Premenstrual Syndrome
One issue which has plagued many women throughout their reproductive life is premenstrual syndrome [PMS]. Apparently, 60% of all women suffer from PMS. It not only occurs in adolescence, it is most likely to occur in women in their thirties, and it occurs late in the reproductive years or perimenopausal years [30 to 50 years old]. If nothing is done to resolve the underlying cause of PMS, it often gets worse over time.
Some women get PMS a few days before their menstrual period, and then it stops abruptly when their period starts. With other women, the symptoms gradually begin to appear one to two weeks before her period. Other women experience clusters of symptoms around ovulation, followed by a symptom free week, then a reoccurrence of the symptoms a week before her period.
There are more than 100 known symptoms of PMS. However, the cyclical fashion in which the symptoms occur premenstrually [one or two weeks before the period] is what is important. Most women have at least three days during the month when they are entirely free of symptoms. On the other hand, women with very severe PMS may not have any symptoms free days. Although women may have a worsening of other health conditions [ex. arthritis, houses, lupus, etc.] which are related to PMS, they are not defined as PMS.
Symptoms of PMS include:
acne
abdominal cramping
aggression
alcohol intolerance
anxiety
asthma
backache
being accident prone
bloated abdomen
breast pain
bruising
confusion
craving chocolate
craving salt
craving sweets
depression
edema
fainting
fatigue
food binges
heart pounding
headache
hemorrhoids
herpes
hives
insomnia
lethargy
migraine
mood swings
nausea
painful joints
rage
red eyes
seizures
sex drive changes
sinus problems
sore throat
styes
suicidal thoughts
swollen ankles
swollen ankles
swollen breasts
tension
urinary difficulties
vision difficulties
withdrawing from others
Common physical signs that a woman can have when she is estrogen deficient are:
bone loss on bone density testing
cough
day–long fatigue
dry eyes
dry mouth
dry skin
constipation
episodes of rapid heartbeats, with or without anxiety I didn´t remember but I felt this sympton all the last 3 weeks
frequent urination
gastrointestinal discomfort
headaches and migraines
hot flashes
increased facial hair
increased back pain
increased joint pain [especially the thumbs]
increased triglycerides
increased LDL [bad cholesterol] and decreased HDL [good cholesterol]
increased urination during the night
less sensitive breasts
lower sex drive
low energy while having a period
more difficulty achieving orgasm
night sweats
painful intercourse
pain with sexual activity
recurring urinary tract infections
recurring vaginal infections
reduced stamina
sagging breasts and loss the fullness
sharp menstrual cramps
temperature swings
thinning of the vaginal wall [vaginal atrophy]
thinning scalp hair
vaginal dryness
urinary incontinence / poor bladder control
weight gain, with an increasing lack of concern about it
wrinkles about the forehead, eyes [“crows feet”], and mouth
Common mental / emotional signs that a woman can have when she is estrogen deficient are:
brain fog
depression
forgetfulness
minor anxiety
mood changes
mental fogginess
sleep that is less deep
difficulty falling asleep
decrease sense of sexuality and sensuality
lessened self–image and attention to appearance
sense of normalcy only during the second week of the cycle
Some signs of estrogen deficiency for example hot flashes, inability to sleep, mental fogginess, and emotional instability, have been found to occur at nearly the same time that a woman’s estrogen level falls.
Common signs that a woman can have when she has excess estrogen are:
acne
anemia
asthma gets worse
breast cancer
cold body temperature
breast tenderness or pain, occurring mainly in the central area, including the nipple
depression
endometriosis
fatigue
fibrocystic breasts
fluid retention
gallstones
headaches
heavy bleeding
impatient, snappy behavior, but with a clear mind
increase in breast size / swelling
irritability
loss of sex drive
memory loss
mid–cycle bleeding [if still having periods]
occasional nausea
ovarian cysts
premenstrual symptoms [PMS]
pelvic cramps with or without uterine bleeding
polycystic ovary syndrome [PCOS]
period problems [irregular, long or short, or heavy periods]
raging hot flashes and night sweats that do not stop with treatments
thickening of the uterine lining
uterine fibroids
water retention [as has noticed in swollen fingers and legs]
weight gain
However, it is known that there is a group of women, approximately 5% of women, who actually either naturally produce a high level of estrogen in their body, or can take a high dose of synthetic or biologically identical estrogen as a treatment (ex. birth control pills [BCP] or as a replacement for deficient estrogen (estrogen replacement therapy [ERT] or biologically identical estrogens) without having any signs or symptoms of excess estrogen. This places them at risk for various health problems including cancer.
Causes of excess estrogen in a woman include:
Fertility injections
Exogenous estrogens
The use of birth control pills
The presence of ovarian cysts
Hormonal replacement, including biologically identical [bio–identical] estrogen, with a higher level of estrogen than the woman needs
If a woman takes too much estrogen, or if her natural level is too high, or if the estrogen is not properly balanced with adequate progesterone, the lining of the uterus — the endometrium [the lining of the uterus] — will thicken. In response, the uterus will contract, causing uterine bleeding and a sensation of pain or cramping in the lower pelvic area.