a BSc in Pharmacology from University College London (2005) an MSc in Public Health (2015) from the London School of Hygiene and Tropical Medicine. She has completed additional diplomas in women's health, sexual and reproductive health and paediatrics. She is a board member of the Royal College of General Practitioners North West London Faculty,  a member of the National Association for Premenstrual Syndrome, and a Fellow of the Royal Society for Public Health. 

Dr Shahid is an experienced holistic practitioner trained in yoga, meditation and breathwork and is a certified coach who believes in integrating cutting-edge medical science with holistic approaches to fully optimise women's health and wellbeing. She also works as a medical educator in undergraduate and postgraduate teaching and training, as well as a medical appraiser and mentor supporting the personal and professional development of doctors. 

Dr Shahid has published and presented in over 50 international peer-reviewed journals, books, conferences and national, international and regional events and currently chairs two national non-profit organisations. She frequently contributes to the media and has appeared on BBC, ITV and Sky News as well as presenting a weekly TV health show. She has served as an advisor to the UK, international governments and the UN on several health policy areas and is an ambassador for a number of national campaigns and initiatives around women's health and wellbeing in the UK, including the British Medical Association’s Ending Sexism in Medicine campaign and the Women of The Future Programme.
 

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