Prämenstruelles Syndrom - Was hilft bei Periodenschmerzen?

Premenstrual Syndrome - What Helps with Menstrual Pain?

Many women suffer from premenstrual syndrome (PMS), which can be accompanied by symptoms such as mood swings, pain and other discomforts during and before menstruation. For some of those affected, the symptoms are so severe that they feel restricted in their everyday life.

PMS medications - What can help with symptoms?

While there are some medications available for PMS symptoms, there are few approved drugs specifically for the treatment of PMS.

If you want to take a so-called off-label use, your treating physician must inform you about the effects and possible side effects.

Note: Health insurance companies usually do not cover the costs of unapproved medications.

Often, hormones are often prescribed in an attempt to intervene in the menstrual cycle by limiting the development of natural hormones in the body. Depending on the symptom profile, painkillers or psychopharmaceuticals may also be used.

Hormonal contraceptives

The most commonly used remedy for premenstrual syndrome is the birth control pill.

This contraceptive method hormonally interferes with the menstrual cycle. The combination of drospirenone, progestin and estrogen in the pill can alleviate PMS symptoms.

However, hormonal contraceptives can also carry the risk of side effects such as thrombosis, nausea and breast tenderness. Additionally, hormonal contraceptives are only suitable for women who do not intend to become pregnant.

Antidepressants

PMS or PMDD (premenstrual dysphoric disorder) can trigger mental symptoms. For example, it can lead to anxiety attacks or depressive moods. If the psyche is severely affected by PMS, taking antidepressants may be considered. So-called selective serotonin reuptake inhibitors (SSRIs) increase the serotonin levels in the brain.

Serotonin is a neurotransmitter that can be produced by the amino acid tryptophan in the body. Because this neurotransmitter can influence emotions, it is referred to as the "happiness hormone".

Note: Taking SSRIs can have side effects such as decreased libido, sleep disorders, and nausea.

Painkillers

Many women experience back, head or abdominal pain in the second half of the menstrual cycle after ovulation or during menstruation. Ibuprofen, aspirin (acetylsalicylic acid), or other nonsteroidal anti-inflammatory drugs (NSAIDs) can help most affected individuals.

Occasionally, side effects such as drowsiness or stomach discomfort may occur. NSAIDs should not be taken too frequently as this can lead to rebound headaches.

Do supplements help with PMS?

There are some plants, vitamins, and minerals that can alleviate PMS symptoms. These include, for example, chaste tree berry and B vitamins, which can balance hormone levels. Magnesium is a proven mineral for relieving cramps, and St. John's wort may have a calming effect. These and other ingredients are contained in the dietary supplement håvsund Harmony .

The laboratory-tested product made in Germany is designed for women with PMS symptoms who are looking for a hormone-free remedy. Harmony is a herbal dietary supplement for the relief of premenstrual symptoms.

What other treatment options are available for PMS?

In addition to PMS medications, there are other therapeutic approaches, but their effect on PMS has not been proven by studies. Nevertheless, it is worth trying to see whether any one of these treatments is helpful for you.

Massages

The positive effects of abdominal massages have been scientifically researched. The good thing about a massage is that you can do it yourself. With circular movements and gentle pressure, the muscles of the uterus can relax, which can alleviate menstrual pain.

Heat

Heat can also contribute to muscle relaxation in the uterus. For lower abdominal cramps, for example, a hot water bottle can help when placed on your stomach. Or you can take a warm bath.

Exercise

Engaging in endurance training can help prevent PMS symptoms. Exercise can aid in stress reduction and promote circulation. Recommended sports activities include swimming, cycling, or walking.

Diet

Certain foods can contribute to the relief of PMS symptoms. For example, dairy products contain a significant amount of calcium. This mineral can alleviate depressive moods, water retention, and pain.

Bananas contain the amino acid tryptophan, which the body needs for serotonin production.

Furthermore, foods high in magnesium can help counteract muscle cramps.

Behavioral therapy to manage the symptoms

It is possible that women affected by PMS have developed specific patterns of thinking and behavior that increase their distress. Through cognitive behavioral therapy, you can learn to change your beliefs and habits, which can make it easier to cope with everyday life.

Acupuncture

Traditional Chinese Medicine suggests that premenstrual syndrome is related to the liver meridian. In order to release the blockages in this energy channel, TCM therapists employ acupuncture among other techniques.

Interpreting symptoms correctly

To achieve an accurate diagnosis, it is important to provide your gynecologist with detailed information. It may be helpful to keep a diary. Record when specific symptoms occur and whether you experienced significant stress before menstruation.

Tip: Documenting becomes faster and easier if you download an app.

What are typical PMS symptoms?

  • Lower abdominal pain and cramps
  • Circulatory problems
  • Dizziness
  • Back pain
  • Headaches
  • Skin blemishes
  • Digestive problems
  • Sweating
  • Cravings
  • Feeling bloated
  • Abdominal bloating
  • Nausea
  • Breast pain or tenderness
  • Water retention
  • Depressive mood
  • Sleep disturbances
  • Fatigue
  • Lack of drive
  • Nervousness or anxiety

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