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Pre-menstrual syndrome (PMS)

What is Pre-menstrual Syndrome (PMS)?

Premenstrual Syndrome (PMS) is often viewed as a “problem” or illness.

It’s not.

Instead, PMS is a variety of responses to an ordinary event in women’s lives: menstruation. PMS usually occurs monthly, accompanied with specific symptoms and signs that can appear seven to ten days before menstruation and then disappear after the onset of the menstrual flow. To better understand PMS, it is important to look at the whole picture.

What causes Pre-menstrual Syndrome (PMS)?women's health

Although PMS is due to unbalanced hormonal fluctuations, other factors such as stress, a nutritionally inadequate diet, lack of exercise and sleep, and a hectic or sedentary lifestyle can exacerbate the symptoms. Because of most women exhibit as many as four to ten symptoms one to two weeks prior to menstruation, their lives – from relationships with family and friends, to work productivity and the ability to appreciate and take pleasure in their own bodies – may become diminished.



To make matters worse, women may be at increased risk for PMS if

1) they are over 30 years old;

2) they are experiencing significant amount of stress;

3) their nutritional habits are poor;

4) they have suffered side effects, from birth control pills;

5) they have difficulty maintaining a stable weight;

6) they do not get enough exercise;

7) they have had children (the more children, the more severe the symptoms, or

8) they have a family history of depression.


Common PMS symptoms & signs:

  • Acne
  • Anxiety
  • appetite changes
  • Backache
  • Bloating
  • Breast tenderness & swelling
  • Constipation and/or diarrhoea
  • Cramps
  • Depression
  • Edema
  • Headache/Migraine
  • Heart palpitation
  • Hives
  • Irritability & anger
  • Lack of concentration
  • Lack of libido
  • Lower abdominal distension
  • Mood swings
  • Nauseas
  • Night sweats
  • Salt & carbohydrate cravings
  • Skin disorders
  • Sore throat & cold sores
  • Sugar cravings
  • Vaginitis
  • Vomiting
  • Water retention
  • Weight gain


What to do about PMS

Western medicine recommends diet and lifestyle changes coupled with medications that manipulate the levels of progesterone and estrogens (i.e. birth control pills), tranquilizers and/or antidepressant (for nervousness, anxiety and depression) that affect mood and emotions.

Although prescription medications can sometimes bring immediate relief, they unfortunately do not address the underlying cause of PMS, and they can cause unwanted side effects that may make PMS symptoms.


Acupuncture – A natural approach

In Chinese medicine, the root cause of PMS is usually an imbalance or blockage of Qi or vital energy, and blood within specific organ and meridian system. When Qi and blood become imbalanced or blocked, symptoms and signs associated with PMS will appear.

In 1997, the National Institute of Health (NIH) issued a consensus report that suggested acupuncture is able to manage menstrual cramps, and other symptoms associated with PMS. Acupuncture can address PMS symptoms naturally, without medication, by restoring balance and harmony, both physically and emotionally.

The role of an acupuncturist is to investigate the underlying causes leading to PMS symptoms. After a thorough diagnostic evaluation to determine what organ and meridian systems are out of balance, they reduce PMS symptoms according to each individual patient’s imbalances and concerns.



In 2018 Cochrane authors reviewed the evidence on the effectiveness and safety of acupuncture or acupressure in women with premenstrual syndrome (PMS) or premenstrual dysphoric disorder. The authors concluded that the limited evidence available suggests that acupuncture and acupressure may improve both physical and psychological symptoms of PMS when compared to a sham control.


How to perform acupuncture for PMS?

By inserting fine, sterile needles into specific points on the body, an acupuncturist is able to stimulate and activate the movement of Qi and blood. When qi and blood begin to travel freely throughout the body, balance and normal function are restored and PMS symptoms are alleviated. Acupuncture restores hormonal balance and provides deep relaxation to help reduce stress, ultimately encouraging and supporting greater health and wellbeing of both body and mind.

A practitioner may also recommend lifestyle changes such as eating a nourishing, organic, whole foods diet, getting regular aerobic exercise and adequate sleep, enjoying warm baths, supplementing the diet with vitamins and herbs, and practicing deep relaxation exercises such as meditation, breathing exercises, or Yoga.

Whether you suffer from PMS symptoms on an occasional or a monthly basis, acupuncture and Chinese medicine can offer a natural and drug free approach to alleviating the symptoms. Acupuncture and Chinese medicine may hold the key to a healthier, balanced, PMS-free life.


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