by Tanya Keam | Jan 10, 2024 | Acupuncture, Bloating, Chinese medicine, Client information, Emotions, fertility acupuncture, Gynaecological, Herbal remedies, Hormones, Menstrual cycle, Nambour, Period pain, PMS, Premenstrual Dysmorphic Disorder, Self care, Stress, Sunshine coast, Womens health
Chinese Medicine for Premenstrual Dysmorphic Disorder
Premenstrual Dysmorphic Disorder (PMDD) is a health concern that is similar to premenstrual syndrome (PMS) but is more serious. PMDD causes severe moodiness such as feeling irritable, crying a lot, depression, anger outbursts or anxiety in the week or two before the period starts. Other symptoms may include fatigue, weight gain, restless sleep, breast tenderness, digestion changes, trouble focussing, binge eating, feeling out of control and suicidal thoughts.
About 80% of women report at least mild premenstrual symptoms, 20%–50% report moderate-to-severe premenstrual symptoms, and about 5% report severe symptoms for several days with impairment of functioning. The 5% of women with the severest premenstrual symptoms and impairment of social and role functioning often meet the diagnostic criteria for premenstrual dysphoric disorder (PMDD) (1).
Risk factors may include:
- A family history of PMS or PMDD
- Women with a personal or family history of depression, postpartum depression, or other mood disorders
- Cigarette smoking (2)
How is PMDD diagnosed?
Premenstrual Dysmorphic Disorder (PMDD) is typically diagnosed by a healthcare provider after performing a physical examination and speaking to the patient about signs and symptoms. Researchers do not know for sure what causes PMDD or PMS, however hormonal changes in the menstrual cycle each month may play a role due to the brain chemical called serotonin levels changing throughout the cycle.
Healthcare providers may also ask patients to keep track of symptoms over several menstrual cycles, or order tests to check certain things related to hormones.
What are the treatment options for PMDD?
Treatment for Premenstrual Dysmorphic Disorder (PMDD) typically involves a combination of lifestyle changes and medications. Medications used to treat PMDD include antidepressants, hormonal control pills/medications, or non-steroidal anti-inflammatory drugs. In some instances, gonadotropin releasing hormones may be given.
Natural approaches for Premenstrual Dysmorphic Disorder (PMDD) can include regular exercise and nutritional changes individualised to the patient to support serotonin, and lifestyle modifications such as sticking to a daily routine, practicing meditation and taking care of oneself, recognising emotions and managing stressful situations. Other natural remedies that have been used to treat symptoms associated with PMDD include acupuncture and herbal medicine.. Traditional Chinese medicinal herbs can be given to patients the week or two before their period is due to ease symptoms. This can be a good alternative to pharmaceuticals.
It’s important to remember than it’s normal for women and young girls to experience fluctuations in energy levels, mood or food cravings in different stages of their menstrual cycle. Iron levels for example drop once the uterus lining has shed, so it’s normal to feel lower energy before or on your period. Women live on a 28 day cycle and can sometimes even sync with the moon cycles. Whereas, men live on a 24 hour one! However when signs and symptoms are really affecting your quality of life, then it’s important to seek help.
Tanya Keam is an integrative Chinese medicine Doctor and registered Acupuncturist in Nambour in the beautiful Sunshine Coast hinterland in Queensland, Australia. If you’re experiencing the above symptoms or interested in Chinese Medicine Premenstrual Dysmorphic Disorder treatment specifically, please reach out to see if Acupuncture, herbal medicine and lifestyle guidance might support you to feel better.
You can see Tanya’s training here, call us here, or book online here.
References:
- Pearlstein, T., Steiner, M. (2008). Premenstrual dysphoric disorder: burden of illness and treatment update. Journal of Psychiatry & Neuroscience; 33(4): 291–301.
- https://www.hopkinsmedicine.org/health/conditions-and-diseases/premenstrual-dysphoric-disorder-pmdd
by Tanya Keam | May 2, 2023 | Acupuncture, Autoimmune, Bloating, Chinese medicine, Chronic fatigue, Client information, Digestive health, Health practitioner, Herbal remedies, IBS, Immune system, Inflammation, Loose stools, Nambour, Nourishing, Seasonal living, Sunshine coast
Digestive health in Chinese medicine is determined by the digestive symptoms we experience. The way food is prepared and cooked affects how we absorb nutrients. Our energy level, mood, body shape and muscle mass, flavour cravings, gyneocological problems and bowel movements tell us important information. Research is now suggesting a link between the gut-brain connection with conditions like Irritable Bowel Syndrome (IBS) (1) and the effects of our mental health and stress levels impacting our gut health. From a Chinese medicine point of view the way humans can overthink and worry in the mind, directly affects the digestion. Science is just now catching up with digestive health in Chinese medicine.
In Chinese medicine, a lot of emphasis is on the energetics of the spleen organ. What does the spleen do? Its job is to digest food, coagulate blood and metabolise fluid in the body. In other words, transform food and water into energy and then transport that energy around the body to make everything our body is made up of such as blood cells and muscle.
Because our core body temperate ranges from 35.9 to 37.2, the spleen does a much better job when cooked foods are eaten. Like our tummy is a nice warm cauldron. Having an icy cold smoothie, cold breakfast and cold water throughout the day make the spleen work harder by first using energy to warm up whats been ingested, then ‘transform and transport’. Going from a 19 degree fridge temperate (or even colder if you’re eating something frozen, to a 36.5 degree stomach temperature!) So its doing double the work! Symptoms that can arise are fatigue, bloating, excessive sweet cravings, soft and/or loose stools, poor muscle tone and deficiency of minerals and nutrients due to poor absorption.
It’s not to say every meal we have needs to be cooked. But a warm cooked breakfast such as eggs or oats, starts your day off well by keeping you fuller for longer (protein makes you feel fuller so daily eggs are a good option). Salads and raw fruit is still important to consume for vitamins and minerals but ease off on them in the cooler months, or have the salad at room temperature.
Cauldrons of soups, pots of fragrant teas, bowls of steaming rice and slow cooks stews are your best friend in the cooler months because no vitamins or minerals are lost in the cooking methods (like when steaming or blanching vegetables). Instead, all of the nutrients stay in the liquid. Warm meals keep us well and energised.
For people who cannot stomach food in the morning, this is due to the stress hormone cortisol being too high. Adrenaline kicks in when you wake up to get you going for the day because Cortisol is highest first thing in the morning. Often reaching for a coffee on an empty stomach stimulates adrenaline further and people live in this cycle of cortisol – adrenaline. If you have a job where getting up at 3.30am is your day, then you’re not going to be hungry because you’re body is suppose to be still asleep, but come 6-7am your stomach should be telling you to eat something by then. If you really do enjoy a morning coffee, aim for mid morning and have food with it so the caffeine isn’t triggering adrenaline and cortisol.
Ideally, waking up to hydrate with room temperature to warm water, then eat a warm breakfast between 7-9am is best for our digestive health in Chinese medicine theory. The spleen energy kicks in from 9-11am to do its T & T function. With daily exercise, daily bowel movements should be well formed and feel complete. If you need to wipe your bottom a lot or theres quite a lot of smell or mess in the toilet are you flush – your spleen is under-fuctioning like there is a “stickiness” in your stools. In Chinese medicine we call this dampness. Acupuncture and herbal medicine can quickly harmonise this. On the other hand if you’re bowels are irregular or sluggish then the body is absorbing waste back into the body – this can lead to liver problems and further bowel problems. Research has also shown that the warm therapeutic effect of moxibustion (burning compressed mugwort on or near a person’s skin) to help alleviate various conditions involving pain and discomfort, including IBS, showed moxibustion may also provide a benefit to IBS patients in 20 randomised-controlled trial results (2).
If you are suffering from digestive symptoms mentioned above or you believe you have poor digestion, have been diagnosed with inflammatory bowel, IBS or you’re aware stress and emotions are upsetting your stomach, please contact us today to discuss how we can help your digestive health at our Nambour Acupuncture clinic in the Sunshine Coast hinterland.
Hi, I’m Tanya, an AHPRA registered Acupuncturist and health practitioner in Nambour in the Sunshine Coast hinterland, Queensland Australia. I practice Chinese medicine because its safe, logical, relevant and has effectively shown methods of natural wellness for thousands of years (read more about my training here). Life doesn’t need to be complicated and nor does the treatment approaches to get people feeling vibrant and well. I’ve seen people gain a lot from treatments, much more than just alleviating symptoms. It’s exciting to connect with people and share deep wisdom from the classics of ancient and traditional medicine, with modern protocols for todays mind-body living. See you in the clinic !
References:
- Harvard Health Publishing (2018). ‘The gut-brain: connection. At: ’https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6111498/
- Mayo Clinic (2018). “Irritable Bowel Syndrome”. At: https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016
- https://bmccomplementmedtherapies.biomedcentral.com/articles/10.1186/1472-6882-13-247#Sec7
Tanya Keam is an integrative Chinese medicine Doctor and registered Acupuncturist in Nambour in the beautiful Sunshine Coast hinterland in Queensland, Australia. If you’re experiencing the above symptoms or interested in Chinese Medicine Premenstrual Dysmorphic Disorder treatment specifically, please reach out to see if Acupuncture, herbal medicine and lifestyle guidance might support you to feel better.