Q My PMS seems especially severe in months with a lot of overtime and stress. Is there a connection?
A There is a direct connection. The stress hormone cortisol interferes with progesterone receptors and reduces serotonin, amplifying luteal-phase symptoms. Chronic stress is one of the biggest triggers that worsen PMS.
Detailed Answer
When overwork and stress persist, cortisol rises and interferes with progesterone signaling, worsening the luteal-phase imbalance. Lack of sleep also blocks serotonin recovery and increases mood swings. Aerobic exercise raises serotonin and endorphins and is effective in reducing PMS symptoms.
Korean Medicine Clinic Perspective
In Korean medicine, overwork and emotional exhaustion are the causes that most quickly deplete the Liver's energy. The more frequent the overtime, the deeper the Liver-qi stagnation becomes, so it is a natural progression for PMS to worsen. During treatment, we also recommend lifestyle adjustments to reduce overwork and excessive drinking that harm the Liver.
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