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122

Premenstrual Disorders

been used by many women to help PMS. Called the natural anti-

depressant, there is much controversy over its effectiveness. Saint-

John’s-wort is another “natural” antidepressant.

The herb vitex is believed to help regulate the menstrual cycle

by increasing the levels of estrogen and progesterone. (It also helps

when menstrual bleeding is a problem, and shrinks fibroid tumors in

some women.) Another substance used to stimulate the secretion

of estrogen and progesterone is black cohosh root. It is also thought

to help with water retention, improve digestion, and calm women—

but it has the side effect of causing a heavy menstrual flow.

As with any of the natural and herb remedies, these substances

must be used with caution. Just because something is said to be

natural does not mean it is better. When more aggressive treatment

is needed, women should consult someone they can trust before

beginning any vitamin or herbal remedy.

Light Therapy

Studies have been done on the relationship between seasonal affec-

tive disorder (SAD) and PMS. Many of the symptoms are very simi-

lar: those who suffer from SAD crave sugary and starchy foods; they

are depressed, sad, and sometimes irritable. Both their sleeping and

eating habits are affected, and their symptoms exist only at certain

times (in this case when the days are shorter and there is less light).

During the spring and summer these symptoms disappear.

While researching different methods for treating PMS, one study

used a bright-light procedure much like that used on SAD patients.

The women responded well and noticed differences in weight gain,

depression, carbohydrate cravings, fatigue, and irritability. Another

study that used two hours of bright light daily in the morning showed

improvement in PMS symptoms. Others noticed that natural light

made a difference—especially for those who spend much of their

time under artificial lights either at work, school, or recreation.