Premenstrual Syndrome (PMS)

Improve Premenstrual Syndrome with Yoga

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By John M. de Castro, Ph.D.

 

“Yoga boosts circulation, which can relieve fluid buildup that causes bloating. The paced, deep breathing also increases oxygen flow to tissues, decreasing discomfort induced by cramps.” – Suzanne Trupin

 

PMS or Premenstrual Syndrome is an extremely common problem among women and almost 85% of women, between 20 years old and 40 years old, suffer from PMS. It is associated with a collection of emotional and physical symptoms that is experienced during the time of ovulation or Luteal phase of the Menstruation cycle.  PMS produces physical symptoms such as Joint or muscle pain, headache, fatigue, weight gain related to fluid retention, abdominal bloating, breast tenderness, acne flare-ups, and constipation or diarrhea. These symptoms are accompanied by a constellation of psychological symptoms such as tension or anxiety, depressed mood, crying spells, mood swings and irritability or anger, appetite changes and food cravings, trouble falling asleep (insomnia), social withdrawal, and poor concentration. Around 5% of women are disabled by extremely severe symptoms. PMS is often accompanied with depression and called Premenstrual Dysphoric Disorder (PMDD) and can be dangerous as the suicide rate for patients with depression is much higher in the second half of the menstrual cycle.  Rather than improve with age, PMS can get worse as patients age and approach menopause.

 

For most women PMS is left untreated, with the women simply putting up with the misery. But for some drugs are prescribed such as antidepressants, NSAIDs, diuretics, and hormones. These are all accompanied by significant side effects. There is, therefore, a need to find safe and effective treatment for the torment of PMS. Mindfulness training has been shown to improve the physical and psychological state of women and men and women with high levels of mindfulness experience milder PMS symptoms. It would seem reasonable to examine whether training in a mindfulness technique, specifically yoga training, might be helpful relieving the symptoms of PMS.

 

In today’s Research News article “Effect of Yoga Exercise on Premenstrual Symptoms among Female Employees in Taiwan.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1363573563666566/?type=3&theater

or see summary below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4962262/

Tsai recruited female employees of a large manufacturing company and provided them with a 12-week yoga program with twice a week sessions of 50 minutes. The yoga included breathing, posture, and meditation exercises. Before and after training the women completed measurements of premenstrual and menstrual symptoms, stress, sleep, alcohol intake, exercise and general health.

 

They found that after yoga training the women’s menstrual pain, use of analgesics, and body pain was lower. Also, the women reported less premenstrual abdominal swelling, breast tenderness, abdominal cramps, and cold sweats. In addition, the decreased menstrual pain was associated with increases in physical function, bodily pain, general health perception, vitality/energy, social function, and mental health. So the yoga practice appeared to reduce both premenstrual and menstrual physical symptoms.

 

The study results are very encouraging and suggest that yoga practice can be beneficial in relieving women’s symptoms surrounding menstruation. The study, however did not have a control group for comparison and so conclusions must be tempered. It is possible that participation in any program to improve their health and well-being would produce similar effects. Nevertheless, the results justify and encourage more extensive controlled research studies on the application of yoga practice to the relief of troublesome symptoms related to women’s menstrual cycle.

 

So, improve premenstrual syndrome with yoga.

 

“The benefits of yoga in relieving the symptoms of PMS are countless and difficult to list. Yoga is like a magical wand that touches our lives to bless us with a fit, flexible and healthy body,flawless, glowing skin, peaceful mind and great overall health. The benefits of yoga are not only limited to the physical level, it transcends the body to bring harmony between the body and the soul and fill the mind with happiness.” – Deblina Biswas

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts

 

Study Summary

Tsai, S.-Y. (2016). Effect of Yoga Exercise on Premenstrual Symptoms among Female Employees in Taiwan. International Journal of Environmental Research and Public Health, 13(7), 721. http://doi.org/10.3390/ijerph13070721

 

Abstract

Yoga classes designed for women with premenstrual syndrome are available, but their efficacy is unclear. We investigated the effects of 12 weeks’ yoga exercise (yoga intervention) on premenstrual symptoms in menstruating females in Taiwan. Sixty-four subjects completed the yoga intervention, and before and after the intervention filled out a structured self-report questionnaire about their demographics, personal lifestyle, menstrual status, baseline menstrual pain scores, premenstrual symptoms, and health-related quality of life. Of 64 subjects, 90.6% reported experiencing menstrual pain during menstruation. After the yoga intervention, subjects reported decreased use of analgesics during menstruation (p = 0.0290) and decreased moderate or severe effects of menstrual pain on work (p = 0.0011). The yoga exercise intervention was associated with the improvement of the scale of physical function (p = 0.0340) and bodily pain (p = 0.0087) of the SF-36, and significantly decreased abdominal swelling (p = 0.0011), breast tenderness (p = 0.0348), abdominal cramps (p = 0.0016), and cold sweats (p = 0.0143). Menstrual pain mitigation after yoga exercise correlated with improvement in six scales of the SF-36 (physical function, bodily pain, general health perception, vitality/energy, social function, mental health). Employers can educate female employees about the benefits of regular exercise such as yoga, which may decrease premenstrual distress and improve female employee health.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4962262/

 

 

Decrease PMS with Mindfulness

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Smiling young girl drinking tea and writing

“Meditation helps manage PMS in many ways. Meditation helps put PMS in perspective – that it’s a short-term problem and that most of the time, you feel good. It helps ease the guilt of difficult-to-control emotional outbursts – PMS is a medical condition! Meditation helps calm the erratic thought patterns and wild emotional fluctuations by putting the body and mind into a deeply relaxed state.”  – Steven Johnson

 

Premenstrual Syndrome (PMS) is very common in women during the childbearing years. Almost 85% of American women, between 20 years old and 40 years old, experience PMS and around 5% of these women are disabled by extremely severe symptoms. It is often accompanied with depression and called Premenstrual Dysphoric Disorder (PMDD) and can be dangerous as the suicide rate for patients with depression is much higher in the second half of the menstrual cycle.

 

PMS produces physical symptoms such as Joint or muscle pain, headache, fatigue, weight gain related to fluid retention, abdominal bloating, breast tenderness, acne flare-ups, and constipation or diarrhea. These symptoms are accompanied by a constellation of psychological symptoms such as tension or anxiety, depressed mood, crying spells, mood swings and irritability or anger, appetite changes and food cravings, trouble falling asleep (insomnia), social withdrawal, and poor concentration. Rather than improve with age, PMS can get worse as patients age and approach menopause.

 

For most women PMS is left untreated, with the women simply putting up with the misery. But for some drugs are prescribed such as antidepressants, NSAIDs, diuretics, and hormones. These are all accompanied by significant side effects. There is, therefore, a need to find safe and effective treatment for the torment of PMS. Mindfulness training has been shown to improve the physical and psychological state of women and men. It would seem reasonable to examine whether mindfulness training might be helpful with PMS.

 

In today’s Research News article “Relationships Among Premenstrual Symptom Reports, Menstrual Attitudes, and Mindfulness.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1246921738665083/?type=3&theater

or below or view the full text of the study at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4859870/

Lustyk and colleagues examined the relationships between mindfulness, premenstrual attitudes, and Premenstrual Syndrome (PMS) symptoms in college age women, all of whom reported some level of PMS symptoms. They found that a number of aspects of mindfulness, including overall mindfulness and the observing, describing, and non-reacting facets of mindfulness were significantly negatively associated with overall and individual PMS symptoms, including pain, emotions, food cravings, and fluid retention. They found that the greater the levels of mindfulness the less the PMS symptom severity.

 

Lustyk and colleagues also measured the women’s attitudes regarding menstruation. They found that the greater degree the women perceived menstruation as a debilitating event and the better they were at predicting the onset of menstruation, the lower the PMS symptoms. They also found that mindfulness moderated these effects; the higher the levels of mindfulness the smaller the relationships between these attitudes with PMS symptoms.

 

These results are encouraging. They are however correlational. There was no manipulation of mindfulness or mindfulness training. So, it can’t be concluded that mindfulness caused improvements in PMS symptoms. It could be that low PMS symptoms improve mindfulness in women or that some other variable is related to both. It will take a manipulative research study to determine if there’s a causal relationship between mindfulness and PMS symptoms.

 

These cautions notwithstanding, mindfulness appears to be associated with lower PMS symptoms. This adds to the list of the beneficial effects of mindfulness to mental and physical health. It also suggests that mindfulness training may be a safe and effective alternative treatment for Premenstrual Syndrome in women.

 

So, decrease PMS with mindfulness.

 

“The incredible positive that I have gained by becoming aware of this connection is the awareness that has allowed me to work with my mind and body each month when these symptoms surface.  I can now respond to my body’s needs without reacting from a highly activated, emotional place.  It’s really made all of the difference. I now know what to expect and deal with myself more compassionately during this time of the month.” – Debbie

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Google+ https://plus.google.com/106784388191201299496/posts

 

Study Summary

Lustyk, M. K. B., Gerrish, W. G., Douglas, H., Bowen, S., & Marlatt, G. A. (2011). Relationships Among Premenstrual Symptom Reports, Menstrual Attitudes, and Mindfulness. Mindfulness, 2(1), 37–48. http://doi.org/10.1007/s12671-011-0041-x

 

Abstract

The physical and affective symptoms of a broad range of conditions are improved following mindfulness-based practices. One set of symptoms that has yet to be explored through the lens of mindfulness, however, is that associated with the premenstruum. Also, given the relationships among negative attitudes towards menstruation and amplified symptom reporting, it is reasonable to expect that mindfulness qualities cultivated through practices aimed at dispelling negative anticipatory and judgmental thinking will moderate these relationships. Thus, in this study we examined interrelationships among premenstrual symptom severity reports (PMSR), menstrual attitudes, and mindfulness qualities in a sample of 127 women (age range 18–26 years). Results revealed several statistically significant positive relationships between menstrual attitudes and PMSR. Also, higher scores on measures of mindfulness were significantly associated with lower PMSR. Moderating effects revealed that mindfulness significantly buffered the relationships between menstrual attitudes and PMSR, specifically between: anticipation of menses onset and PMSR as well as anticipation of menses onset and premenstrual water retention. These results may offer the first empirical evidence of relationships among menstrual attitudes, PMSR, and mindfulness qualities. Results from this study align with the body of research showing that mindfulness is predictive of improved symptomatology and well-being across varied conditions. We conclude with discussion supporting the development of a mindfulness-based intervention aimed at reducing symptom severity in premenstrual symptom sufferers.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4859870/