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Why do i get diarrhea before my period. Understanding Period-Related Diarrhea: Causes, Prevention, and Management

Why do many women experience diarrhea before or during their period. How can period-related digestive issues be managed effectively. What are the main hormonal factors contributing to menstrual diarrhea. When should you consult a doctor about period-related gastrointestinal symptoms.

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The Relationship Between Menstruation and Digestive Issues

Many women experience gastrointestinal disturbances in connection with their menstrual cycle. In fact, studies suggest that up to 73% of women report having digestive issues before or during their period. These symptoms can range from increased bowel movements to full-blown diarrhea. But what causes this connection between menstruation and digestive health?

Hormonal Fluctuations and Digestive Function

The primary culprit behind period-related diarrhea is hormonal changes. Throughout the menstrual cycle, women experience significant fluctuations in hormone levels, which can have wide-ranging effects on the body, including the digestive system.

  • Prostaglandins: These hormone-like substances play a crucial role in menstruation and can affect bowel function.
  • Progesterone: This hormone’s levels change throughout the cycle, influencing digestive processes.
  • Estrogen: Fluctuations in estrogen can also impact gut motility and sensitivity.

The Role of Prostaglandins in Menstrual Diarrhea

Prostaglandins are the main players in the occurrence of period-related diarrhea. These lipid compounds are produced at sites of tissue damage or infection and have various functions in the body, including controlling inflammation and blood flow.

How Do Prostaglandins Affect the Digestive System?

In the context of menstruation, prostaglandins serve a specific purpose:

  1. They trigger uterine contractions to help shed the uterine lining.
  2. These contractions can also affect nearby organs, including the intestines.
  3. Increased intestinal contractions can lead to faster transit of stool, resulting in diarrhea.

Are prostaglandin levels consistent throughout the menstrual cycle? No, prostaglandin levels peak during the first day of menstruation, which is why many women experience the most severe symptoms, including diarrhea and cramps, at the beginning of their period.

The Influence of Progesterone on Bowel Movements

While prostaglandins are primarily responsible for menstrual diarrhea, progesterone also plays a significant role in digestive function during the menstrual cycle.

Progesterone’s Effects on Digestion

How does progesterone impact bowel movements? Progesterone levels increase just before or near the end of menstruation, leading to:

  • Thickening of the uterine lining
  • Cessation of uterine contractions
  • Similar effects on the bowels, potentially causing constipation

This hormonal shift explains why some women may experience constipation rather than diarrhea during certain phases of their menstrual cycle.

Is Period-Related Diarrhea Normal?

Experiencing diarrhea or increased bowel movements during menstruation is generally considered normal. However, certain symptoms may indicate an underlying condition that requires medical attention.

When to Seek Medical Advice

What symptoms should prompt a visit to a healthcare professional? Consider consulting a doctor if you experience:

  • Severe diarrhea that interferes with daily activities
  • Unusually intense cramps or abdominal pain
  • Heavier than normal menstrual flow
  • Rectal bleeding or blood in stool
  • Mucus in stool

These symptoms could be indicative of conditions such as endometriosis, fibroids, ovarian cysts, polycystic ovary syndrome (PCOS), or irritable bowel syndrome (IBS).

Strategies for Managing Period-Related Diarrhea

While period-related diarrhea can be uncomfortable, there are several approaches to manage or even prevent this symptom.

Hormonal Management

Can hormonal birth control help with menstrual diarrhea? Yes, hormonal contraceptives like birth control pills can help regulate the menstrual cycle and potentially reduce diarrhea. Some methods even allow for skipping periods altogether, which can eliminate period-related digestive issues.

Lifestyle Modifications

What lifestyle changes can help manage period-related diarrhea?

  • Stress reduction techniques such as meditation or regular exercise
  • Maintaining proper hydration to compensate for fluid loss
  • Avoiding trigger foods like caffeine, artificial sweeteners, and spicy dishes
  • Incorporating fiber-rich foods and probiotics into the diet
  • Eating smaller, more frequent meals to ease digestion

Over-the-Counter Solutions

Are there any OTC remedies for period-related diarrhea? Yes, several options are available:

  • Ibuprofen taken a day or two before menstruation to reduce prostaglandin effects
  • Gentle anti-diarrheal medications like MiraLax
  • Fiber supplements to add bulk to stools
  • Electrolyte-rich drinks to replace lost fluids and minerals

The Importance of Proper Nutrition During Menstrual Diarrhea

Maintaining a balanced diet is crucial when dealing with period-related diarrhea. Proper nutrition can help alleviate symptoms and prevent complications associated with fluid and nutrient loss.

Foods to Embrace

What foods should you incorporate into your diet during menstrual diarrhea?

  • Probiotic-rich foods like yogurt, kefir, and fermented vegetables
  • Whole grains and fruits with edible skins for added fiber
  • Lean proteins to support overall health
  • Bananas, rice, and other easily digestible foods

Foods to Avoid

Which foods might exacerbate period-related diarrhea?

  • Caffeine and alcohol, which can irritate the digestive system
  • Dairy products, especially if you’re lactose intolerant
  • Fatty or greasy foods that may be harder to digest
  • Sugary treats and artificial sweeteners

Understanding the Broader Impact of Menstrual Symptoms

While diarrhea is a common menstrual symptom, it’s important to consider it within the context of overall menstrual health. Many women experience a range of symptoms that can significantly impact their quality of life during menstruation.

Common Menstrual Symptoms

What other symptoms often accompany period-related diarrhea?

  • Abdominal cramps and lower back pain
  • Bloating and water retention
  • Mood changes, including irritability and depression
  • Fatigue and difficulty concentrating
  • Headaches or migraines

Understanding the interconnectedness of these symptoms can help in developing a comprehensive approach to managing menstrual health.

The Role of Hormones in Overall Menstrual Health

How do hormonal fluctuations affect various aspects of menstrual health? Hormones like estrogen, progesterone, and prostaglandins influence not only digestive function but also:

  • Mood and emotional well-being
  • Energy levels and sleep patterns
  • Skin health and acne occurrence
  • Breast tenderness and swelling
  • Appetite and food cravings

Recognizing these hormonal influences can help women better understand and manage their menstrual symptoms holistically.

Long-Term Management of Menstrual Digestive Issues

For many women, period-related diarrhea is a recurring issue that requires ongoing management. Developing a long-term strategy can help minimize the impact of these symptoms on daily life.

Tracking Symptoms and Patterns

How can tracking menstrual symptoms help manage digestive issues? Keeping a detailed record of your menstrual cycle, including digestive symptoms, can:

  • Help identify patterns in symptom occurrence
  • Allow for better preparation and management of symptoms
  • Provide valuable information for healthcare providers if needed
  • Aid in recognizing potential triggers or exacerbating factors

Developing a Personalized Management Plan

What should a comprehensive menstrual health management plan include?

  • A balanced diet tailored to your specific needs and sensitivities
  • Regular exercise routine adapted to your menstrual cycle phases
  • Stress management techniques that work for you
  • Appropriate use of over-the-counter medications or supplements
  • Open communication with healthcare providers about ongoing concerns

Remember that what works for one person may not work for another, so it’s important to find the combination of strategies that best suits your individual needs.

The Importance of Seeking Professional Help

While period-related diarrhea is often a normal occurrence, there are instances where professional medical advice is necessary. Understanding when to seek help can prevent potential complications and ensure optimal menstrual health.

Signs That Warrant Medical Attention

When should you consult a healthcare provider about menstrual digestive issues?

  • Severe pain that interferes with daily activities
  • Extremely heavy menstrual flow or prolonged periods
  • Persistent digestive issues that extend beyond the menstrual period
  • Unexplained weight loss or signs of malnutrition
  • Symptoms of anemia, such as extreme fatigue or dizziness

Diagnostic Approaches for Menstrual Disorders

What diagnostic tools might a healthcare provider use to assess menstrual health concerns?

  • Detailed medical history and symptom review
  • Physical examination
  • Blood tests to check hormone levels and rule out other conditions
  • Imaging studies such as ultrasound or MRI
  • In some cases, minimally invasive procedures like laparoscopy

These diagnostic approaches can help identify underlying conditions that may be contributing to severe menstrual symptoms, including digestive issues.

Empowering Women Through Education and Support

Understanding the connection between menstruation and digestive health is an important aspect of women’s overall well-being. By increasing awareness and fostering open discussions about menstrual health, we can empower women to better manage their symptoms and seek appropriate care when needed.

Breaking the Stigma Around Menstrual Health

How can we promote more open conversations about menstrual health?

  • Encouraging education about menstrual health in schools and communities
  • Promoting honest discussions about menstrual symptoms in healthcare settings
  • Supporting research into menstrual health and related conditions
  • Challenging societal taboos and misconceptions about menstruation

Resources for Menstrual Health Support

Where can women find reliable information and support for menstrual health concerns?

  • Reputable health websites and online resources
  • Women’s health clinics and specialized healthcare providers
  • Support groups and online communities for women with menstrual disorders
  • Educational materials from reputable health organizations

By accessing these resources and engaging in open dialogue, women can take control of their menstrual health and make informed decisions about their well-being.

Conclusion: Embracing Holistic Menstrual Health

Period-related diarrhea, while common and often benign, is just one aspect of the complex interplay between hormones and bodily functions during menstruation. By understanding the underlying causes, recognizing normal variations, and implementing effective management strategies, women can navigate this aspect of their menstrual health with confidence.

Remember that every woman’s experience is unique, and what constitutes “normal” can vary widely. The key is to stay attuned to your body, track your symptoms, and seek professional guidance when needed. With the right approach, it’s possible to minimize the impact of menstrual symptoms on your daily life and maintain overall well-being throughout your menstrual cycle.

As we continue to advance our understanding of women’s health, it’s crucial to maintain open dialogues, support ongoing research, and empower women with the knowledge and resources they need to take charge of their menstrual health. By doing so, we can work towards a future where menstrual symptoms, including digestive issues, are well understood, effectively managed, and no longer a source of unnecessary distress or discomfort.

Why Do You Get Diarrhea While on Your Period?

If you’re of the fairer sex, the chances of experiencing a not-so-happy tummy during your period are high. And not just because of those awful, often debilitating, period cramps and bloating! Indeed, diarrhea, or even pooping more frequently, and your period often go hand-in-hand. In fact, nearly three-quarters of women admit to having gastrointestinal issues before or during their period. Why? The short answer, hormones!

Why Do You Get Diarrhea While on Your Period?

Vulva owners experience incredible changes in hormone levels throughout their cycles. But when it comes to that time of the month, prostaglandins are busy little bees. Let’s elaborate… A few days before your period, when your uterus lining begins to shed, the hormone prostaglandin is released. This hormone tells your uterus to contract, prompting the expulsion of period blood. And when prostaglandins really get to work, they can cause a bit of tension further down, to your intestines. In other words, your stool won’t have much time to harden as it’s been told to move swiftly along, resulting in diarrhea.

Prostaglandins: The Main Culprit of Period Poops & Period Pain

Prostaglandins are a group of lipids that are made at the site of tissue damage or infection, such as injury or illness. They control processes such as inflammation, blood flow, and the induction of labor. And in the case of the female anatomy, prostaglandins trigger muscles in your uterus to contract during your period and when you’re in labor. During the first day of your period, this hormone is high, which is why you’ll usually find that the first and second day of menstruation is more painful than the others.

When Prostaglandins Lessen, Progesterone Increases

Then, just before or near the end of your period, your progesterone levels increase. Your uterus lining starts to thicken again, and this is when the uterine contractions stop. The same kind of signal is then sent to the bowels, which could result in constipation.

“[Bowel movements] can change with different hormone levels,” says Frank Marrero, MD, a gastroenterologist with the Lake Charles Memorial Health System in Louisiana. “In fact, some women may even notice the opposite and become constipated during their period.”

Is it Normal to Have Diarrhea Whilst on Your Period?

It’s completely normal. As we mentioned, it’s a common complaint among many women. But if you find that you have severe diarrhea and/or suffer from the following conditions, it may be best to visit a professional:

  • Endometriosis
  • Fibroids
  • Ovarian cysts
  • Polycystic ovary syndrome (PCOS)
  • Irritable bowel syndrome (IBS)
  • Severe cramps or abdominal pain (worse than usual)
  • Heavy periods (heavier than usual)
  • Rectal bleeding
  • Blood when wiping
  • Mucus in your stool

Is There Any Way to Prevent Diarrhea Period Poops?

There are a number of ways that you can reduce period-related diarrhea, or even prevent it altogether. Just be aware that everyone’s body is unique and that what might work for one may not work for another. Perhaps none of these solutions will work at all.

We do however encourage you to try some of them in hopes of easing or eradicating diarrhea during your period:

  • Take the birth control pill, which can help regulate your period and reduce diarrhea. Additionally, if you skip the placebo pills and avoid a period altogether, you can eliminate the chance of having period diarrhea.
  • Try to reduce stress, which can make menstrual symptoms worse. You could try meditation, taking an hour out of your day to unplug and relax, and/or exercising.
  • Take ibuprofen a day or two before your period, which could reduce the effects of prostaglandins on your body.
  • Use gentle OTC (over-the-counter) medicine for diarrhea, such as MiraLax.

Staying Healthy During Diarrhea on Your Period

  • Make sure you’re hydrated so that you can make up for the water loss that occurs during diarrhea.
  • Avoid foods that tend to make diarrhea worse, such as caffeine, artificial sweeteners, dairy products, spicy foods, and sugary foods.
  • Take fiber supplements, or eat more foods with fiber before your period, such as whole-grain breads, and fruits and vegetables with the skin on them, which can add bulk to your stool.
  • Add probiotic foods into your diet, like miso, sauerkraut, yogurt, or kimchi, which can boost healthy bacteria in your gut.
  • Eat smaller meals more frequently so that the body can digest it easier.
  • Replace electrolytes that can get lost during diarrhea, such as sports drinks or coconut water.
  • Eat salty food to replace sodium that gets lost during diarrhea, which will then help the body to retain more water.

Diarrhea During Your Period: When to See a Doctor

For many, getting bouts of diarrhea just before and during a menstrual period is normal.

But if you find that it’s interfering with your normal everyday life, such as the symptoms below, it’s best to consult a professional:

  • You’re experiencing diarrhea or other GI symptoms that persist longer than two days
  • You have severe cramping (that’s worse than usual) in your stomach or pelvis that isn’t getting better with OTC medicine
  • You have blood or mucus in your stool, which could indicate other health problems

Diarrhea and Your Period, FAQs

In case there’s a question you’re pondering on that has yet to be answered above, here are three FAQs on diarrhea and your period.

Why do period poops smell so bad?

If you find your period poops smell bad or worse than non-period poops, it could be because of your premenstrual eating habits. There’s often a decrease in impulse control during pre-menstruation, which means that you may be prone to eating different foods than normal.

Can I prevent my tampon from coming out during a bowel movement?

Some people may push out their tampons whilst making a bowel movement because of the strain. You could opt for a different menstrual product, like a menstrual cup, which is more likely to stay put.

Do I have to change my tampon after every poop?

This is entirely up to you. If you get poop on your tampon string, it is advised to change your tampon because feces contain harmful bacteria, which could lead to vaginal infections. To prevent getting poop on your tampon string, you could hold it to the front or side or tuck it into your labia. Alternatively, consider other menstrual products.

The Opposite End of the Spectrum: Constipation

And finally, before your period, or after it ends, you may think you’re in the clear when it comes to digestive issues. Then, you experience constipation! What’s that all about? Well, as we mentioned, when your menstrual period ends, there’s an increase in progesterone. This causes food to move more slowly through your intestines, causing you to feel backed up.

This too is normal, but there are some things you can do to help relieve constipation:

  • Drink more water which can soften the stool, making it easier to pass
  • Focus on natural fiber sources, like apples, broccoli, oats, beans, and pears
  • Exercise to stimulate sluggish intestines
  • Always go to the bathroom when you think you need to go as not to disrupt the mind-body connection
  • Talk to your doctor about laxatives if your constipation is severe

Some may argue that going through menstruation is a curse. And sure, symptoms such as diarrhea, constipation, bloating, and cramps aren’t, in any shape or form, a joy. But menstruation is powerful, and a way to connect to your most feminine and divine power. You, menstruating individuals, are sheer magic.

Period diarrhea: Why does it happen and how to get rid of it

Pain, cramping, bloating and abdominal pain could be very normally experienced during periods, but have you ever experienced diarrhea during periods? It is surely not a pleasant feeling. However, it’s normal to have diarrhea before or during periods. The same hormonal changes that cause contraction of your uterus and its lining can also have an effect on your gastrointestinal (GI) tract.

While usually, it is not a matter of grave concern, steps should be taken to either prevent or reduce your symptoms regarding period poop. To know more on this subject, Health Shots got in touch with Dr Pooja C. Thukral, Associate director – Obstetrician and Gynecologist at Cloudnine Group of Hospitals, Faridabad.

Why does period diarrhea happen?

According to Dr Thukral, hormonal changes during periods are normal. Due to this, certain chemicals are released. These chemicals are known as prostaglandins. So, when prostaglandins act on the uterus, a woman experiences abdominal cramps, and if these chemicals are released in the intestine, it may be experienced as diarrhea.

Period diarrhea is a troublesome problem to have.

Diarrhea is nothing but an increased frequency of motions. These may be loose and watery.

It is still not properly known whether the prostaglandins released in the uterus are absorbed by the blood and travel to the intestine or are these chemicals simultaneously released both in the intestine and uterus. While these are reasons for abdominal pain or bloating, women may also experience period diarrhea aka period poop.

How to get rid of period diarrhea?

The following measures can help curb the symptoms of diarrhea or pain during periods.

1.

Level up your fiber intake

The simplest thing to do to deal with period poop is to increase your fiber intake during periods. “High fiber diet mostly includes salads and fruits. Coffee should be strictly avoided at this time because coffee is a natural laxative,” says Dr Thukral. Additionally, other foods such as artificial sweeteners, dairy products, and spicy and very sugary foods can also aggravate your diarrhea.

A fiber rich diet is the way to go! Image courtesy: Shutterstock

2. Improve your fluid intake

If you tend to have period diarrhea, you should improve your fluid intake because persistent diarrhea can dehydrate you. To deal with dehydration, Dr Thukral suggests taking an electrolyte solution, ORS, Glucon-D mixed with water or coconut water.

Increase your fluid intake with coconut water. Image courtesy: Shutterstock

3. Anti-prostaglandins medications

There are some medications available that can reduce the release of prostaglandins in the body. So, Dr Thukral reckons taking one tablet before the period starts. It will help you with period cramps as well as period diarrhea. However, as per the expert, it is not routinely recommended. It should only be taken if the aforementioned general measures have failed to show any fruitful results.

4. Oral contraceptive pill

Lastly, if you feel any of the anti-prostaglandin medications are not seeming to be of any help to treat period diarrhea, then your gynecologist can put you on an oral contraceptive pill for long-lasting effects.

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how it manifests itself and how to relieve pain in the lower abdomen

Comment from an expert
Gynecologist Anastasia Degteva

“Feeling that your period is about to start is normal. However, if at least one of the symptoms is so disturbing that it interferes with normal life, then this should not be tolerated! Contact your doctor immediately. There are drugs that help women feel better and not be distracted by PMS from more interesting things. For your doctor to help you, enter your PMS symptoms into the menstruation app.”

Approximately one week (from 2 to 10 days) before the onset of menstruation, tangible changes occur in the female body. Usually these changes are negative, as they are accompanied by unpleasant symptoms in the form of bloating, increased appetite and, as a result, weight gain, pain in the lower abdomen and in the chest, fever and apathy. But if you learn to understand your body and body, to know why certain processes occur, then PMS can be experienced relatively easily and comfortably.

PMS symptoms

First of all, you need to calm down and understand that the symptoms of PMS in different forms and with different intensity are experienced by almost all women before menstruation. Someone suffers more, but for someone this period is no different from other days.

What hurts with PMS and what symptoms are normal and typical for the premenstrual period?

  • Pain in the lower abdomen before menstruation.

  • Pain in the chest.

  • Appetite increase.

  • Mood swings.

  • Irritability and apathy.

  • Anxiety and vulnerability.

  • Sleep problems.

  • Eruptions on the face, oily sheen.

  • Headache and dizziness.

  • Swelling of the body due to retention of water in the body.

  • Increased body temperature.

  • Increased sweating and “heat” in the body.

  • Intestinal disorders: constipation, diarrhea, increased flatulence.

Premenstrual syndrome is not always characterized by such symptoms. It all depends on the individual characteristics of each organism. In addition, experts say that the intensity of PMS depends on both the physical structure of the body and the psycho-emotional state.

In modern gynecology, severe PMS is considered a disease that requires various methods of treatment, including medication. If the premenstrual period is extremely painful and difficult, then you should contact a specialist for professional help.

Temperature before menstruation

The normal temperature of our body is called basal. The norm is 35.5 or 36.6 degrees. During premenstrual syndrome, the normal range rises to 36.9. In medical practice, there was an increase in temperature up to 38 degrees. However, such a high fluctuation in temperature values ​​\u200b\u200bmay indicate the presence of some kind of inflammatory process in the body.

To understand what body temperature is normal for you and whether it has a monthly tendency to increase, a diary of observations will help. It is necessary to measure and record temperature indicators in all phases of the menstrual cycle for 2-3 months. During this period, you will be able to track changes in basal body temperature. To be sure that fever and a feeling of heat are signs of PMS, and not a signal of any disease, you should consult a gynecologist or therapist.

You can mark your well-being, symptoms and menstrual cycle in the application on VKontakte “My calendar”, where it is convenient to read useful articles and keep track of your periods in order to plan rest and activities!

Chest hurts before menstruation

Breast pain and “swelling” in the premenstrual period is one of the most common symptoms, often only one breast hurts before menstruation. Throughout the menstrual cycle, hormonal levels can change. The mammary glands are very sensitive to such jumps in hormones. As a rule, chest pains disappear already on the first or second day of menstruation.

It is worth worrying if the pain is severe and difficult to endure, and also if discharge from the nipples appears. Even at a regular appointment with a gynecologist, you need to notify about the sensations in the mammary glands. A qualified specialist can conduct an examination using palpation and teach how to conduct such an examination on their own. An annual check-up of women’s health should include not only a visit to a gynecologist, but also an ultrasound of the mammary glands. This is especially true for those who regularly take hormonal contraception.

Lower abdominal pain

It is a common misconception that pain in the lower abdomen is characteristic only of menstruation. Moderate pain in the lower abdomen before menstruation is also the norm. Pain occurs due to the active work of the uterus. Already a couple of days before the start of menstruation, the uterus is preparing to “throw off” the endometrium – an unfertilized layer that comes out along with spotting. This is a signal to the body that pregnancy has not occurred.

In PMS, pain in the lower abdomen can be described as “heaviness” or “pulling sensations”. Usually, with the onset of menstruation, these discomforts gradually disappear.

Appetite before menstruation

Increased appetite before menstruation is an absolute norm. The body stores carbohydrates and fats, which will help it restore blood loss and energy during menstruation. During menstruation, especially in the early days, especially drawn to sweets and carbohydrates. But already for 3-4 days the appetite returns to normal.

How physiologically to explain such bursts of increased appetite? The reason lies in the hormonal background. Yes, hormones in women’s bodies affect not only breast pain, mood and energy, but also the desire to eat. Estrogen drops before menstruation, and progesterone rises, as a result of which eating behavior changes, and it becomes more and more difficult to listen to feelings of hunger and satiety.

When to See a Doctor

PMS is normal for the menstrual cycle. However, if premenstrual syndrome turns into torture and reduces the quality of your life, then you should consult a specialist. Often girls listen to unprofessional advice from relatives who claim that severe pain is normal. Menstruation is a physiological process provided by nature itself. Suffering and enduring severe pain before and during menstruation is absolutely wrong.

Causes of painful PMS will be determined by a gynecologist. Sometimes the symptoms of premenstrual syndrome can indicate the presence of other diseases. It is important to choose the appropriate treatment in a timely manner.

How to help yourself?

It is almost impossible to get rid of all possible manifestations of PMS. For the female body, certain symptoms of premenstrual syndrome are normal. But you can help yourself survive these days easier and more painlessly.

  • Get enough sleep. Sleep is a great helper in restoring vitality and energy. Try to sleep at least 8 hours a day. On PMS days, you can safely afford to spend a little more hours in bed than usual.

  • Don’t be nervous. It is always important to monitor the psycho-emotional state, and especially during PMS days. Avoid stressful situations. If an important event or meeting falls during this period, if possible, reschedule it to another day. Meditation, chamomile tea, and subtle comedy are a recipe for emotional overload.

  • Make dietary adjustments. If you are drawn to junk and fatty foods, allow yourself to eat it. But don’t be zealous. Excessive consumption of sweets can lead to sudden mood swings and emotional outbursts, often negative (irritability, anger, tearfulness). Avocados, nuts, dairy products, dark chocolate, and fish are foods rich in vitamins and amino acids that can reduce the pain of PMS.

  • Move on. It’s definitely not worth it to be a hero and engage in intense physical activity.