Premenstrual Syndrome PMS H

Premenstrual Syndrome PMS H (Headache): Overview

Many Holistic doctors categorize PMS into four types – A, C, D and H – which were originally identified by Dr. Guy Abraham, M.D. 'Type H' or 'PMS-H' ("Headaches, Heaviness, Hydration") is characterized by weight gain (greater than three pounds, 1.5kg), abdominal bloating and discomfort, breast congestion and mastalgia, and the occasional swelling of the face, hands and ankles.

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Causes and Development

The symptoms of PMS-H are due to an increased extracellular fluid volume which is in turn due to an excess of aldosterone which causes increased fluid retention.  Aldosterone excess during the luteal phase of PMS-H patients may arise due to any of the following factors:

  • Stress – aldosterone is secreted by the adrenal cortex under the control of ACTH, which is secreted by the pituitary in response to stress, high serotonin levels and angiotensin II
  • Estrogen Excess – estrogen increases hepatic excretion and production of angiotensinogen, the precursor to angiotensin II
  • Dopamine Deficiency – a relative dopamine deficiency has been demonstrated in PMS-H patients.  Dopamine suppresses aldosterone formation in the adrenal glands and, in the kidneys, is natriuretic and diuretic.

Signs and Symptoms

Symptoms of PMS-H include:

  • Weight gain (greater than 3 pounds, 1.5kg)
  • Abdominal bloating and discomfort
  • Fluid retention
  • Breast congestion and tenderness
  • Swollen face, hands, ankles and/or feet

Treatment and Prevention

Supplements that may alleviate symptoms include:

  • Dandelion
  • Parsley
  • Vitamin E
  • Chaste tree
  • Potassium
  • Vitamin B-complex (taken daily)
  • Vitamin B6 (taken during the last 14 days of each cycle)

References and Further Information

See also:

Premenstrual Syndrome (PMS)
PMS-A (Anxiety)
PMS-C (Craving)
PMS-D (Depression)

Signs, symptoms & indicators of Premenstrual Syndrome PMS H (Headache):

Symptoms - Reproductive - Female Cycle


Conditions that suggest Premenstrual Syndrome PMS H (Headache):




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Premenstrual Syndrome PMS H (Headache) suggests the following may be present:


Recommendations for Premenstrual Syndrome PMS H (Headache):

Botanical / Herbal



A deficiency in magnesium causes hyperplasia of the adrenal cortex, elevated aldosterone levels, and increased extracellular fluid volume.  Aldosterone increases the urinary excretion of magnesium; hence, a positive feedback mechanism results, which is aggravated since there is no renal mechanism for conserving magnesium.

In laboratory animals, a pyridoxine deficiency at the renal level decreases the kidneys' ability to secrete sodium.  In addition, since pyridoxine requires magnesium for phosphorylation to its active form, a magnesium deficiency can lead to decreased B6 activity.  Increased insulin secretion, in response to sugar consumption, results in sodium retention that is independent of aldosterone.

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Weak or unproven link:
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Strong or generally accepted link:
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Moderately useful:
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