The Link Between Inflammation & PMS

Dr. Liz Bartman

Did you know? The level of inflammation present prior to menstruation influences the degree of PMS experiencedPremenstrual syndrome affects at least 80% of cycling females, of which 50% seek medical care and support (1). This means that up to 30% of the population in the US struggles with significant PMS symptoms around 3-14 days per month. Depending on severity, some women are unable to work or participate in daily activities from the suffering that comes alongside PMS.

A lot of women turn to over the counter support like ibuprofen or Motrin to manage some of the pain symptoms associated with their cycles: abdominal/pelvic cramping, hip/back/thigh pain, headaches, breast pain, and overall body aches. It is found that women who had CRP (Cardio-reactive Protein) levels >3 have a positive correlation with significant PMS symptoms including mood changes, cravings, and weight gain/bloating. This implies a relationship between inflammation and quality of life predictors during PMS time frames. 

Alchemilla Vulgaris: Lady’s Mantle

Known to have a complex composition, Lady’s Mantle contains properties that are anti-inflammatory, antioxidant, anti-obesity, and cardioprotective (2). Lady’s Mantle is traditionally used to reduce dysmenorrhea and settle hormone related heart palpitations.

Vitex: Chaste Tree

Chaste tree contains Chrysoplenol D, a substance with anti-histamine properties and a muscle relaxant (3). Histamine excess contributes to breast pain and tenderness. It can also cause hyperstimulation in the brain leading to mood changes with irritability. (4) Chaste tree also regulates LH signaling for cycle regulation and more predictable progesterone levels for estrogen to progesterone balance. 

Vitamin B6 (P5P)

P5P is an important modulator in reducing histamine production, supporting detoxification of estrogen, and reducing inflammation in general. It is also a key cofactor for GABA and progesterone production which support improved mood through hormone changes.

References

  1. Gold EB, Wells C, Rasor MO. The Association of Inflammation with Premenstrual Symptoms. J Womens Health (Larchmt). 2016 Sep;25(9):865-74. doi: 10.1089/jwh.2015.5529. Epub 2016 May 2. PMID: 27135720; PMCID: PMC5311461.
  2. https://doi.org/10.1016/j.jep.2023.117439
  3.  https://lml-database.icimod.org/detail/vitex-negundo
  4.  https://www.larabriden.com/histamine-intolerance-pms-pmdd/