Please Help Me Understand The Reasons For PMS Symptoms

Posted on Wed, 8 Mar 2023

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 8 Mar 2023 Answered on

Tue, 23 Jul 2024 Last reviewed on

Question : I am Vasantha(33/F) and I have very heavy PMS symptoms in the luteal phase of menstrual cycle. Also thin endometrial lining even with medications to improve estrogen. I took estrogen and progesterone serum analysis from blood on the 18th day of my periods and the results are attached. Please help me understand the reasons for PMS symptoms and why the Endometrial lining is resistive.

Answered by Dr. Richa Agarwal (4 hours later)

Brief Answer:
It is due to hormonal imbalance

Detailed Answer:
Hello dear,
I have gone through your history and report and understand your concerns.
Your symptoms are suggestive of hormonal imbalance caused by progesterone deficiency.
PMS symptoms are due to hormonal imbalance and you have to take progesterone.
Hope found useful, feel free to ask more information.
Good luck
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Richa Agarwal (23 hours later)

Many times doctor prescribed tablet Susten200 for increasing progesterone and also prescribed PMS care tablet but none of them seems to alleviate my symptoms. My symptoms are severe couldn't perform my day to day activities from 15 days before my period arrives, that's y thought to get resolution through this medium. Also please let me know what might be the main reason for thin endometrium, I also have very thin endometrium and have blood flow for only one day. kindly help me by answering the above queries.

Answered by Dr. Richa Agarwal (9 hours later)

Brief Answer:
It could be due to hormonal imbalance

Detailed Answer:
Hi,
Thanks for your reply.
Your symptoms are suggestive of hormonal imbalance.
Your thin endometrium could be due to estrogen deficiency. You can go for blood testing to rule out thin endometrium.
PMS pain could be due to hormonal imbalance or it could be due to ovarian cyst, fibroid and polyp.
Lifestyle changes and diet changes are required in your case.
You can take hot fomentation and analgesic application in your case.
Get your pelvic MRI to rule out the cause of your symptoms.
Hope found useful
Regards

Above answer was peer-reviewed by : Dr. Kampana