A close up of pink fungi that forms ripples.

Can Gut Health Affect Your PMS?

· 11 min read

Key Takeaways

  • The gut microbiome, a complex ecosystem of trillions of bacteria, viruses, and fungi, plays a significant role in our overall health and impacts hormonal balance.
  • Gut bacteria are involved in the metabolism of estrogens, hormones that play a pivotal role in premenstrual syndrom (PMS). Any imbalance in gut bacteria can impact this process, potentially leading to more severe PMS symptoms.
  • More than 90% of our body's serotonin, a neurotransmitter that influences mood and emotions, is produced in the gut, further underlining the gut's influence on PMS.
  • Incorporating probiotics (beneficial bacteria) and prebiotics (food for gut bacteria) into our diet can cultivate a healthy gut microbiome and may potentially ease PMS symptoms.
  • Highly processed foods, sugary snacks, and excessive alcohol can disrupt the balance of our gut microbiome and potentially worsen PMS symptoms.
  • It's important to remember that we're at the early stages of understanding the gut microbiome and its influence on our health. So, before starting any regimen or taking supplements, consultation with a healthcare specialist is crucial.

Coline's Advice

  • Understanding the complexity of the microbiome and navigating probiotics and prebiotics sources can be tricky.
  • Start by adding more fresh vegetable to your diet.
  • If you'd like to start taking probiotics, talk to your healthcare specialist! Our gut is a delicate ecosystem with a specific mix of bacteria-inhabitants which is unique to each individual. Probiotics supplementation should be tailored to you.

The Interplay of Gut Health and Hormones

Navigating the ebb and flow of hormonal changes during the menstrual cycle can be a perplexing experience. Premenstrual Syndrome (PMS) with its gamut of symptoms from mood swings, bloating, to crippling cramps, will affect nearly 75% of menstruating people during the reproductive phase of their live.

But what if we told you that the key to managing these symptoms could reside within your gut? It may sound odd, but recent research illustrates a fascinating link between our gut health and the intensity of PMS symptoms.

The Mighty Microbiome: Beyond Digestion

Our gut houses trillions of bacteria, viruses, and fungi collectively known as the microbiome. In this microscopic universe, countless interactions and chemical reactions occur that substantially impact our overall health. While the notion of gut health might conjure images of digesting a hearty meal, it stretches far beyond digestion. It’s a complex, dynamic system influencing everything from our immune response, mental health, to hormonal balance. In fact, research shows that a healthy gut microbiome can have a significant impact on the intensity and severity of PMS symptoms.

Estrogen Metabolism and the Role of Gut

Let's first understand how the gut can influence our hormonal balance. One of the major players in the PMS drama is estrogen, a hormone (or several hormones, to be accurate) that fluctuates dramatically during the menstrual cycle. Now, when it comes to metabolizing this hormone, our gut has a significant role to play. Gut bacteria are involved in a process called 'estrobolome' – a set of gut bacterial genes responsible for metabolizing estrogens. In a healthy gut, excess estrogen is efficiently metabolized and excreted out of the body. But when there's an imbalance in our gut bacteria, this process is impaired. Bacterial imbalance can lead to the reabsorption and recirculation of estrogen (instead of getting rid of them), thereby causing hormonal interferences that could potentially amplify PMS symptoms.

Neurotransmitters: Mood, Emotion, and Gut Bacteria

This gut-hormone link isn't just about estrogen. There's another significant piece of the puzzle - our neurotransmitters, chemical messengers that transmit signals throughout our body, influencing our mood and emotions. More than 90% of our body's serotonin, often dubbed the 'happiness hormone', is produced in the gut. This production is greatly influenced by the state of our gut microbiome. Hence, an imbalance in gut bacteria can lead to lower serotonin production, which might contribute to mood swings and depressive symptoms often associated with PMS - you know, that 2 to 3 day lasting feeling that no one loves you or understands you (or is it just me?).

Probiotics: Allies for Gut Health and PMS

Now, knowing this powerful gut-PMS connection, how can we harness it to our advantage? Enter probiotics, the beneficial bacteria that aid in maintaining our gut health. Incorporating probiotics in our diet, either through fermented foods or supplements, can help cultivate a diverse and healthy gut microbiome. Recent research on probiotics (gut bacteria) and prebiotics (food for said gut bacteria) shows promising results.

Let's keep in mind, we're just starting to scratch the surface of this huge universe we call the microbiome. Trying to figure out which probiotics will work for whom is a little like hosting a party, and inviting a few new guests into a bustling room of trillions. Will they start a conga line or hide in the corner? Well, it's really a roll of the dice! So before you start buying highly marketed probiotics products, talk to a healthcare specialist.

Diet: A Key Player in Gut Health and PMS

Just as the soil needs the right nutrients for a seed to flourish, our gut needs a balanced diet to foster a healthy microbiome. What we consume can significantly influence our gut bacteria, which, in turn, can impact the severity of PMS symptoms. Within this dietary equation, two types of foods play pivotal roles - those rich in probiotics and those abundant in prebiotics.

Probiotic-rich Foods

Probiotics are essentially beneficial bacteria that can contribute positively to our gut health. Consuming probiotic-rich foods adds to the diversity of our gut microbiome, potentially improving digestion, boosting immunity, and enhancing mood regulation - all of which can be significant when dealing with PMS.

Top foods high in probiotics include:

  • Yogurt: Look for yogurt that contains 'live and active cultures' to ensure you're getting a dose of beneficial bacteria.
  • Kefir: This fermented dairy drink is a probiotic powerhouse.
  • Sauerkraut and Kimchi: Fermented cabbage dishes are rich in probiotics and can be a flavorful addition to your meals.
  • Kombucha: This fermented tea is a popular source of probiotics.

However, one potential drawback is that probiotics taken through food or supplements may not permanently colonize the gut. They're like tourists, visiting but not settling down, yet still providing benefits during their stay. In addition, for someone who’s gut is already is bad shape, this type of food can be painful to digest and lead to bloating or stomach cramps. Again, recommendations need to be individualized for each and every person. We’re all unique!

Prebiotic-rich Foods

On the other hand, prebiotics are types of dietary fiber that feed the bacteria in your gut, helping them to multiply and thrive. Essentially, prebiotics set the dinner table for probiotics, creating an environment conducive to their growth.

Top foods high in prebiotics include:

  • Garlic and Onions: Not only do they add flavor to your meals, but they're also fantastic sources of prebiotics.
  • Oats: They are not only heart-healthy but also a great source of prebiotics.
  • Bananas: They're a sweet treat for you and your gut bacteria.
  • Asparagus: This versatile vegetable is packed with prebiotics.
  • Leeks also deserve a mention: This unsung hero of the vegetable world is not only a great addition to soups and stews but is also a potent source of prebiotics, contributing positively to your gut health.

One potential issue with prebiotics, though, is that they are not bacteria-specific. They provide nourishment for all gut bacteria, including potentially harmful ones.

In a nutshell, both probiotics and prebiotics have their roles and potential drawbacks in gut health. It's about creating a dietary balance, ensuring you're providing your gut with both beneficial bacteria (probiotics) and the food they need to thrive (prebiotics) - the combined effort of which could help ease PMS symptoms.

The Gut Health Villains: Foods to Avoid

While we've highlighted foods that can positively impact gut health, it's equally important to note the ones that can be detrimental. Certain types of food can disrupt the delicate balance of our gut microbiome, leading to dysbiosis and potentially exacerbating PMS symptoms.

Highly processed foods

Highly processed foods top the list. Laden with additives, preservatives, artificial sweeteners, and unhealthy fats, these foods can cause inflammation and imbalance in our gut bacteria. Fast food, ready meals, and processed meats fall into this category.

Sugary drinks and snacks

Next are sugary drinks and snacks. Excessive sugar can feed the harmful bacteria in the gut, causing them to overpopulate and leading to an imbalance. Foods high in refined carbohydrates, like white bread and pastries, can have a similar effect.

Alcohol

Lastly, excessive alcohol can damage the gut lining, making it easier for bacteria to cross into the bloodstream, a phenomenon known as 'leaky gut'. This can trigger inflammation and a host of other health issues.

In a nutshell, while it's not about completely eliminating these foods, mindful moderation is key. A diet that leans more towards natural, whole foods and less towards processed and high-sugar options can go a long way in nurturing gut health and potentially easing PMS symptoms.

Conclusion: Embracing Gut Health for PMS Management

The interplay of our gut health with PMS may be complex, but its essence is simple - a happy gut can help make a happy period. And, in the growing body of literature that links gut health to various aspects of our health, it reiterates one thing - what happens in our gut doesn't stay in the gut. It reverberates throughout our body, affecting our overall well-being. So, for all those grappling with PMS, remember, your gut could be a powerful ally in your journey towards better health. Nourish it well, and it might just help you breeze through your next menstrual cycle with greater ease.

Coline Dermersedian

About Coline Dermersedian

I'm a former lawyer turned naturopath. Think of me as a health coach who uses a combination of traditional and science-based therapies to regain optimal health, and offers practical advice tailored to your unique needs.