Although not something that is common knowledge PMS (premenstrual syndrome) actually can be categorised into 4 categories. This helps to tailor treatment and address underlying causes.
The four categories of PMS are:
Anxiety (PMT-A) if you’re experiencing PMT-A you’ll most likely feel anxious, nervous, irritable during your luteal phase with these symptoms disappearing upon the commencement of your period. Low progesterone relative to oestrogen to thought to be a key player.
Hyperhydration/bloating (PMT-H), if you’re PMT-H you’ll experience luteal phase weight gain, abdominal bloating, breast tenderness, and some swelling of hands and feet. This type of PMS is associated with oestrogen dominance
Carbohydrate cravings (PMT-C) – before your period do you go cray, cray for sugar? Then you’ll slot into this category. This increased desire for sugar just before your period can worsen heart palpitations, dizziness, fatigue and headaches.
Depression (PMT-D) symptoms of this PMS is depression, social withdrawal, suicidal ideation in some cases. Also forgetfulness, confusion, brain fog, tearfulness and insomnia are common in this category.
Most will identify strongly with one category, although there will be some overlap between categories.
If you’re experiencing any form of PMS, get your hormones tested, the most common issue, is lack of progesterone relative to your oestrogen.