Premenstrual Syndrome (PMS)


What is it?

Pre-menstrual syndrome which is commonly referred to as PMS is extremely common.  It is the term to describe the physical and emotional symptoms that occur in the one to two weeks before a woman’s period.

The symptoms of PMS are caused by low levels of progesterone, the hormone which is produced in the second part of the cycle (post ovulation). The imbalance of estrogen to progesterone in the first phase of a woman's cycle is what causes the physical and mood-related symptoms.

Who Experiences PMS?

Most women who have a menstrual cycle experience cyclical symptoms of PMS, such as painful breasts, bloating, headaches, fatigue, mood swings, irritability and increased appetite. These symptoms are usually not very severe and most women are able to manage symptoms without great difficulty. However, for some women, symptoms can be severe and impact how they go about their everyday lives, even affecting their personal relationships and/or professional lives. The good news is that it is a treatable imbalance from which women do not need to suffer.

What are the symptoms?

Symptoms of PMS can vary person to person and not everyone suffers from the same symptoms. Common symptoms of PMS include:

Mood swings





Abdominal bloating and cramping

Breast tenderness



Back pain

Food cravings


Weight gain

How can it be treated?

At Fulcrum Clinic we fully evaluate the symptoms and perform a comprehensive female hormone profile in the second part of a woman’s cycle. This helps to establish whether there is an abnormal hormonal imbalance. When imbalances are identified, the relevant bio-identical hormones can then be prescribed at a dosage tailored to the individual’s needs. With this treatment, patients generally see their symptoms decrease  or completely resolve providing a better quality of life.