I'm a sane, rational human being three weeks out of every month. But that one week--and boy, do those around me know when that one week is--each month, I morph into a beast. Incessant cravings, mood swings, fatigue and mild depression--it's no fun at all. Though people think it's funny to blame emotional outbursts from a female* on PMS, it's no fun for any woman who deals with it each month. According to Harvard Medical School, 75% of all menstruating women experience premenstrual discomfort in some form, though only about 3% to 8% of those women have symptoms that are severe enough to disrupt their lives. If you're in that symptom-free 25%, consider yourself lucky. I'm in that smaller subset. Since adolescence, I've been plagued by mood swings, depression and cravings just before "that time of the month." My symptoms were worse in my early 20s, and I've found that the older I get, the more I am able to control my body. (I actually was diagnosed with PMDD, or premenstrual dysphoric disorder, a few years ago but seem to have outgrown the more severe symptoms.) I eat vegetables like they're going out of style, won't touch white bread and limit my intake of sweets. However, I start raging for anything processed, sugary and salty at the same time each month. I'm strong and healthy enough now that I can usually resist them or make smart substitutes (a homemade vegetable pizza, portion-controlled squares of really dark chocolate and baked kettle chips). Still I do have my moments of weakness. Just before I started my healthy living journey back in 2005, my symptoms were at their worst. I felt like a giant raw ball of emotions, cried for one week every month and snapped at even the smallest comments. I was miserable, and I wasn't a pleasure to be around. I didn't know it at the time, but exercising regularly, eating right and practicing yoga--all steps I was taking to lose the 40 pounds I put on during and after college--were all helping alleviate my PMS symptoms as well. Researchers say that lifestyle can heavily influence a woman's premenstrual symptoms. If you're healthier and happier in general, you'll likely feel better the week before your cycle begins, too. According to Harvard researchers: "Several theories have been proposed to explain why PMS occurs. The most popular explanation for PMS is that these symptoms are related to cyclic changes in female sex hormones, pituitary hormones, prostaglandins and certain brain chemicals known as neurotransmitters. Some researchers have suggested that PMS may be related to abnormally low blood sugar (hypoglycemia), abnormally low levels of thyroid hormones (hypothyroidism) or a diet low in B vitamins, calcium or magnesium. However, recent studies do not support these theories. Preliminary studies indicate that magnesium deficiency could play a role." I'm not a doctor of course, just a health writer and a yoga teacher, so please consult with your health-care provider if you have concerns about PMS. These are just anecdotal observations of what has worked for me. I stick with my "normal" diet all month long. I give myself one "cheat" night to give in to cravings. For me, that's usually a dinner that involves something cheesy and delicious (the aforementioned homemade pizza, lasagna or creamy pasta are frequent cravings), but I try to include an extra serving of vegetables to balance it out. I allow myself some dark chocolate coconut milk ice cream (I can't eat the real stuff) or a couple of squares of good dark chocolate. And if I want seconds on something, I let myself, even if I know I'm not actually hungry. I don't excessively overeat, but I definitely let myself eat more than I usually would. The next day, it's back to life as usual. In addition, I take a calcium and magnesium supplement daily, avoid caffeine (it induces panic attacks in me, even in small doses) and limit my alcohol intake. Though it's tempting to pour myself a second (or third) glass of red wine at dinner, I fight the urge. I know it will only make me feel worse and won't really help me get over my slump. I try to get in a really good workout, even if I'm feeling blue. Though my mind tells me that I want to mope around the house and lie on the couch with my hand in a bag of potato chips, my mind knows better. A Spinning class, yoga session or even a quick run helps my body to snap out of my funk. It hasn't been easy to keep myself one step ahead of the mood swings and crankiness, but I've done it. It's just one of my many motivations to eat right and stay in shape. Here are some of SparkPeople Dietitian Becky Hand's tips for eating to beat PMS:
* Did you know? "Hysterical" and "hysteria" stem from the Greek and Latin words for "womb"? Though we now use the words to refer to unmanageable fear and emotional excess, the word was coined because the Greeks believed hysteria was unique to women and caused by the uterus. Do you suffer from PMS? How do you cope with the symptoms? Do you have cravings during a certain time of the month? Do you fight them or give in with healthier options? (I just learned that there's a SparkTeam called PMS--Premenstrual Munchy Survivors. Maybe I should join that Team!
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Really cool blog!
TX Report
I have tried all the tips and tricks that are recommended to avoid the cravings - eating wholegrains, leafy salads, etc. - but it doesn't seem to work for me. I console myself with the fact that it's a short-lived phenomenon and that I'll get back on track in a few days' time. Report
its not that i get more hungry, but i just want food-constantly!!
i also get sad/upset easier & feel lonely more which is lame
as long as i remind myself i'm pms-ing and this is why, i can usually control the cravings & moods.. Report
The only main problem I have is one week before I start I NEED to eat all of the time! I'm starving even when I just ate lunch. What's even weirder is that I usually lose three pounds while I'm in eat mode but then gain one pound back when I start. Report
...well, we all know what I thought! Report
For anyone interested, my hysterectomy was due to a year of massive bleeding 3 weeks out of 4 (uncontrolled even with many attempts on progestin as well as Metformin), that culminated in increasing daily pain and eventually hemmhoraging in the ER. Biopsy after the emergency hysterectomy showed a rare diagnosis of adenomyosis (see WebMd for details). Report
This new PMS could be due to the fact that I'm a woman of a certain age (rather that my weight loss) but it is irritating that I finally have this great healthy body and pay for it with PMS. Report
I'm not going to give up on the healthy living - I love being vegan. Love it. But I think this is just more proof that I'm put together wrong. Report
Since you are a yoga teacher, I was wondering - is there a short sequence you could share to help with cramps/back pain or other symptoms? Report
I have been working hard to find dietary solutions to these issue after being required to cease taking Yaz due to elevated ALT levels (liver enzymes). I have tried to increase my calcium intake, but haven’t seen much relief. Now I’m going to see about increasing the magnesium in my diet. Thank you for the information. Report
Through a support group/bible study I am part of I finally went to consult my doctor mid summer. In 3 months I have become rational again. I am not anxious, agitated or depressed. I notice being tenser and having a harder time around my period. But I was very much that time of the month this past weekend and managed nicely to deal with the influx of 10-15 young adults using my home to camp out for the weekend and attend a local wedding with out any outbursts or major difficulty. I would have run away from home without my drugs.
My point is to encourage people to try healthy lifestyle and any alternatives available but if they don't work see your doctor. Get the help you need to be a normal person. Report
However, I do know that I didn't exercise. I avoided PE at school and although I rode my bike and walked around the neighborhood at home, I preferred being inside reading or watching TV.
As an adult I'd heard that exercise would alleviate severe cramps and PMS symptoms, but it seemed to make me feel worse (probably because I was SOOOo out of shape). After starting SparkPeople and exercising regularly I DEFINITELY can feel the difference. Even when my legs are weak from cramps, if I head over to the gym and jump on the elliptical for 20 minutes the pain subsides and my cramping becomes less like a roller coaster and more consistent.
My cycle is finishing today - and this month I didn't exercise during my heaviest days. I could definitely tell that the lack of exercise was actually making me WORSE off. I also have severe emotional response during my pre menstrual time. I don't realize I'm doing it until later, but I snap at my husband and am generally more irritable--We always knew when my period was coming. Many months since I started SP (and regular exercise) the pre symptoms have been reduced so much that it's a surprise when I get my period. Exercise contributes to happier, healthier marriages too! LOL!
Jocelyn Report
I haven't been eating as healthy as I should lately so I am going to make en effort to eat healthier and see if that helps my PMS next month! thanks! Report