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Premenstrual Syndrome (PMS)

What is PMS?

Premenstrual syndrome (PMS) affects about 30 million American women for a week or two before their period. PMS results from a relative estrogen dominance and progesterone deficiency. It may start in a woman’s 20s, but is most common in their 30s and 40s, and may even extend into Perimenopause. PMS symptoms are undesirable and can significantly impact in your life both emotionally and physically.

PMS is not a depressive disorder, it’s a hormonal disorder—anti-depressants are not a good answer!
Contrary to popular opinion, PMS is not a depressive disorder, but a fluctuating hormonal disorder and should not be treated with anti-depressants. We have many patients who were initially treated with anti-depressants, but went off of them once their hormonal balance was restored.

Women with PMS also have a higher risk for breast cancer later in life and should not wait to take preventative measures.

Common symptoms of PMS:

  • Irritability and Anxiety
  • Bloating
  • Breast Tenderness
  • Cravings
  • Weight Gain
  • Headache or Migrane,
    usually occurs the first day
    of a period when the estrogen
    level crashes

Our Method of PMS treatment

Our customizable treatment programs have been developed by our internationally recognized physician, Our PMS management program was developed by Dr. Khalid Mahmud, MD, FACP, who is an internationally recognized expert in the field of Anti-Aging and Preventive Medicine.

After a thorough history and physical, we conduct blood tests; which at the minimum includes an assessment of sex hormone levels (Estrogen, Progesterone, Testosterone and DHEA). We then create a plan to control symptoms by replacing the deficient hormone/s with bio-identical preparations given in natural ways, and monitoring blood levels to adjust dosing if necessary.

We incorporate weight loss measures when necessary and include additional breast cancer prevention measures (see Dr. Mahmud’s book, Keeping aBreast: Ways to stop breast cancer), because we feel strongly that they should be an essential part of managing PMS.

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“This treatment has changed my life. Thank you Dr. Mahmud for your passion to help women live life to the fullest.” – C.B.

“I knew there was a better option for treating my PMS, exhaustion, anxiety and generally crabby feeling than the anti-depressants or birth control my OB-GYN suggested. It is such an amazing experience to sit across from your doctor and speak freely about your health, while not wearing a paper gown.

I have been following the gold program for just over a month now and feel better than I have in years! I cannot say enough about the simple changes that brought me such relief and joy! I really feel like I could run circles around my former self. Thank you Innovative Directions in Health!” – Keri F.

“Bio-identical hormone replacement therapy has been a gift for me. I do not have the bloating feeling or the unwanted anxiety. My mood is much more stable and my sleep dramatically improved. I truly believe in Innovative Directions in Health’s anti-aging treatments and approach to staying healthy.” – Deb B.