Premenstrual Syndrome (PMS) affects millions of women every month, causing symptoms like cramps, bloating, fatigue, mood changes, and digestive issues that can interfere with work, relationships, and daily life. While PMS is common, it doesn’t have to be something you simply “put up with” or cope with using copious amounts of painkillers or hormonal birth control.
At Resilient Women’s Health, we focus on holistic Hormone Management for Women, combining lifestyle changes and pelvic floor physical therapy to help you move past pain and feel your best.
Understanding PMS and Hormonal Imbalance
PMS occurs when fluctuations in estrogen and progesterone trigger physical and emotional symptoms in the days leading up to your period. These hormonal shifts can affect more than your mood—they influence everything from digestion and energy to muscle tension and inflammation.
Common symptoms include:
Pelvic or abdominal cramping
Bloating and water retention
Breast tenderness
Fatigue or brain fog
Headaches
Mood swings, irritability, or anxiety
Constipation
When your hormones are imbalanced or your body is under chronic stress, PMS symptoms can become more intense. Targeted hormone management through lifestyle changes and pelvic floor physical therapy can make a major difference.
The Pelvic Floor Connection
Many women don’t realize how much the pelvic floor and abdominal muscles play a role in hormone regulation. When pelvic floor and abdominal muscles are chronically tight because of stress, weakening of muscles, or over / under exercising, blood flow to the organs that help to regulate hormones can be disrupted. These muscles can also become tight and tender during different parts of your cycle, which can change hormone production, and worsen cramps, increase bloating, and contribute to pelvic or back pain.
Pelvic floor physical therapy can relieve this tension and promote circulation/regulation of hormones and relaxation in the pelvis. Our pelvic health physical therapist will assess muscle strength and tension, posture, breathing mechanics, and movement patterns to design a customized treatment plan that may include:
Manual therapy to release tight muscles, break up scar tissue, and promote circulation of blood
Stress management and breathwork
Posture and strengthening exercises for the hips and core
Women who are seen in our clinic are able to get significant to complete relief of PMS pain in 2-3 menstrual cycles..
Integrating Hormone Management and Pelvic Floor Therapy
When you combine Hormone Management for Women with pelvic floor therapy, you address both the hormonal and structural aspects of PMS. This holistic approach may include:
Lab testing and evaluation by a Hormone Specialist Near Me to identify imbalances
Nutritional and lifestyle recommendations to support healthy hormone metabolism
Regular pelvic floor therapy sessions to reduce pain and tension
Personalized stress-reduction and exercise plans
When to See a Hormone Specialist
If PMS symptoms have been interfering with your life for more than 3-6 months, it’s time to seek professional help. Our team can help you get an evaluation for your hormone levels, guide you through natural or medical treatment options, and help coordinate your care with a pelvic floor physical therapist for comprehensive support.
Take the First Step Toward Relief
Your menstrual cycle shouldn’t be a monthly struggle. By addressing the root causes of PMS you can move past cyclical chaos and feel more balanced and at peace with your health.
To learn more about Hormone Management for Women or to schedule an appointment with a Hormone Specialist Near Me, book a free consultation with our Pelvic Floor Physical Therapists. Together, we’ll create a personalized plan to help you feel your best — every day of the month.
