PMS
Description
PMS (premenstrual syndrome) and irregular cycles are common but not “normal” experiences—often rooted in disrupted hormone signaling between the brain, ovaries, thyroid, and adrenal glands. Functional medicine views symptoms like mood swings, cramps, breast tenderness, and cycle irregularity as feedback from the body, often caused by estrogen dominance, low progesterone, insulin resistance, stress, or nutrient deficiencies. Rather than masking symptoms with birth control, we work to restore natural hormone balance through diet, lifestyle, targeted supplements, and advanced testing, aiming for regular, symptom-free cycles and improved overall health.
Symptoms
Mood swings or irritability
Anxiety or depression pre-period
Breast tenderness
Bloating or weight fluctuations
Cramping or pelvic pain
Heavy, light, or missed periods
Short or long cycle lengths
Acne flares before menstruation
Fatigue or insomnia before periods
Spotting between cycles
Labs/Tests
ZRT hormone testing (Saliva, bloodspot, urine metabolites)
Serum estrogen, progesterone, LH, FSH
Thyroid panel (TSH, Free T3/T4, TPO antibodies)
Blood sugar markers (glucose, insulin, A1c)
Vitamin D, magnesium, zinc, B6, B12
Iron and ferritin levels
Pelvic ultrasound (to rule out PCOS or fibroids)
Cortisol rhythm testing (saliva or urine)
Treatment Options
Seed cycling and progesterone support
Adaptogens (maca, vitex/chasteberry, rhodiola)
Magnesium, vitamin B6, and calcium for PMS relief
Anti-inflammatory diet rich in cruciferous vegetables
Liver detox support (DIM, milk thistle, calcium-D-glucarate)
Evening primrose oil or omega-3s
Stress and sleep optimization
Acupuncture or cycle-tracking for hormonal rhythm
Painful or unpredictable periods? Let’s get to the root of your hormonal imbalance and restore cycle harmony.