PMS Type P

Table of Contents

Other names

Pain-dominant PMS
PMS with cramps
Prostaglandin-driven PMS

Synopsis

PMS Type P is characterized by physical pain that intensifies in the days leading up to menstruation, primarily due to high prostaglandin levels and hormone-related inflammation. Common symptoms include cramping, back pain, joint stiffness, headaches, and breast tenderness. Unlike PMS-H (hyperhydration), which focuses on fluid retention, Type P is rooted in excessive inflammatory response and uterine contractions. Pain can begin in the late luteal phase and often worsens during menstruation itself. While not life-threatening, this type significantly affects comfort and quality of life.

Types:
In addition to abdominal and pelvic cramping, PMS Type P may include headaches, migraines, musculoskeletal tension, and pain sensitivity. It often co-occurs with other PMS subtypes like PMS-A or PMS-H.

Common Causes:

  • Elevated prostaglandin levels causing stronger uterine contractions

  • Hormonal imbalance (excess estrogen, low progesterone)

  • Chronic inflammation or poor detoxification

  • Magnesium, omega-3, or vitamin B deficiencies

  • High stress or poor adrenal regulation

Severity Causes:

  • Poor diet high in omega-6 fats and processed foods

  • Sedentary lifestyle contributing to circulation and muscle tension

  • Underlying conditions like endometriosis or fibroids

  • Lack of anti-inflammatory nutrients or hormonal support

When to See a Doctor:

  • Severe cramping unrelieved by OTC medications

  • Pain interfering with daily activities or sleep

  • Migraines or headaches worsening cyclically

  • Symptoms that escalate rather than improve over time

  • Suspected endometriosis, PCOS, or fibroids

Natural Remedies

Magnesium: Relaxes smooth muscle tissue and reduces uterine contractions, cramps, and tension headaches. Also supports estrogen clearance and mood balance.

Omega-3 fatty acids: Have anti-inflammatory effects and reduce the production of prostaglandins that cause pain and uterine cramping.

Turmeric: Contains curcumin, a powerful anti-inflammatory that reduces pain sensitivity and supports hormonal detoxification pathways.

Ginger: Inhibits pro-inflammatory cytokines and prostaglandins, making it effective for relieving menstrual cramps and overall pain.

Cramp bark: A traditional herbal remedy that relaxes uterine muscles and reduces pelvic pain and spasms when taken as a tincture or tea.

Castor oil packs: Applied to the lower abdomen, castor oil packs increase circulation, reduce inflammation, and relieve menstrual and pelvic pain.

Heat therapy: Using a heating pad or warm bath improves blood flow to the pelvic area, relaxes muscles, and reduces pain perception.

Chamomile tea: Acts as a mild antispasmodic and anti-inflammatory. Drinking chamomile tea during the premenstrual phase can reduce cramps and irritability.

Ingredients

These raw ingredients are often used in alternative medicine to treat this condition.

turmeric
vitamin B6
vitamin D
zinc
chamomile
ginger
magnesium
omega-3 fatty acids