Premenopause Causes

Fact checked

By Menopause Now Editorial Team | Updated: Sep 30, 2019


As the beginning stage of the menopause process, premenopause represents the first time women will feel the influence of hormones in their bodies. During this time, three out of every four women report feeling bodily discomforts around their menstrual cycles, called premenstrual syndrome (PMS).1 Continue reading to learn about what causes PMS symptoms in premenopause.

Hormonal Causes of Premenopause Symptoms

The female reproductive system is guided by a regular fluctuation of hormones, namely estrogen and progesterone in tandem with others, to prepare the body for conception on a monthly basis. This process is known as the menstrual cycle.

While it is not well-defined which hormone causes PMS symptoms, it is believed that some women are more sensitive to the flux of estrogen and progesterone toward the end of the cycle. Moreover, changes in these ovarian hormones may influence neurotransmitters that play a crucial role in mood, such as serotonin.

Causes of premenopause

Nevertheless, there are other causes of PMS symptoms that are not hormone-related. They are explained more in-depth in the following section.

Other Causes of Premenopause Symptoms

While hormone fluctuations play a main role in PMS, its symptoms can be brought on or intensified by the external factors, including, but not limited to:

Prolonged stress

According to the National Institutes of Health, women who reported feeling stressed around the time of ovulation - two weeks before menstruation - were up to four times more likely to report moderate to severe PMS symptoms in comparison to those women who were not.2

Poor diet

Having a poor diet lacking in essential vitamins and minerals while being high in refined carbs and sugars can worsen PMS symptoms. Moreover, excessive consumption of salt can promote bloating, fluid retention, and breast tenderness, and caffeine has been connected with premenstrual irritability and insomnia.3

Unhealthy habits

Studies have found that smoking increases the risk of moderate to severe PMS symptoms in young adulthood.4 Also, consuming alcohol escalates the risk of premenstrual syndrome to be 45 percent higher in drinkers versus non-drinkers.5

In sum, while it can be seen that hormones do lie at the root of PMS, aforementioned external factors can also be at fault for provoking bothersome effects in the body. Nevertheless, to continue moving forward on the path to hormonal well-being during one's peak fertile years, learn all about the possible premenopause symptoms that can occur by clicking on the preceding link.

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