PMS Type A

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Other names for PMS Type A

Premenstrual anxiety
Hormonal mood swings
Estrogen-dominant PMS

Synopsis of PMS Type A

PMS Type A is characterized predominantly by anxiety, irritability, tension, and mood swings in the two weeks leading up to menstruation. It is the most common subtype of premenstrual syndrome and is strongly associated with an imbalance between estrogen and progesterone—specifically, excess estrogen or insufficient progesterone during the luteal phase. These hormonal fluctuations influence neurotransmitters like serotonin and GABA, which regulate mood and stress response. Though symptoms resolve shortly after menstruation starts, they can disrupt relationships, work performance, and emotional well-being when unmanaged.

Types:
While “Type A” refers to anxiety-dominant PMS, individuals may also show overlap with other types (e.g., PMS-D for depression or PMS-H for bloating), creating mixed symptom patterns.

Common Causes:

  • Estrogen dominance (high estrogen relative to progesterone)

  • Low progesterone levels in the luteal phase

  • Cortisol or adrenal dysregulation due to chronic stress

  • Nutrient deficiencies (magnesium, B6, vitamin C)

  • Blood sugar imbalances or excessive caffeine

Severity Causes:

  • High cortisol from prolonged stress affecting hormonal balance

  • Poor liver detoxification (leading to inefficient estrogen clearance)

  • Lack of exercise or poor sleep hygiene

  • Family history of mood disorders or severe PMS

When to See a Doctor:

  • Severe mood swings that impair daily function or relationships

  • Anxiety or irritability unresponsive to lifestyle adjustments

  • Coexisting symptoms of depression, insomnia, or panic attacks

  • Suspected hormonal or thyroid imbalance

  • No symptom improvement after 2–3 cycles of home treatment

Natural remedies for PMS Type A

Chaste tree (Vitex): Helps balance estrogen and progesterone levels by supporting the pituitary gland. Regular use reduces mood swings, anxiety, and breast tenderness related to PMS Type A.

Magnesium: Calms the nervous system and lowers cortisol, while also supporting hormonal balance. May reduce irritability, muscle tension, and insomnia when taken daily.

Vitamin B6: Vital for serotonin production and hormone metabolism. Alleviates mood disturbances, improves stress resilience, and enhances progesterone synthesis.

Ashwagandha: An adaptogenic herb that supports the adrenal glands, reduces anxiety, and stabilizes mood by modulating cortisol and calming the nervous system.

Rhodiola: Another adaptogen that improves emotional endurance and reduces irritability and tension, especially in high-stress women with PMS-related mood symptoms.

L-theanine: An amino acid from green tea that promotes alpha brain waves and calm focus. Reduces anxiety without sedation and works well with B vitamins or magnesium.

Chamomile tea: Gentle and effective for calming nerves and improving sleep. Daily use in the premenstrual phase can soften irritability and emotional reactivity.

Exercise: Regular aerobic movement releases endorphins and reduces circulating stress hormones. Even 20–30 minutes daily during the luteal phase can reduce anxiety and improve mood stability.