Dr. Pamela Smith, ND 

Dr. Pam has a family practice at The Nest Family Wellness Centre which offers naturopathic and midwifery care. She combines science-based natural medicine with conventional medical therapeutics. Learn more about Dr. Pam and the services offered by her clinic here, or book an appointment at www.drpamelasmith.com.

Check out the latest Ask Dr Pam Q&A and posts by topic below as well as her health and wellness posts.

Ask Dr Pam   

Aside from cramps, what symptoms should I expect to experience when I get my period?


There are many symptoms associated with each of the different categories of PMS symptoms, not only cramps. PMS is often broken down into groups:

  • PMS – A → Anxiety (most common)

    • Anxiety, anger, irritability, emotional instability, cramps

  • PMS – C → Cravings

    • Increased appetite, carb cravings, headache, fatigue, fainting, heart palpitations

  • PMS – D → Depression

    • Crying, confusion, insomnia

  • PMS – H → Hyperhydration

    • Weight gain (1-1.5kg), abdominal bloating, breast tenderness, congestion, edema (swelling), changes in bowel habits

It is common for women to experience any combination of these symptoms. For more about the causes, prevention and treatment of PMS, read this post.