Bloating, breast tenderness, irritability, food cravings, fatigue, and mood swings in the days before your period are common — but common doesn't mean you have to just tolerate them. PMS has real hormonal drivers, and real options for relief.
Premenstrual syndrome (PMS) is driven by the natural rise and fall of estrogen and progesterone across your cycle. In the luteal phase (the one to two weeks before your period), progesterone drops and estrogen can be relatively higher — a shift that affects neurotransmitters like serotonin, along with fluid balance and inflammation, which is why PMS symptoms cluster the way they do.
Most women experience some premenstrual symptoms, but the severity varies widely. When symptoms are mild and predictable, lifestyle strategies often help. When they're disruptive month after month, it's worth a closer look at your hormonal pattern rather than accepting it as unavoidable.
We map your symptoms against your actual cycle and run hormone labs timed appropriately to understand your estrogen-to-progesterone pattern. From there, treatment might include targeted nutritional support, cycle-informed lifestyle strategies, or hormonal support when the pattern points that direction — tailored to what's actually driving your symptoms, not a generic PMS checklist.
When labs show a meaningful estrogen-progesterone imbalance, targeted hormone support can significantly ease PMS symptoms.
Explore Hormone TherapyIf your premenstrual symptoms include severe mood changes that disrupt your life, learn the difference between PMS and PMDD.
Learn About PMDD"PMS gets treated like a punchline instead of a pattern worth understanding. Once we actually look at where a patient's hormones are across her cycle, there's almost always a clear, addressable driver behind what she's feeling."
PMS is closely related to several conditions we treat: PMDD, estrogen dominance, perimenopause, hormone therapy, and thyroid health.
What patients ask most before their first appointment.
Book a consultation and we'll map your symptoms against your cycle, run the right labs, and build a plan that addresses what's actually going on.