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the four types of PMS | Annex Naturopathic Doctors Clinic Toronto

The 4 types of PMS

By:
Marnie Luck, ND
Last Updated: March 27, 2025
Article contents

Premenstrual Syndrome (PMS)

As a naturopath, and a woman myself, I understand the health challenges many women experience.

Most women are able to recognize their period is coming by emotional and physical changes that occur in the second half of the menstrual cycle (after ovulation, before the onset of menstruation).

For some women, these shifts are subtle and are not problematic.

However, some women may experience more severe premenstrual symptoms that can be a marker of greater underlying hormonal imbalances.

PMS (Premenstrual Syndrome) refers to a group of symptoms that occur cyclically and improve shortly after menstruation starts.

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PMS can be divided into 4 categories

PMS-A (Anxiety)

Key symptoms: feelings of overwhelm, more sensitive than usual (especially to perceived rejection or criticism), feeling on edge or irritable

Underlying imbalances: hormonal imbalance (link here) (relative excess of estrogen to progesterone), inadequate neurotransmitter synthesis: low serotonin, adrenal fatigue and cortisol dysregulation.

PMS-D (Depression)

Key symptoms: low mood paired with lethargy, forgetfulness, and confusion.

Underlying imbalances: Underactive thyroid and low serotonin.

PMS-H (Hydration/Water Retention)

Key Symptoms: abdominal bloating, Breast tenderness/swelling, weight gain of over 3 pounds

Underlying Imbalances: estrogen excess, increased stress which causes the adrenal gland to secrete an excess of both the stress hormone cortisol and aldosterone which causes salt and water retention.

PMS- C (Cravings)

Key symptoms: desire for carbohydrates, general increase in appetite, fatigue, headaches.

Underlying causes: low serotonin (carbohydrate ingestion temporarily raises serotonin- that’s why sweets make us feel good in the moment), adrenal fatigue causes low cortisol levels which can cause sugar cravings.

Women's Health and 4 types of PMS | Annex Naturoapthic Clinic | Naturopathic Doctors in Toronto

It is possible to have a combination of these categories.

At Annex Naturopathic we offer effective treatment solutions for PMS and women’s health overall. 

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Yours in Health

Dr. Marnie Luck, N.D

Annex Naturopathic Clinic
572 Bloor St W #201, Toronto, ON M6G 1K1
–https://goo.gl/maps/uVRBvcyoUa62

Marnie Luck
Written By:
Marnie Luck

Dr. Marnie Luck, ND, possesses an academic background from McGill University and the Canadian College of Naturopathic Medicine. With distinctive certifications in pelvic floor therapy and menopause management, she combines her expertise to provide comprehensive naturopathic care.

Our Editorial Process

Annex Naturopathic Clinic is committed to creating high quality and medically reviewed content to help educate readers on subjects related to their health and wellness. Here is how we achieve this goal:

Writing: Our content is meticulously researched and written by our practitioners who source details from highly-respected databases, academic journals, and scientific articles in the field of medicine and healthcare. Our practitioners also include insights from their robust clinical practices.

Editing: Each article is carefully edited by a peer reviewer (a senior practitioner) to ensure accuracy, clarity, and relevance.

Medically Verified: The article is thoroughly reviewed and verified by a registered naturopathic doctor from Annex Naturopathic Clinic to ensure the factual accuracy of medical facts, assumptions, and interpretations within the content.

If you’re curious to learn more about this subject or would like to consult with one of our practitioners feel free to book a visit or contact us.

Yours in Health,

Annex Naturopathic Clinic
800 Bathurst St Suite 301,
Toronto, ON M5R 3M8

–https://goo.gl/maps/uVRBvcyoUa62

Annex Naturopathic Clinic is a clinic in Toronto that offers integrative healthcare solutions from experienced practitioners.

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