Ava Satnick, MD -  - Pediatric Integrative Medicine

Holbrook Health

Ava Satnick, MD

Pediatric Integrative Medicine located in Portola Valley, CA

When girls start having their periods, some develop problems like cramping and pain, mood changes or full blown premenstrual syndrome (PMS) that can last into young adulthood and beyond. Ava Satnick, MD, at Holbrook Health in Menlo Park, California, helps young women and adolescents who experience PMS. Dr. Satnick uses a holistic approach to managing common PMS symptoms like irritability, bloating, and depression. For relief from PMS, call Holbrook Health, or book an appointment online today.


What is PMS?

PMS (premenstrual syndrome) is a condition many women and girls experience during their menstrual cycle. The most disabling form of PMS is premenstrual dysphoric disorder (PMDD).

PMS may arise because of the hormone fluctuations that you experience at different stages of your cycle. Changes in the levels of serotonin in your brain could also trigger PMS symptoms.

Some women have few noticeable problems with PMS, while others suffer more serious symptoms that disrupt their home and work life.

What are the symptoms of PMS?

PMS (premenstrual syndrome) can cause a variety of symptoms. Some of the most common include:

Depression and anxiety
Irritability and anger
Mood swings
Appetite changes and food cravings
Trouble sleeping
Problems concentrating
Breast tenderness

You may have some or all of these PMS symptoms. They typically worsen as your period approaches, then improve or even disappear during or after your period. If your symptoms don’t subside within four days of your period starting each month, it’s more likely that you have a different condition.

How is PMS treated?

At Holbrook Health, Dr. Satnick provides expert advice for women struggling with PMS to help them manage their symptoms naturally. She is an expert in diet and nutrition and specializes in helping adolescents and young women who are having symptoms of PMS.

Exercise and a healthy diet help control bloating and problems like mood swings, depression, and irritability. As well as being more physically active, you can improve your PMS symptoms by:

Reducing your salt intake
Eating more green leafy vegetables like kale
Drinking more water
Increasing your calcium and Vitamin D intake
Using unsalted, raw nuts as snacks
Eating complex carbohydrates to reduce cravings
Eating more whole grains
Reducing alcohol intake
Limiting caffeine
Eating iron-rich foods or taking an iron supplement

Herbal remedies like may benefit some women, and finding ways to relax can also help with PMS. Dr. Satnick offers relaxation techniques like guided imagery and recommends meditation and yoga for PMS.

Do I need medication for PMS?

Doctors often treat PMS with birth control pills that stop ovulation. Another approach is taking antidepressant medications like fluoxetine that improve your serotonin levels.

While there is a risk of side effects, it’s well worth trying natural methods as well. 

For expert help with PMS symptoms, consult Dr. Satnick to find the treatment that works best for you. Call Holbrook Health today to schedule a consultation or book an appointment online.