Painkillers are not the best way to relieve menstrual pain

Period pain, like PMS is the bane of many women's existence.

Some women experience such severe pain, that it is unbearable without some type of medical pain relief.

Period pain can be so severe that it requires the use of very strong analgesics (pain medications), even really strong opioid-type drugs (narcotics), such as pethidine to ameliorate the pain for some women.

Taking strong painkillers on a regular basis, is not advised by any medical professional, nevertheless any alternative health care provider, because they do have side effects and the more you use, the more regularly you use them, the higher the risks of side effects rises.

In addition to this, the opioid-type painkillers are addictive, which causes another set of problems in itself. It's much better to try natural ways to relieve pain.

Natural pain relief does not have the same set of risks associated with painkillers and it can help to prevent the pain becoming worse over time.

Some women can tell when they ovulate

Many women can tell when they are ovulating, as they experience a number of symptoms at the time of ovulation.

Ovulation is defined as the time in the menstrual cycle when an egg is released from one of the ovaries, down the fallopian tubes and into the uterus, ready to be fertilised and implanted.

Ovulation happens every month for most women, except during pregnancy and during most of breastfeed (although some women have become pregnant as they continue to ovulate during breastfeeding, it is the exception rather than the norm).

Ovulation is also the time after which PMS symptoms and PMDD symptoms start in a great number of menstruating women.

The main symptoms that women can feel during ovulation are:

• Higher body temperature - the basal body temperature increases slightly during ovulation and some experts recommend you take your temperature before you get out of bed to determine if you are ovulating
• Pain - it can be general in the pelvic area, or localised to either one ovary and occur near the pelvic bone
• Vaginal discharge - the vagina will secrete more and thicker mucous during ovulation

So if you're feeling that twinge of pain in the lower abdomen and have thicker vaginal discharge, you know it's most likely because one of your ovaries is releasing an egg in preparation for pregnancy. If the pain is not consistent with this, get it checked out.

Regarding ovulation, there are kits available which can test you to determine if you are ovulating. These tests are specifically aimed at women who want to know when they are ovulating in order to have sex with their partner and have a higher chance of getting pregnant. This is because the highest chance of pregnant occurs during ovulation.

PMS is a real and severe health issue for many women

Women with premenstrual syndrome (PMS), from mild to very severe (and severe PMS is described as having premenstrual dysphoric disorder or PMDD) have a number of symptoms which compromise and adversely affect their quality of life and the level this is affected depends on the level of symptoms experiences - the worse the symptoms, the more adversely the quality of life is affected.

Scientists have been looking at women with PMS and have come to the conclusion that women who experience PMS symptoms experience lowered quality of life as they cannot function properly (whether it is in their relationships, work, social life) and this causes increased medical costs through more visits to doctors and subsequent lab test. It also causes indirect costs to employers through lowered productivity when a woman experiences severe PMS symptoms and cannot function or think as effectively as she normally does when not in PMS.

Women with severe PMS symptoms, especially the mental symptoms of anxiety, depression, anger can be so impaired in their ability to function normally (when not in the time of PMS), that it can cause an impairment in interpersonal or workplace functioning.

Interpersonal conflicts are common for women with PMS and that can cause a great deal of unnecessary stress in a workplace or for a woman's interpersonal relationships, which if not treated effectively and continues to escalate unabated, can mean those relationships cease to exist and employment may go on to be terminated. This of course, compounds the issue and it becomes a vicious circle.

Women with PMS must seek effective treatment for the symptoms of PMS in order to maintain a better quality of life and in order not to suffer the symptoms of this, often, debilitating condition.

Your doctor can use a Premenstrual Symptoms Screening Tool (PSST) to help you determine how PMS symptoms are affecting your life.

There are adequate (and natural) ways to control PMS (and even the condition known as PMDD).

References:

1.  Choi D, Lee DY, Lehert P, Lee IS, Kim SH, Dennerstein L. The impact of premenstrual symptoms on activities of daily life in Korean women. J Psychosom Obstet Gynaecol. 2010 Mar;31(1):10-5
2.  Freeman EW,  Sondheimer SJ. Premenstrual Dysphoric Disorder: Recognition and Treatment. Prim Care Companion J Clin Psychiatry. 2003; 5(1): 30–39. Accessed 8 July 2010
3. Mishell DR Jr. Premenstrual disorders: epidemiology and disease burden. Am J Manag Care. 2005 Dec;11(16 Suppl):S473-9. Accessed 8 July 2010
4. Pearlstein T, Steiner M. Premenstrual dysphoric disorder: burden of illness and treatment update. J Psychiatry Neurosci. 2008 Jul;33(4):291-301. Accessed 8 July 2010

Antidepressants and oral contraceptives - dont work for PMDD

A recent study² which reviewed data from studies dating from 1990 to 2008 to research those randomized, double-blind, placebo-controlled clinical trials of selective serotonin re-uptake inhibitors (SSRIs), a type of anti-depressant and combined oral contraceptives (COCs) to determine how much of an effect they had on women with symptoms of PMS and  symptoms of PMDD.

After reviewing the data, measurements and outcome of all of the large-scale studies, the authors of the review² noted that once the placebo effect was discounted, the actual results showed that the percentage of women who had a beneficial outcome from using SSRIs or COCs was not much more than the women who did not have any benefit from using these medications. In other words, women who used SSRIs or contracetives had the same level of PMS/PMDD symptoms as women who did not use the medications.

The authors of the review² also noted that around 40% of women with PMS/PMDD symptoms did not have a positive outcome from using the SSRIs medications - their symptoms did not improve. They also stated that treatment with COCs also does not substantially improve the symptoms in women with PMS/PMDD.

The authors of the review² suggested that "additional alternative targeted treatment modalities need to be developed" for more adequate treatment of PMS/PMDD than is currently available.

Other studies recently suggest that anti-depressants don't help people with mild to moderate depression and as depression can be one of the symptoms of severe PMS/PMDD, that suggests again, quite clearly, that anti-depressants are not going to help women with severe PMS/PMDD symptoms either.

A recent review^1,3 of a number of randomised studies of people using anti-depressants for depression found that there was little evidence that anti-depressants have an effect that is any different to a placebo for people with mild to moderate depression.  In other words, using anti-depressants and using placebos (no drug) have the same effect.

References:

1. Fournier JC, DeRubeis RJ et al. Antidepressant Drug Effects and Depression Severity: A Patient-Level Meta-analysis. JAMA. 2010;303(1):47-53. Accessed 8 July 2010
2. Halbreich U. Selective serotonin reuptake inhibitors and initial oral contraceptives for the treatment of PMDD: effective but not enough. CNS Spectr. 2008 Jul;13(7):566-72. Accessed 8 July 2010 
3. Silverman E. Antidepressants Don’t Help Mild Depression: Study. Pharmalot online. 5 January 2010. Accessed 8 July 2010

PMS symptoms are surprisingly decreasing

Apollonie Sabatier, Vincent Vidal

I am at day 27 of my menstrual cycle.

This means it is really close to menstruation and when I should be experiencing more intense PMS symptoms, but I am seemingly not, as compared to say, about a week ago, or so, when I was feeling the effects of PMS quite keenly.

I still have some fluid retention, but markedly less than before and certainly not as bad as it was last week. My emotions seem to be quite level, without any major highs or lows or mood swings and my mind is clear and functioning really well. Almost like I don't have PMS at all!

I think it has a lot to do with the fact that I have been taking the Homeopathic medicine - General Tonic, Comb 12, which has the 12 tissue salts, that are supposed to be good for overall fatigue and exhaustion. This formula has a number of mineral salts in a specific ratio, which are thought to help the nervous system especially, but all the organs and tissues of the body to recover from any illness by helping it function in a more healthy way.

So while I have described the stress I have been exposed to recently, which has been unrelenting and which has precipitated the worse PMS symptoms of last week, since I have been taking the Comb 12 tissue salts, I have noticed a marked improvement in my symptoms, as I have outlined here. It's brilliant. I definitely did not want to go back to the horrendous PMS symptoms I used to get before, so this is fabulous to know that such a simple solution could be so effective in reducing symptoms.

I have also been exercising a bit more recently and have been diligently taking the iron supplement (as I am iron deficient) and I think those are also helping too.

The fluid retention I experience during PMS

Fluid retention is one of the factors of PMS that I experience basically every month, to a varying degree. It used to be much worse.

This month, I have experienced, for two days, very bad fluid retention. My stomach just jutted out so much (when it doesn't normally) and it felt uncomfortable when I was sitting down. Additionally, my breasts and nipples were so bloated with fluid that I looked like I was breastfeeding and besides which it hurt a lot!  I have had a little of fluid retention since that and before that, but not to that extent.

These are profound physical changes which would not occur at any other time than after  ovulation and just before the menstrual cycle starts.

I have been taking some homeopathic medicine which has helped a great deal to stop that much fluid retention and pain associated with it.

The homeopathic medicine I have been using is the General Tonic with the 12 tissue salts, which is for overall fatigue and exhaustion. They work on all the organs and tissues of the body to help it recover and function normally and obviously are an excellent way to prevent the fluid retention for me. I think because they work on the nervous system to make it more functional and to reduce any anxiety/stress, this helps me greatly.