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PMS
WOMEN'S HEALTH · PMS NATUROPATH GEELONG
PMS is not something you just have to put up with. It's a sign your hormones need support.
Premenstrual syndrome affects up to 75% of women of reproductive age — yet severe PMS, or the more debilitating premenstrual dysphoric disorder (PMDD), is frequently dismissed or inadequately managed. At The Sana Co. our women's health naturopath investigates the hormonal, nutritional, and gut-related drivers of your premenstrual symptoms and builds a targeted treatment plan to meaningfully reduce their impact on your life.
PMS is more than mood swings
Emotional dysregulation before your period
Breast tenderness and bloating
Headaches and migraines
Irritability, rage, anxiety, tearfulness, or a dramatic shift in your emotional experience in the luteal phase (days 14-28) that resolves when your period arrives. This is the defining feature of PMS and PMDD.
Premenstrual headaches or menstrual migraines — triggered by the rapid fall in oestrogen in the late luteal phase and driven by the same vascular mechanisms as histamine and magnesium-related migraines.
Premenstrual headaches or menstrual migraines — triggered by the rapid fall in oestrogen in the late luteal phase and driven by the same vascular mechanisms as histamine and magnesium-related migraines.
Food cravings and appetite changes
Intense cravings for sugar, chocolate, or carbohydrates in the premenstrual phase — reflecting serotonin fluctuation, blood sugar dysregulation, and magnesium depletion in the luteal phase.
Fatigue and sleep disruption
Profound tiredness, poor sleep quality, and an inability to function at normal capacity in the week before your period. Progesterone metabolites affect sleep architecture and energy production.
What's driving your PMS
PMS and PMDD reflect how your body responds to normal hormonal fluctuations. Key drivers include:
Oestrogen dominance and relative progesterone deficiency in the luteal phase | Serotonin sensitivity to oestrogen fluctuation driving dramatic mood changes | Magnesium deficiency — directly linked to PMS mood changes, cramping, and migraines | Vitamin B6 deficiency — required for progesterone receptor sensitivity and serotonin synthesis | HPA axis dysregulation — stress amplifies PMS symptoms significantly | Gut dysbiosis and impaired oestrogen metabolism via the estrobolome | Inflammation — prostaglandin excess driving cramping, breast pain, and headaches
Addressing PMS at the hormonal and nutritional root
Our PMS protocol identifies your specific pattern and targets the hormonal and nutritional drivers rather than masking symptoms.
Cycle mapping and symptom analysis
A detailed luteal phase symptom diary to identify your specific PMS pattern — emotional, physical, or mixed — and the timing relative to ovulation and menstruation.
Luteal phase progesterone, oestrogen, and cortisol; plus magnesium, B6, vitamin D, and iron — the nutrients most commonly deficient in PMS.
A detailed luteal phase symptom diary to identify your specific PMS pattern — emotional, physical, or mixed — and the timing relative to ovulation and menstruation.
Magnesium and B6 protocol
A detailed luteal phase symptom diary to identify your specific PMS pattern — emotional, physical, or mixed — and the timing relative to ovulation and menstruation.
Progesterone support in the luteal phase
Herbal progesterogenic support (Vitex agnus-castus is the most evidence-based herb for PMS), cycle-phase specific treatment, and dietary strategies to support progesterone production.
Targeted adaptogenic and nervine support in the luteal phase — stress dramatically worsens every PMS symptom, particularly emotional dysregulation.
HPA axis and stress management
Supporting the estrobolome to improve oestrogen metabolism and reduce oestrogen recirculation — often one of the most impactful interventions for oestrogen-dominant PMS.
Gut and oestrogen clearance support
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