Some tips for managing PMS after having a baby

Some of my readers come here looking for advice on alleviating PMS symptoms after childbirth.

It's true that some women find that there's an increase in pre-menstrual symptoms or their severity after having a baby. But it's hard to find out exactly why, apart from the obvious, that is, fluctuations in hormone levels.

I tried to find an answer after noticing it myself after the birth of my third child.

PMS itself is hard to define, since there are a variety of symptoms including fluid retention, headaches, breast tenderness, and irritability, and symptoms vary from woman to woman.

Aparently there is a link between women experiencing PMS symptoms and cravings for foods which are high in fat and sugar. So it's worth aiming for a healthier diet and attention to eating regularly as one way to go in easing symptoms.

A woman's fertility cycle can change after childbirth, for example, cycles may become longer or shorter in duration than before pregnancy, so it follows that can be differences in PMS symptoms and their intensity as well.

Becoming a new mother, or a mother again, can also impact your general health if you aren't diligent about meeting your nutritional, exercise and emotional needs.

Many of us are brilliant at looking after our children's health, and completely ignoring our own. Might a worsening of PMS symptoms be an indicator that you are run down generally?
Here are some tips from the Better Health channel, a Victorian government website, which I found useful:

• Exercise regularly, at least three times a week – try to exercise daily in the premenstrual period
• Don’t smoke
• Cut back on caffeine and alcohol in the two weeks before menstruation
• Ensure that you get enough sleep
• Manage your stress in whatever way works for you – for example counselling, Tai Chi or meditation, walking or gardening

It also suggests diarising your symptoms, to make sure that they are in fact PMS symptoms and not something else, like postnatal depression, I guess. For one thing, although this seems obvious, the diary should show that symptoms disappeared completely with the beginning of the period.

Vitamin, mineral and herbal supplements such as calcium, magnesium, vitamin E and even St John's Wort have all been suggested as potentially effective treatments, as well as acupuncture, naturopathy and relaxation therapy.

There are also hormone treatments and medications available if PMS is really impacting your life.

For more information, see the Better Health article:
www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/premenstrual_syndrome_treatment_options

There's another article with a similar gist at Parenting.com

Is PMS worse after having children?

Sorry guys, this is a women-only post. You wouldn't be interested, trust me.

I have been wondering if there was any evidence that PMS symptoms can worsen once you've had a few children. I've done a little research on symptoms and treatments, and summarised the best I found here.

In my case, ever since my cycle resumed after baby number three, that time of the month has been starkly evident - much more than ever before.

Before I had this gorgeous boy of mine I noticed almost nothing. But since having him, this is what I've had:

• Lots of bloating - to the point that my dad, with one look at me, asked if I was pregnant again! (Tact is not one of his strong points, but at least you can count on him to tell it like he sees it.)
• Moodiness - more like full-on depression and edgyness lasting around three days. I was feeling awful the last few days and fighting back tears most of yesterday, and today, guess what?
• Pain - not so much this time, but two whole days (!) of abdominal cramps the two previous months.

The black mood is the worst. The rest I can handle, no worries at all.
But this horrible, heavy, woe-is-me, can't-be-bothered to wash a dish or pick up the phone to call a friend-mood is the awfulest of awful.

I tell myself that there is no reason to feel this way; nothing particularly bad has happened, it is probably the hormones. It makes little difference.

I had to fight back the urge to call my husband and beg him to come home by four o'clock in the afternoon.
It even crossed my mind to wonder if post-natal depression can come 16 months after the event!
Three days of that is bad enough. To anyone who lives with this all the time - my heart goes out to you.
Today, all the colour is back in the world for me. And I had a thought; what if I'm thinking of it the wrong way?
What if my PMS has always been the same; it's just that I'm a lot happier with my lot in life than ever before, so the difference is a lot more marked?
Any suggestions? Anecdotal evidence that PMS, or the experience of it, is better or worse after having kids?