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Health & Wellness

The 4 types of PMS

By April 20, 2017May 6th, 2022No Comments

the 4 types of PMS | Annex Naturopathic | Toronto Naturopathic Doctors

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

Yours in Health

Dr. Marnie Luck, N.D

Annex Naturopathic Clinic
572 Bloor St W #201, Toronto, ON M6G 1K1

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

Yours in Health,

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


Annex Naturopathic Clinic is a clinic in Toronto that offers integrative healthcare solutions from Drs. Marnie Luck, ND, and Tanya Lee, ND