
Premenstrual syndrome occurs differently in women. However, there are factors that can aggravate the course of PMS. Next, we will talk in more detail about each of the factors.

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1. Oral contraceptives
Oral contraceptives usually contain progestins that prevent fertilization, a synthetic analogue of progesterone. But these progestins and progesterone are metabolized differently in the body. Among the breakdown products of progesterone is a metabolite called allopregnanolone, which has a pronounced anti-anxiety effect. And in the metabolism of progestins, it is absent. Further more. Progestins inhibit the production of their own progesterone (no matter how small the dosage it is produced), by a negative feedback mechanism. And due to a decrease in its synthesis, the content of allopregnanolone also decreases, as a result, anxiety increases, which is already high during PMS. Not to mention the deterioration of the trophism of the nervous tissue.
Read also: PMS: how to help yourself?
2. Excess salt in the diet

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With an excess of salt in the diet, premenstrual syndrome also intensifies. Here again, the matter is again in metabolites, but of another hormone — deoxycorticosterone (one of the mineralocorticoids). They bind to the same CNS receptors as progesterone metabolites and also have an anti-anxiety effect. Salty food inhibits the production and secretion of mineralocorticoids, in particular deoxycorticosterone, and, accordingly, its metabolites, which leads to an increase in PMS. In addition to mental disorders, the consumption of excess salt during this period can lead to impaired water-salt metabolism. As a result — weight gain, swelling, swelling in the abdomen, dizziness and pain.
Also Read: PMS Diet
3. Carbohydrate control
PMS can be exacerbated by poor control of carbohydrates in the diet. This is observed both with insufficient consumption (as a result of which the level of glucose in the blood decreases, followed by symptoms of hypoglycemia: dizziness, chills, tremor), and with excessive consumption of carbohydrates, in particular fast (sweet), which leads to hypoglycemia, but already due to increased reactivity of the pancreas and elevated insulin levels during this period. The intake of a large amount of fast carbohydrates sharply increases the level of already elevated insulin, and subsequently causes its sharp drop somewhat below the physiological level. All this greatly affects the central nervous system and triggers a strong food motivation, in particular for simple carbohydrates (for the fastest rise in insulin), and a vicious circle appears.
Also Read: What Foods Can Help PMS?
4. Alcohol

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And finally, with PMS, alcohol should be completely excluded. This is due to a drop in glucose levels and blocking gluconeogenesis (the process of metabolizing glucose from proteins and fats, which is very important during a calorie deficit).
Council. If you’re taking PMS too hard, it’s best to consume your maximum comfortable carbohydrate level to prevent a relapse. Perhaps, if you control the process, you will gain a little weight during this period, taking a small step back for the next leap forward. And even if you break loose — there is nothing wrong with that! But if you blame yourself for the breakdown, then you can’t do without consequences.
READ MORE:
PMS: the most mysterious syndrome
How to get rid of premenstrual syndrome
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The opinion of the editors may not coincide with the opinion of the author of the article.